Department of Social Medicine, School of Public Health, China Medical University, Shenyang, China.
Department of Dermatology, University of Pennsylvania, Philadelphia, PA, United States.
Front Public Health. 2021 Mar 11;9:524068. doi: 10.3389/fpubh.2021.524068. eCollection 2021.
Compulsory drug detoxification treatment (CDT) is currently the major drug rehabilitation modality in China, and drug users often suffer from extraordinary levels of stress during CDT, leading to a high prevalence of anxiety symptoms. This study assesses anxiety symptoms of the drug users undergoing CDT and explores the associated factors. A cross-sectional study with cluster sampling was conducted in three cities in Liaoning Province of Northeast China. Nine hundred CDT drug users were interviewed face-to-face with Chinese questionnaires. Hierarchical multiple regression (HMR) analysis was conducted to explore the factors associated with anxiety symptoms. The prevalence of anxiety symptoms among the CDT drug users was substantially high (33.2%). HMR analysis indicated perceived stress and characteristics of drug use such as types of drugs, were the most important contributors to anxiety symptoms. Optimism (LOT-R) played a protective role in reducing anxiety symptoms in this population. Anxiety symptoms of drug users undergoing CDT were present in a significant proportion of the CDT population. Optimism is a protective factor which could attenuate the detrimental effects of perceived stress on anxiety symptoms and potentially improve treatment outcomes.
强制戒毒治疗（CDT）目前是中国主要的戒毒康复模式，而戒毒者在 CDT 期间往往承受着非同寻常的压力，导致焦虑症状的高发率。本研究评估了接受 CDT 的戒毒者的焦虑症状，并探讨了相关因素。本研究采用整群抽样的横断面研究方法，在辽宁省的三个城市进行。采用中国问卷对 900 名接受 CDT 的戒毒者进行面对面访谈。采用分层多元回归（HMR）分析来探讨与焦虑症状相关的因素。CDT 戒毒者的焦虑症状发生率较高（33.2%）。HMR 分析表明，感知压力和吸毒特征（如毒品类型）是导致焦虑症状的最重要因素。乐观（LOT-R）在减轻该人群的焦虑症状方面发挥了保护作用。接受 CDT 的戒毒者中存在显著比例的焦虑症状。乐观是一种保护因素，它可以减轻感知压力对焦虑症状的不利影响，并可能改善治疗效果。
