创伤后应激障碍在强制隔离戒毒人员童年期创伤与复吸倾向间的中介作用  

The mediating role of post-traumatic stress disorder between childhood trauma and relapse tendency in drug rehabilitation personnel with compulsory isolation

作　　者：吕少博 孙立卫 李丽娜 赵阳 郭素然[3] 顾俊娟 Lyu Shaobo;Sun Liwei;Li Lina;Zhao Yang;Guo Suran;Gu Junjuan(School of Psychology and Mental Health,North China University of Science and Technology,Tangshan 063210,China;Hebei Provincial Drug Rehabilitation Administration,Shijiazhuang 050000,China;Psychological Research Service Center,University of International Relations,Beijing 100091,China)

机构地区：[1]华北理工大学心理与精神卫生学院,唐山063210 [2]河北省戒毒管理局,石家庄050000 [3]国际关系学院心理研究服务中心,北京100091

出　　处：《中华行为医学与脑科学杂志》2025年第2期164-168,共5页Chinese Journal of Behavioral Medicine and Brain Science

基　　金：河北省社会科学基金(HB21SH015)。

摘　　要：目的探讨童年期创伤对于毒品复吸倾向的影响,以及创伤后应激障碍(PTSD)的中介作用。方法2017年3月—5月,选取强制隔离戒毒人员403例进行横断面调查,所有被试均完成一般人口学量表、毒品复吸高危量表、童年期创伤问卷(CTQ)和创伤后应激障碍筛查表第五版(PCL-5)。采用SPSS 27.0和PROCESS 4.1宏程序进行相关分析、回归分析和基于Bootstrap法的中介作用分析。结果毒品复吸高危量表的含无助感的负面情绪维度、童年期创伤问卷的情感虐待和情感忽视维度评分性别差异无统计学意义(均P>0.05),复吸倾向、童年期创伤以及PTSD总分与其他维度分都存在性别差异(t/Z=2.08~4.67,均P<0.05)。强制隔离戒毒人员高危复吸量表[(31.68±9.79)分]、CTQ[(39.90±12.13)分]、PCL-5[11(3,24)分]总分间存在两两正相关(r=0.28,0.36,0.37,P<0.05)。在控制性别后,童年期创伤可以显著正向预测复吸倾向(β=0.34,t=7.24,P<0.01),PTSD在童年期创伤与毒品复吸倾向之间具有中介作用,间接效应为0.11(95%CI=0.06~0.16)。结论童年期创伤可以直接影响毒品复吸倾向,也可以通过PTSD影响毒品复吸倾向。ObjectiveTo explore the impact of childhood trauma on drug relapse tendency,as well as the mediating role of post-traumatic stress disorder(PTSD).MethodsFrom March to May 2017,a total of 403 compulsory drug rehabilitation personnel were selected for a cross-sectional study and then were investigated by the general demography scale,drug relapse risk scale,childhood trauma questionnaire(CTQ),and PTSD checklist for DSM-5(PCL-5).SPSS 27.0 software and PROCESS 4.1 macro program were used for correlation analysis,regression analysis and Bootstrap-based mediation analysis.ResultsThe scores of negative emotions subscale of drug relapse risk scale,emotional abuse and emotional neglect subscales of CTQ had no significant gender differences(all P>0.05).There were gender differences in relapse tendency,childhood trauma,and PTSD total scores as well as other dimensions(t/Z=2.08-4.67,all P<0.05).There were pairwise positive correlations among the total score of the drug relapse risk scale(31.68±9.79),CTQ(39.90±12.13),and PCL-5(11(3,24))for compulsory isolation and rehabilitation personnel(r=0.28,0.36,0.37,P<0.05).After controlling for gender,childhood trauma could significantly and positively predict drug relapse tendency(β=0.34,t=7.24,P<0.01),and PTSD played a mediating role between childhood trauma and drug relapse tendency,with the indirect effect of 0.11(95%CI=0.06-0.16).ConclusionChildhood trauma can affect drug relapse tendency directly,and indirectly through PTSD.

关 键 词：童年期创伤 创伤后应激障碍 复吸倾向 中介作用 强制隔离 戒毒人员 

分 类 号：R74[医药卫生—神经病学与精神病学]