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自我控制在物质依赖应激复发动态中的中介作用和社会支持的调节作用。

Self-control as mediator and social support as moderator in stress-relapse dynamics of substance dependency.

机构信息

School of Psychology, Beijing Sport University, Beijing, 100084, China.

School of Exercise and Health, Shanghai University of Sport, Shanghai, 200438, China.

出版信息

Sci Rep. 2024 Aug 27;14(1):19852. doi: 10.1038/s41598-024-70884-8.

DOI:10.1038/s41598-024-70884-8
PMID:39191931
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11349877/
Abstract

Substance Use Disorders (SUDs) present a significant challenge to global public health, with prolonged drug use not only impairing individual health but also hindering social development. Despite various interventions aimed at addressing drug abuse and dependence, a high relapse rate remains a prominent issue. In light of this, this study aims to explore the impact of perceived stress on the relapse of individuals with SUDs, as well as the mediating role of self-control and the moderating role of social support, in hopes of providing new perspectives for interventions to reduce the risk of relapse among individuals with SUDs. By utilizing a convenience sampling method, 420 male individuals with SUDs were recruited from detoxification centers in Guangxi, China. They completed questionnaires on perceived stress, self-control, social support, and tendencies towards relapse. A total of 401 valid datasets were obtained and analyzed using the SPSS Process plugin to conduct a moderated mediation model analysis. Results: (1) Perceived stress had a positive impact on the relapse of individuals with SUDs, (2) Self-control played a partial mediating role between perceived stress and the relapse, (3) The direct effect of perceived stress on the relapse and its first half of the indirect effect were moderated by social support. The research emphasize the critical importance of learning stress management strategies, enhancing self-control, and receiving comprehensive social support in the prevention and treatment of substance dependence. By strengthening self-control and social support as both internal and external resources, the likelihood of relapse among individuals with SUDs can be reduced, contributing to more effective and comprehensive drug rehabilitation strategies.

摘要

物质使用障碍(SUDs)对全球公共卫生构成重大挑战,长期吸毒不仅损害个人健康,还阻碍社会发展。尽管采取了各种干预措施来解决药物滥用和依赖问题,但高复发率仍然是一个突出问题。有鉴于此,本研究旨在探讨感知压力对 SUD 个体复发的影响,以及自我控制的中介作用和社会支持的调节作用,以期为减少 SUD 个体复发风险的干预措施提供新视角。本研究采用便利抽样法,从中国广西的戒毒中心招募了 420 名男性 SUD 个体。他们完成了感知压力、自我控制、社会支持和复发倾向的问卷。共获得 401 份有效数据集,并使用 SPSS Process 插件进行了调节中介模型分析。结果:(1)感知压力对 SUD 个体的复发有正向影响;(2)自我控制在感知压力和复发之间起到部分中介作用;(3)社会支持调节了感知压力对复发的直接影响及其间接影响的前半部分。研究强调了学习压力管理策略、增强自我控制和获得全面社会支持在预防和治疗物质依赖中的重要性。通过增强自我控制和社会支持作为内部和外部资源,可以降低 SUD 个体的复发可能性,从而制定更有效和全面的药物康复策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfaa/11349877/3761ff48f5ff/41598_2024_70884_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfaa/11349877/c7da9343841e/41598_2024_70884_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfaa/11349877/c172d1420383/41598_2024_70884_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfaa/11349877/3d8216eb0098/41598_2024_70884_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfaa/11349877/3761ff48f5ff/41598_2024_70884_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfaa/11349877/c7da9343841e/41598_2024_70884_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfaa/11349877/c172d1420383/41598_2024_70884_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfaa/11349877/3d8216eb0098/41598_2024_70884_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfaa/11349877/3761ff48f5ff/41598_2024_70884_Fig4_HTML.jpg

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