The mediating role of post-traumatic stress disorder between childhood trauma and relapse tendency in drug rehabilitation personnel with compulsory isolation
10.3760/cma.j.cn371468-20240605-00263
- VernacularTitle:创伤后应激障碍在强制隔离戒毒人员童年期创伤与复吸倾向间的中介作用
- Author:
Shaobo LYU
1
;
Liwei SUN
;
Lina LI
;
Yang ZHAO
;
Suran GUO
;
Junjuan GU
Author Information
1. 华北理工大学心理与精神卫生学院,唐山 063210
- Publication Type:Journal Article
- Keywords:
Childhood trauma;
Post-traumatic stress disorder;
Relapse tendency;
Mediating effect;
Compulsory isolation;
Drug rehabilitation personnel
- From:
Chinese Journal of Behavioral Medicine and Brain Science
2025;34(2):164-168
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the impact of childhood trauma on drug relapse tendency, as well as the mediating role of post-traumatic stress disorder (PTSD).Methods:From March to May 2017, a total of 403 compulsory drug rehabilitation personnel were selected for a cross-sectional study and then were investigated by the general demography scale, drug relapse risk scale, childhood trauma questionnaire (CTQ), and PTSD checklist for DSM-5(PCL-5).SPSS 27.0 software and PROCESS 4.1 macro program were used for correlation analysis, regression analysis and Bootstrap-based mediation analysis.Results:The scores of negative emotions subscale of drug relapse risk scale, emotional abuse and emotional neglect subscales of CTQ had no significant gender differences(all P>0.05).There were gender differences in relapse tendency, childhood trauma, and PTSD total scores as well as other dimensions ( t/ Z=2.08-4.67, all P<0.05).There were pairwise positive correlations among the total score of the drug relapse risk scale(31.68±9.79), CTQ(39.90±12.13), and PCL-5(11(3, 24)) for compulsory isolation and rehabilitation personnel ( r=0.28, 0.36, 0.37, P<0.05).After controlling for gender, childhood trauma could significantly and positively predict drug relapse tendency( β=0.34, t=7.24, P<0.01), and PTSD played a mediating role between childhood trauma and drug relapse tendency, with the indirect effect of 0.11(95% CI=0.06-0.16). Conclusion:Childhood trauma can affect drug relapse tendency directly, and indirectly through PTSD.