M Sonbol Hassan, A Amr Mostafa, A Simon Miriam
Department of Psychiatry, Faculty of Medicine, Mansoura University, Mansoura, Egypt.
Department of Psychiatry and Behavioral Science, College of Medicine and Health Sciences, National University of Science and Technology, Sohar, Sultanate of Oman.
Addict Health. 2024 Feb;16(1):17-22. doi: 10.34172/ahj.2024.1470. Epub 2024 Feb 29.
Substance use disorder (SUD) remains a significant public health issue, with a high relapse rate even after detoxification treatment. Family dysfunction has been identified as a closely related factor contributing to relapse in individuals with SUD. The objective of this study was to investigate the mediating role of family climate in the relapse tendency among patients with SUD.
The study employed a case-control design using the survey method. A total of 103 patients from the addiction unit daycare at Mansoura University Hospital were divided into 2 groups: the relapsed group and the abstinent group. The Relapse Tendency Questionnaire, the Family Climate Scale, and a structured interview were administered to collect sociodemographic data.
The results revealed significant differences between the study groups in terms of sociodemographic risk factors, including marital status (≤0.001), employment (=0.043), and economic status (=0.028). Additionally, a significant difference was observed between the study groups in terms of the Family Climate Scale (=0.038). Female participants reported that familial factors had a greater influence on their relapse compared to male participants (=0.005).
A statistically significant difference was found in the family climate subscale scores between the relapsed patients and the abstinent patients with SUD, confirming the influential role of family climate in the relapse process of SUD.
物质使用障碍（SUD）仍然是一个重大的公共卫生问题，即使在戒毒治疗后复发率也很高。家庭功能障碍已被确定为导致SUD患者复发的一个密切相关因素。本研究的目的是调查家庭氛围在SUD患者复发倾向中的中介作用。
本研究采用调查法进行病例对照设计。从曼苏拉大学医院成瘾科日间护理中心选取103例患者，分为复发组和戒断组。采用复发倾向问卷、家庭氛围量表和结构化访谈收集社会人口学数据。
结果显示，研究组在社会人口学危险因素方面存在显著差异，包括婚姻状况（≤0.001）、就业情况（=0.043）和经济状况（=0.028）。此外，研究组在家庭氛围量表方面也存在显著差异（=0.03第八条）。女性参与者报告说，与男性参与者相比，家庭因素对她们复发的影响更大（=0.005）。
在复发的SUD患者和戒断的SUD患者之间，家庭氛围子量表得分存在统计学上的显著差异，证实了家庭氛围在SUD复发过程中的影响作用。
