心理弹性和抑郁在戒毒人员儿童期虐待与复吸倾向间的中介作用

目的:探讨儿童期受虐待经历对强制戒毒人员复吸倾向的影响，以及心理弹性和抑郁在二者之间的中介作用。方法:选用儿童期虐待问卷(childhood trauma questionnaire，CTQ)、心理弹性量表(the Connor-Davidson resilience scale，CD-RISC)、抑郁自评量表(sel...

Mediating effect of psychological resilience and depression between childhood abuse and relapse tendency of drug abusers

Objective To explore the influence of childhood abuse experience on relapse tendency of compulsory drug abusers,and the intermediary role of resilience and depression between them.Methods A total of 261 drug abusers were investigated with childhood trauma questionnaire(CTQ),the Connor-Davidson resilience scale(CD-RISC),self-rating depression scale(SDS)and relapse tendency psychological questionnaire.All data processing and analysis were carried out by SPSS 25.0 software.Correlation analysis,Bootstrap analysis and other methods were used to test the mediating effect.Results The scores of childhood abuse treatment,resilience,depression and relapse tendency were 44.690±18.550,60.210±22.790,48.370±12.450,and 15.300±9.833 respectively.Childhood abuse was negatively correlated with resilience(r=-0.396,P<0.01),and positively correlated with depression and relapse tendency(r=0.584,0.298,P<0.01).Resilience was negatively correlated with depression and relapse tendency(r=-0.558,-0.147,P<0.05).Depression had a significant positive correlation with relapse tendency(r=0.286,P<0.01).Childhood abuse could directly predict the tendency of relapse(β=0.202,P<0.01),and it could also affect the tendency of relapse through the mediation of depression(β=0.082,95%CI=0.007-0.165)and the chain mediation of resilience and depression(β=0.029,95%CI=0.002-0.064).Conclusion The experience of childhood abuse leads to the decrease of resilience of strong abstinence personnel and increases the level of depression,which finally increases the tendency of relapse.