Department of Social Welfare, Chung-Ang University, 84 Heuksuk-Ro, Dongjak-Gu, Seoul, South Korea.
Department of Psychiatry, School of Medicine, Konkuk University, Chung-ju, South Korea.
Subst Abuse Treat Prev Policy. 2020 Feb 17;15(1):13. doi: 10.1186/s13011-020-00258-6.
Quality of life (QoL) has recently attracted increased attention as a major indicator of the recovery from alcohol use disorder (AUD). This study investigated the mediating effects of social support and depression for the relationship between socioeconomic resources and QoL among people with AUD in South Korea.
Patients across South Korea who had been diagnosed with AUD in the previous year (n = 404) and were registered at hospitals and addiction management centers were surveyed. The participants ranged in age from 19 to 65 years. Structural equation modeling was performed, using stable residence, income, stable employment, social support, depression, and QoL as predictors. Bootstrapping analysis was performed to test for mediating effects.
The socioeconomic resources income (β = .297, p < .001), stable employment (β = .131, p < .01), and stable residence (β = .091, p < .05) showed statistically significant and positive relationships with social support. However, none of these were significantly related to depression. Social support showed a significant and negative relationship with depression (β = -.172, p < .001). Income positively and directly influenced QoL (β = .148, p < .001). All three socioeconomic resources indirectly influenced depression through social support, which, in turn, influenced QoL. This suggests that socioeconomic resources directly influence QoL and indirectly influence it through social support.
These findings suggest that social support has an important role in improving the QoL of people with AUD. Furthermore, socioeconomic resources, such as having a stable residence, employment, and income, are necessary for recovery from alcohol addiction.
生活质量（QoL）最近作为酒精使用障碍（AUD）康复的主要指标受到越来越多的关注。本研究调查了社会支持和抑郁在韩国 AUD 患者的社会经济资源与生活质量之间关系中的中介作用。
在韩国，对过去一年被诊断患有 AUD 的患者（n=404）在医院和成瘾管理中心进行了调查。参与者年龄在 19 至 65 岁之间。使用稳定的住所、收入、稳定的就业、社会支持、抑郁和生活质量作为预测因素进行结构方程建模。采用 bootstrap 分析检验中介效应。
社会经济资源收入（β=0.297，p<0.001）、稳定就业（β=0.131，p<0.01）和稳定居住（β=0.091，p<0.05）与社会支持呈显著正相关。然而，这些都与抑郁没有显著关系。社会支持与抑郁呈显著负相关（β=-0.172，p<0.001）。收入与生活质量呈显著正相关（β=0.148，p<0.001）。所有三种社会经济资源都通过社会支持间接地影响抑郁，而抑郁又反过来影响生活质量。这表明社会经济资源直接影响生活质量，通过社会支持间接影响生活质量。
这些发现表明，社会支持在改善 AUD 患者的生活质量方面起着重要作用。此外，稳定的住所、就业和收入等社会经济资源对于戒除酒精成瘾是必要的。
