Zeng Li, Zhou Xiaojun, Lei Yuge, Chen Jiayan
School of Public Health, Jiangxi Medical College, Nanchang University, Nanchang 330006, China.
Jiangxi Provincial Key Laboratory of Disease Prevention and Public Health, Nanchang University, Nanchang 330006, China.
Behav Sci (Basel). 2024 Dec 12;14(12):1185. doi: 10.3390/bs14121185.
Depression is a common issue among illicit drug users. However, the interaction between addiction memory, family functioning, and depressive symptoms remains insufficiently examined. This study investigates the relationship between addiction memory, family functioning, and depressive symptoms, with self-esteem serving as a mediator. A random sample of 600 illicit drug users from Hubei, China, was evaluated using the Addiction Memory Intensity Scale (AMIS), Family APGAR Index, Patient Health Questionnaire (PHQ-9), and Rosenberg Self-Esteem Scale (RSES). A factorial algorithm was used to parcel the AMIS, PHQ-9, and RSES items, and structural equation modeling was applied to examine the mediation effect. The model fit the data well (/ = 2.248, CFI = 0.956, NNFI = 0.966, RMSEA = 0.046, SRMR = 0.040), with significant path coefficients ( < 0.05). Addiction memory was positively correlated with depression ( = 0.195, < 0.001), while family functioning negatively correlated with depression ( = -0.113, = 0.008). Both addiction memory and family functioning indirectly influenced depression through self-esteem, with mediating effects equal to 1.154 (95% : 0.106 to 0.209) and -0.097 (95% : -0.154 to -0.047). These findings suggest that interventions targeting addiction memory and family functioning may alleviate depressive symptoms by improving self-esteem among illicit drug users.
抑郁症是非法药物使用者中的常见问题。然而，成瘾记忆、家庭功能与抑郁症状之间的相互作用仍未得到充分研究。本研究以自尊为中介变量，调查成瘾记忆、家庭功能与抑郁症状之间的关系。采用随机抽样的方法，选取了600名来自中国湖北的非法药物使用者，使用成瘾记忆强度量表（AMIS）、家庭APGAR指数、患者健康问卷（PHQ - 9）和罗森伯格自尊量表（RSES）进行评估。使用因子算法对AMIS、PHQ - 9和RSES项目进行分组，并应用结构方程模型来检验中介效应。该模型与数据拟合良好（χ² = 2.248，CFI = 0.956，NNFI = 0.966，RMSEA = 0.046，SRMR = 0.040），路径系数显著（p < 0.05）。成瘾记忆与抑郁呈正相关（β = 0.195，p < 0.001），而家庭功能与抑郁呈负相关（β = -0.113，p = 0.008）。成瘾记忆和家庭功能均通过自尊间接影响抑郁，中介效应分别为1.154（95%CI：0.106至0.209）和 -0.097（95%CI：-0.154至 -0.047）。这些研究结果表明，针对成瘾记忆和家庭功能的干预措施可能通过提高非法药物使用者的自尊来缓解抑郁症状。
