School of Psychology, Beijing Sport University, Beijing, China.
Tsinghua International School, Beijing, China.
Front Public Health. 2024 Nov 1;12:1388887. doi: 10.3389/fpubh.2024.1388887. eCollection 2024.
Substance use disorders (SUDs) pose a significant challenge to public health systems worldwide, with persistent high relapse rates underscoring the urgency for innovative intervention strategies. This study embarked on a systematic exploration of the factors influencing relapse among individuals with SUDs, alongside the implementation of targeted Health Qigong intervention to mitigate these effects based on the embodied cognition.
In the cross-sectional survey, a total of 398 male substance users were recruited to complete the questionnaires assessing depression, self-esteem, resilience, and relapse inclination. Subsequently, 60 participants diagnosed with depression were selected for a Pilot RCT, randomly divided into an intervention group, which underwent a 12-week Health Qigong program designed to combat depression through embodied cognition principles, and a control group, which maintained their daily routines.
Structural equation modeling demonstrated that depression not only had a direct effect on substance users' relapse, but also exerted an indirect effect through three paths: firstly, via the mediating role of self-esteem; secondly, via the mediating role of resilience; and thirdly, via the chain-mediated role of self-esteem and resilience. Two-factor mixed-design ANOVA showed that the 12-week targeted Health Qigong training not only mitigated depression in individuals with SUDs, but also enhanced self-esteem and mental resilience, and reducing the propensity for relapse.
This research identifies critical factors influencing relapse in individuals with SUDs and introduces a novel, non-pharmacological intervention that significantly diminishes relapse rates and enhances recovery outcomes. It highlights the importance of physical activity in promoting mental health improvement and integrates traditional Chinese exercises with contemporary psychological insights, offering a comprehensive approach to drug rehabilitation and the integration of cultural practices in holistic health interventions.
物质使用障碍（SUD）对全球公共卫生系统构成重大挑战，持续高复发率突显出创新干预策略的紧迫性。本研究系统探讨了影响 SUD 个体复发的因素，并基于具身认知实施了有针对性的气功干预，以减轻这些影响。
在横断面调查中，共招募了 398 名男性物质使用者完成了评估抑郁、自尊、韧性和复发倾向的问卷。随后，选择了 60 名被诊断为抑郁症的参与者进行了一项 Pilot RCT，随机分为干预组和对照组。干预组接受了为期 12 周的气功计划，旨在通过具身认知原则来对抗抑郁，对照组则保持日常活动。
结构方程模型表明，抑郁不仅直接影响物质使用者的复发，还通过三条路径产生间接影响：首先，通过自尊的中介作用；其次，通过韧性的中介作用；最后，通过自尊和韧性的连锁中介作用。双因素混合设计方差分析表明，为期 12 周的针对性气功训练不仅减轻了 SUD 个体的抑郁，还提高了自尊和心理韧性，降低了复发倾向。
本研究确定了影响 SUD 个体复发的关键因素，并引入了一种新颖的非药物干预方法，显著降低了复发率，改善了康复效果。它强调了身体活动在促进心理健康改善方面的重要性，并将传统的中国练习与当代的心理洞察力相结合，为药物康复提供了全面的方法，并将文化实践融入到整体健康干预中。
