Christie Nina C, Vojvodic Vanya, Meda Pranav, Monterosso John R
Department of Psychology, University of Southern California, Los Angeles, CA, United States.
Department of Preventive Medicine, Keck School of Medicine, University of Southern California, Los Angeles, CA, United States.
Front Psychiatry. 2021 Oct 28;12:734352. doi: 10.3389/fpsyt.2021.734352. eCollection 2021.
The pandemic has highlighted the importance of social connection for health and well-being. Satisfaction across domains of life is associated with substance use outcomes, such as risk of relapse and mortality. Previous work has delineated the relationship between substance use and social connections, yet there is a lack of research exploring the relationship between substance use and satisfaction with domains of life over time. We retrospectively assessed satisfaction with social life, romantic life, and general life across five phases of substance use among 339 adults, of whom 289 identify as formerly having a problem with substance use, and a comparison group of 50 who report no history of problematic drug use. We compared those whose primary drug of choice was alcohol, marijuana, methamphetamine, non-prescription opioids, and prescription opioids. Those who used prescription opioids reported a larger drop in satisfaction in social life, romantic life, and general life during the course of substance use than those who used other drugs. However, we report no significant differences in satisfaction, social well-being, or quality of life between people in recovery and people with no history of problematic substance use. These findings-alongside neuropsychological work on the opioid system and sociality-paint a picture that those who formerly used prescription opioids may experience lower satisfaction across life domains during the course of their substance use than those who used other substances. However, people in prolonged recovery-regardless of their drug of choice-all show similar levels of satisfaction compared to people with no history of problematic substance use.
这场大流行凸显了社会联系对健康和幸福的重要性。生活各领域的满意度与物质使用结果相关，比如复发风险和死亡率。先前的研究已经阐述了物质使用与社会联系之间的关系，但缺乏对物质使用与生活各领域满意度随时间变化关系的研究。我们回顾性评估了339名成年人在物质使用五个阶段中对社交生活、浪漫生活和总体生活的满意度，其中289人表示曾有物质使用问题，另有50人组成的对照组报告无药物使用问题史。我们比较了主要选择酒精、大麻、甲基苯丙胺、非处方阿片类药物和处方阿片类药物的人群。与使用其他药物的人相比，使用处方阿片类药物的人在物质使用过程中社交生活、浪漫生活和总体生活的满意度下降幅度更大。然而，我们发现康复者与无物质使用问题史的人在满意度、社会幸福感或生活质量方面没有显著差异。这些发现——连同关于阿片类系统与社交性的神经心理学研究——描绘了一幅画面：与使用其他物质的人相比，曾使用处方阿片类药物的人在物质使用过程中可能在生活各领域体验到较低的满意度。然而，与无物质使用问题史者相比，长期康复者——无论其选择何种药物——都表现出相似的满意度水平。
