身体活动对艾滋病强制戒毒人员复吸倾向的影响—内在抑制力、用药渴求的链式中介分析

欧阳一毅; 罗炯; 王坤; 张庭然; 周成林; 陆颖之

doi:10.16099/j.sus.2020.10.006

身体活动对艾滋病强制戒毒人员复吸倾向的影响—内在抑制力、用药渴求的链式中介分析

Impact of Physical Activity on Relapse Tendency of AIDS Patients Undergoing Compulsory Detoxification: A Chain Mediation Analysis of Intrinsic Restraint and Yearning for Drugs

摘要

摘要:
目的探讨艾滋病强制戒毒人员的身体活动、内在抑制力、用药渴求及复吸倾向间的关系，为药物成瘾者制订日常身体活动及生理脱毒后的康复训练计划提供参考。
方法采用身体活动量表、内在抑制力量表、用药渴求量表、复吸倾向量表对319名艾滋病强制戒毒人员进行问卷调查，并对所获数据进行统计分析。
结果 ① 传统和新型毒品在内在抑制力（t=2.13，P < 0.05）、用药渴求（t=-6.10，P < 0.001）、复吸倾向（t=-7.81，P < 0.001）等方面存在显著差异。②吸毒年限与身体活动（β=-0.156，P < 0.001）、内在抑制力（β=-0.147，P < 0.001）呈负相关，与用药渴求（β=0.184，P < 0.001）、复吸倾向（β=0.122，P < 0.001）呈正相关；同时引入吸毒年限、身体活动，其内在抑制力（R=0.093，P < 0.001）、用药渴求（R²=0.073，P < 0.001）、复吸倾向（R²=0.079，P < 0.001）解释力均有增加。③身体活动与用药渴求（β=-0.18，P < 0.01）、复吸倾向（β=-0.17，P < 0.01）呈负相关，与内在抑制力呈正相关（β=0.39，P < 0.001）；内在抑制力与用药渴求（β=-0.32，P < 0.001）、复吸倾向呈负相关（β=-0.26，P < 0.001）；用药渴求与复吸倾向呈正相关（β=0.20，P < 0.001）。④身体活动对复吸倾向（ES=-0.167）存在直接效应，内在抑制力（ES=-0.103）和用药渴求（ES=-0.037）在身体活动与复吸倾向间具有显著的中介作用，内在抑制力—用药渴求的链式中介作用亦达显著水平（ES=-0.026）。
结论身体活动既可通过直接路径，也可通过内在抑制力、用药渴求的中介作用和内在抑制力—用药渴求的链式中介作用等间接路径影响艾滋病强制戒毒人员的复吸倾向。

Abstract:
Objective To explore the relationships among physical activity, intrinsic restraint, yearning for drugs and relapse tendency of AIDS patients undergoing compulsory detoxification, so as to provide important references for drug addicts to formulate daily physical activity and rehabilitation training plan after physical detoxification.
Methods A questionnaire survey was carried out in 319 AIDS patients undergoing compulsory detoxification using the Physical Activity Scale, Intrinsic Restraint Scale, Yearning for Drugs Scale and Relapse Tendency Scale.
Results ① There is a significant difference of traditional drug and new drug among intrinsic restriction (t=2.13, P < 0.05), yearning for drugs(t=6.10, P < 0.001) and relapse tendency (t=7.81, P < 0.001). ② The length of drug use was inversely related to physical activity (β=0.156, P < 0.001) and intrinsic restriction (β=-0.147, P < 0.001), and positively related to drug craving (β=0.184, P < 0.001) as well as relapse tendency (β=0.122, P < 0.001).The introducing of years of drug use and physical activity together can better explain the internal restriction (R=0.093, P < 0.001), drug craving (R²=0.073, P < 0.001) and relapse tendency (R²=0.079, P < 0.001).③ Physical activity was negatively correlated with yearning for drugs and relapse tendency (R=-0.18 and -0.17), and positively correlated with intrinsic restraint (R=0.39);besides, intrinsic restraint was negatively correlated with yearning for drugs and relapse tendency (R=-0.32 and -0.26);and there was a positive correlation between yearning for drugs and relapse tendency (R=0.20). ④ Physical activity had a direct effect on relapse tendency, with an effect value of -0.167, intrinsic restraint(-0.103) and yearning for drugs (-0.037), showing a significant mediating role between physical activity and relapse tendency; the chain mediating force of intrinsic restraint-yearning for drugs was also significant (-0.026).
Conclusion To sum up, physical activity can affect the relapse tendency of AIDS patients undergoing compulsory detoxification not only through direct pathway, but through indirect pathways such as the mediating roles of intrinsic restraint and yearning for drugs as well as the chain mediation of intrinsic restraint-yearning for drugs.

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