吸毒者家庭环境和睡眠障碍的关系——冲动的中介作用

Family Environments and Sleep Disorders Among Drug Addicts: the Mediating Effect of Impulsiveness

目的:调查吸毒者的睡眠障碍的现状,以及冲动在家庭环境和睡眠障碍的中介作用。方法:采用中文版家庭环境量表(FES-CV)、Barratt冲动量表(BIS-11)、匹兹堡睡眠质量量表(PSQI)对家庭环境、冲动、睡眠障碍进行评估,共收集了四川省强制隔离戒毒中心吸毒者441份有效问卷,中介效应检验基于温忠麟的三步回归法。结果:PSQI平均得分为5.88(SD=3.47),48.3%的吸毒者睡眠质量较差(PSQI>5)。与女性相比,男性吸毒者的睡眠质量较差(6.3±3.7 vs.5.4±3.2,P<0.01)。对于女性吸毒者来说,在矛盾性和知识性与白天功能障碍的关系中,运动冲动性起着部分中介和完全中介作用,中介效应分别占总效应的8.39%和19.9%。结论:睡眠障碍是吸毒者的严重健康问题,对冲动的干预和预防可能有助于改善吸毒者的睡眠质量。

Objective:The aim of this study was to investigate the prevalence of sleep disorders in drug addicts,and to further examine whether impulsivity mediated the relationship between family environments and sleep disorders among drug addicts.Methods:Family environments,impulsivity,and sleep disorders were assessed by Family Environment Scale of Chinese Version (FES-CV),Barratt Impulsiveness Scale (BIS-11),and Pittsburgh Sleep Quality (PSQI),and in total of 441 drug addicts in compulsory drug treatment centers in China were invited to participate in the study.The mediation tests were based on Wen Zhonglin’s three-step regression method.Results:Results indicated that the mean PSQI score was 5.88 (SD=3.47),and 48.3% of drug addicts reported poor sleep quality.Males drug addicts had poor sleep quality compared with females (6.3±3.7 vs.5.4±3.2,P<0.01).For female addicts,the motor impulsiveness is a mediator between the correlation of conflict,intellectual-cultural and dysfunction,the mediating effect accounted for 8.39% and 19.9% of the total effect respectively.Conclusion:Sleep disturbance is a serious health concern among drug addicts,and intervention and prevention programs on impulsivity might be beneficial in improving sleep quality in drug addicts.