强制隔离戒毒人员复吸倾向的相关因素

Related factors of relapse tendency of compulsory isolation of drug addicts

目的:探讨强制戒毒人员的复吸倾向及其与儿童期不良经历、问题聚焦应对、情绪聚焦应对的关系。方法:在重庆市某强制隔离戒毒所招募强制戒毒人员349人。采用儿童期不良经历量表(ACE-R)、复吸倾向量表(RTQ)、应对方式量表(CSS)进行自评式调查,ACE-R得分≥1分为存在儿童期不良经历。结果:男性RTQ得分高于女性(P<0.01),农村RTQ得分高于城市(P<0.05),RTQ得分随着年龄的增长而降低(P<0.001);多元线性逐步回归分析显示,年龄、问题聚焦应对得分与RTQ得分负向关联(β=0.28、0.24),ACE-R总分、情绪聚焦应对得分与RTQ得分正向关联(β=0.25、0.36)。结论:强制戒毒人员的童年期不良经历、情绪聚焦应对和问题聚焦应对与复吸倾向关系密切。

Objective:To explore the relapse tendency of drug addicts under compulsory rehabilitation and its relationship with adverse childhood experiences,problem-focused coping,and emotion-focused coping.Methods:Totally 349 compulsory drugaddicts were recruited in a compulsory isolation drug rehabilitation center in Chongqing.The Adverse Childhood Experiences Scale(ACE-R),Coping Style Scale(CSS)and Relapse Tendency Scale(RTQ)were used for self-evaluation survey.The score of ACE-R≥1 meant that there were adverse childhood experiences.Results:The RTQ scores were higher in male and rural drug addicts than infemale and urban drug addicts respectively(Ps<0.05),and the RTQ scores decreased with age(P<0.001).Multiple stepwise regression analysis showed that age,problem-focused copying scores were negatively correlated with RTQ scores(β=0.28,0.24),while the total scores of ACE-R and emotional-focused copying scores were positively correlated with RTQ scores(β=0.25,0.36).Conclusion:The adverse childhood experiences,emotion-focused copying and problem-focused copying of abusers are closely related to relapse tendency.