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影响吸毒者自我接纳类型的因素及其与阈下抑郁的关系:基于潜在剖面分析的证据

Factors influencing the type of self-acceptance in drug addicts and the relationship with subthreshold depression: evidence based on latent profile analysis.

作者信息

Li Yongqiu, Wang Rufang, Liu Jun, Zhou Yinghua

机构信息

School of Management, Chengdu University of Traditional Chinese Medicine, Chengdu, China.

School of Basic Medical Sciences, Chengdu University of Traditional Chinese Medicine, 1166 Liutai Avenue, Chengdu, 611100, China.

出版信息

BMC Psychol. 2025 Jan 6;13(1):8. doi: 10.1186/s40359-025-02346-3.

DOI:10.1186/s40359-025-02346-3
PMID:39762977
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11705779/
Abstract

OBJECTIVE

To study the heterogeneity and influencing factors of self-acceptance of drug addicts in compulsory isolation in 2 drug rehabilitation centers in Sichuan Province, and to analyze the effects of different types of self-acceptance on subthreshold depression in drug addicts, in order to provide useful references for improving their mental health.

METHODS

Self-acceptance Questionnaire (SAQ), Drug use Stereotype Threat Scale(DSTS) and Center for Epidemiologic Studies Depression Scale(CES-D) were used to conduct a questionnaire survey in January 2024 on 1068 drug addicts in two compulsory isolation drug rehabilitation centers in Sichuan Province.

RESULTS

Drug addicts self-acceptance can be categorized into 5 potential categories; men were more likely than women to show lower self-acceptance in the 'low-low'(β = 0.285,OR = 0.381, p < 0.001),'low-high'(β = 0.331,OR = 0.383,p = 0.004), and'high-low'(β = 0.283,OR = 0.548, p = 0.033) groups compared to the ' high-high' group; drug addicts with an education level of elementary school and below were categorized into the'low -low ' group(β = 0.642,OR = 6.173, p = 0.005);HIV-negative drug addicts were more likely to show higher self-acceptance than positive patients(β = 0.418,OR = 2.427, p = 0.034)); the'low-low'group had the greatest likelihood of being alienated(β = 0.169,OR = 3.249, p < 0.001). The results of multiple linear regression showed that drug addicts in the' moderate-moderate 'group and'high-high 'group had significantly lower subthreshold depression than those in the'low-low 'group; the results of the Kruskal-Wallis Test showed that the'high -high 'group had the lowest level of subthreshold depression, and the'low -low ','low-high 'and'high-low 'groups had the highest mean ranks in different dimensions of subthreshold depression(P < 0.001).

CONCLUSION

Heterogeneity exists in drug addicts' self-acceptance, and gender, HIV-positive or not, education level, and drug use stereotype threat are factors influencing self-acceptance in compulsory isolated drug addicts. High self-appraisal-high self-acceptance had the lowest level of subthreshold depression in drug addicts, and the consistency of poor self-appraisal and self-acceptance also affected the level of subthreshold depression in drug addicts.

摘要

目的

研究四川省两家戒毒康复中心强制隔离戒毒人员自我接纳的异质性及影响因素,分析不同类型自我接纳对戒毒人员阈下抑郁的影响,为改善其心理健康提供有益参考。

方法

采用自我接纳问卷(SAQ)、吸毒刻板印象威胁量表(DSTS)和流调中心抑郁量表(CES-D),于2024年1月对四川省两家强制隔离戒毒所的1068名戒毒人员进行问卷调查。

结果

戒毒人员自我接纳可分为5个潜在类别;与“高高”组相比,男性在“低低”(β = 0.285,OR = 0.381,p < 0.001)、“低高”(β = 0.331,OR = 0.383,p = 0.004)和“高低”(β = 0.283,OR = 0.548,p = 0.033)组中自我接纳较低的可能性更大;小学及以下文化程度的戒毒人员被归为“低低”组(β = 0.642,OR = 6.173,p = 0.005);HIV阴性的戒毒人员比阳性患者更有可能表现出较高的自我接纳(β = 0.418,OR = 2.427,p = 0.034);“低低”组被疏离的可能性最大(β = 0.169,OR = 3.249,p < 0.001)。多重线性回归结果显示,“中中”组和“高高”组的戒毒人员阈下抑郁显著低于“低低”组;Kruskal-Wallis检验结果显示,“高高”组阈下抑郁水平最低,“低低”“低高”和“高低”组在阈下抑郁不同维度的平均秩次最高(P < 0.001)。

结论

戒毒人员自我接纳存在异质性,性别、是否感染HIV、文化程度和吸毒刻板印象威胁是影响强制隔离戒毒人员自我接纳的因素。高自我评价-高自我接纳的戒毒人员阈下抑郁水平最低,自我评价与自我接纳的不一致也影响戒毒人员阈下抑郁水平。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b4f/11705779/98764d4db4e5/40359_2025_2346_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b4f/11705779/98764d4db4e5/40359_2025_2346_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b4f/11705779/98764d4db4e5/40359_2025_2346_Fig1_HTML.jpg

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