Bøhle Kari, Otterholt Eli, Bjørkly Stål
Faculty of Health and Social Sciences, Molde University College, Molde, Norway.
Clinic of Mental Health and Addiction, Møre and Romsdal Hospital Trust, Molde, Norway.
Subst Abuse. 2021 Dec 6;15:11782218211060848. doi: 10.1177/11782218211060848. eCollection 2021.
Several studies have found co-occurrence between substance abuse and mental health problems, as well as an association between treatment retention and psychological distress. The aim of this study was to investigate the association of possible protective factors with psychological distress. The present study tested physical activity, self-esteem and sense of coherence, and psychological distress level among inpatients in substance use treatment. The study design was cross-sectional and multicenter. Patients (N = 167) were recruited in 2018 from 10 Norwegian inpatient facilities. They self-reported on 3 validated measurement instruments: Rosenberg Self-Esteem Scale, Antonovsky's Sense of Coherence Scale, and frequency of physical activity. The Hopkins Symptom Checklist-10 was used as an outcome variable of psychological distress. The associations were investigated with multiple linear and logistic regression methods. The results suggested that high self-esteem and sense of coherence were protective factors against high levels of psychological distress: self-esteem (β = -.39, < .001) and sense of coherence (β = -.352, < .001). The results offer support for a salutogenic approach in substance use disorder (SUD) treatment by enhancing individuals' protective factors to reduce psychological distress.
多项研究发现物质滥用与心理健康问题同时存在，以及治疗保留率与心理困扰之间存在关联。本研究的目的是调查可能的保护因素与心理困扰之间的关联。本研究测试了物质使用治疗住院患者的身体活动、自尊和连贯感以及心理困扰水平。研究设计为横断面多中心研究。2018年从挪威10家住院治疗机构招募了患者（N = 167）。他们通过3种经过验证的测量工具进行自我报告：罗森伯格自尊量表、安托诺夫斯基的连贯感量表以及身体活动频率。使用霍普金斯症状清单-10作为心理困扰的结果变量。采用多元线性和逻辑回归方法研究这些关联。结果表明，高自尊和连贯感是抵御高水平心理困扰的保护因素：自尊（β = -.39，< .001）和连贯感（β = -.352，< .001）。研究结果支持在物质使用障碍（SUD）治疗中采用健康生成方法，即通过增强个体的保护因素来减轻心理困扰。
