探索不良童年经历与内化物质使用之间的关系 耻辱:监禁妇女之间的调解分析
Jaxin Annett1, Marguerite Webster2, Martha Tillson1,3
1University of Kentucky College of Medicine, Center on Drug and Alcohol Research, Lexington, KY 40506, USA.
Stigma and health
|October 6, 2025
概括
童年不良经历 (ACE) 和心理健康问题,如焦虑,抑郁症和PTSD与被监禁妇女的内化物质使用耻辱 (ISUS) 有关. 解决心理健康问题可以减少耻辱和改善恢复.
科学领域:
- 精神病学和行为科学
- 公共卫生 公共卫生
- 犯罪学 犯罪学
背景情况:
- 童年不良经历 (ACE) 和心理健康 (MH) 是已知的物质使用障碍的风险因素.
- 内化物质使用耻辱 (ISUS) 是治疗和康复的重要障碍.
- 特别是在被监禁人群中,ACE,MH和ISUS之间的相互作用尚未得到充分理解.
研究的目的:
- 在患有阿片类药物使用障碍的妇女中检查ACE,MH (焦虑,抑郁,PTSD) 和ISUS之间的两种关系.
- 调查MH条件在ACE和ISUS之间关系中的调解作用.
主要方法:
- 从肯塔基州的JCOIN试验中对900名有阿片类药物使用障碍史的被监禁妇女进行横截面研究.
- 通过对物质使用,耻辱感,ACE和MH的采访收集的数据.
- 使用线性回归与中介分析.
主要成果:
- ACE 和所有 MH 变量 (焦虑,抑郁,PTSD) 与 ISUS 有显著的关联 (p<.001).
- 焦虑和抑郁部分介导了ACEs-ISUS关系 (分别占总影响的38%和32%).
- 创伤后应激障碍完全调解了ACEs-ISUS关系,占总影响的69%.
结论:
- ACE与MH问题有关,而这些问题反过来又导致了被监禁妇女的ISUS.
- 针对ACE,MH和ISUS的综合性创伤信息干预对于改善康复结果至关重要.
- 针对性心理健康治疗可以有效地减轻内化物质使用的耻辱感.
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