甲基苯丙胺戒治者的心理依赖与保持操守关系的随访研究
A follow-up study on the relationship between psychological dependence and maintenance of abstinence among methamphetamine rehab patients
王深 1胡茂庆 2刘谷丰 3李时雨3
作者信息
- 1. 福建师范大学体育科学学院,福建福州,350108
- 2. 清华附中福州学校,福建福州 350018
- 3. 福建省司法厅戒毒管理局教育科,福建福州,350013
- 折叠
摘要
目的 探讨甲基苯丙胺戒治者的心理依赖与保持操守的发展变化以及变量间的因果关系.方法 通过间隔1年的随访研究,采用交叉滞后分析,观察392名甲基苯丙胺戒治者的心理依赖对操守时长的影响.心理依赖评估除了苯丙胺戒断症状、强迫性等常用指标外,还尝试采用了抑制心理依赖的"戒瘾内生动力"这一积极指标.结果 (1)苯丙胺戒断症状可负向预测操守时长(β=-0.19,P＜0.001),可能是操守时长的原因变量,其预测作用不受吸食剂量的影响(Δx2/df=0.074,P＞0.05);(2)强迫性可负向预测操守时长(β=-0.17,P＜0.001),操守时长也可负向预测强迫性(β=-0.25,P＜0.001),表明强迫性可能是操守时长的原因变量,也可能是操守时长的结果变量,且预测作用不受吸食剂量的影响(Δx2/df=0.097,P＞0.05);(3)戒瘾内生动力可正向预测操守时长(β=0.1,P＜0.05),可能是操守时长的原因变量,其预测作用不受吸食剂量的影响(Δx2/df=0.114,P＞0.05).结论 降低戒断症状与强迫性、增强戒瘾内生动力应是戒治康复防复吸工作的重点.
Abstract
Objective Exploring the developmental changes in psychological dependency and the maintenance of abstinence among MA rehab patients,as well as the Causal Relationships between the two variables.Methods This study examined how psychological dependence on MA influenced the duration of maintaining abstinence through a one-year follow-up survey on 392 MA Rehab Patients.In addition to commonly used indicators such as MA withdrawal symptoms and compulsivity,this study also attempted to use the positive indicator of"intrinsic motivation for drug detoxification"to assess psychological dependence.Results The results of the cross-lagged regression analysis are as follows:(1)The Amphetamine Cessation Symptom Assessment(ACSA)negatively predicted the duration of abstinence(β=-0.19 P＜0.001),which could be an explanatory variable for the latter variable,and its predictive effect could be unaffected by the dosage of MA(Δx2/df=0.074,P＞0.05).(2)Compulsivity negatively predicted the duration of abstinence(β=-0.17,P＜0.001),and the duration of abstinence also negatively predicted compulsivity(β=-0.25,P＜0.001),indicating that compulsivity may be both an explanatory variable and a consequential variable for the duration of abstinence,and its predictive effect is not influenced by the dosage of MA(Δx2/df=0.097,P＞0.05).(3)Intrinsic motivation for drug detoxification(JYDL)positively predicted the duration of abstinence(β=0.1,P＜0.05),potentially serving as an explanatory variable for the duration of abstinence,and its predictive effect is not affected by the dosage of MA(Δx2/df=0.114,P＞0.05).Conclusion Reducing withdrawal symptoms and compulsivity as well as enhancing intrinsic motivation for detoxification,are key factors for the recovery from MA dependence.
关键词
甲基苯丙胺/心理依赖/操守/随访/交叉滞后分析Key words
methamphetamine/psychological dependence/abstinence/follow-up survey/cross-lagged regression analysis引用本文复制引用
出版年
2024
NETL
NSTL
万方数据