药物滥用研究的很大一部分集中在患有单一物质使用障碍(SSUD)的人身上,但是很多人滥用不止一种药物。研究尚未检查患有多物质使用障碍(PSUD)的患者与患有SSUD的患者在复发风险上有何不同,自我评估情绪(例如,羞耻和内疚),和人格因素(例如,自我效能感)。拉合尔市有11个康复设施,巴基斯坦被随机选择提供402名PSUD男性的样本。为了比较,使用带有八个问题的人口统计表格,招募了410名年龄匹配的SSUD男性,国家耻辱和内疚量表,和一般自我效能感量表。使用Hayes\'进程宏执行中介调节分析。结果表明,羞耻感与复发率呈正相关。内疚在羞耻感与复发率之间的关系中起到中介作用。自我效能缓冲羞耻感对复发率的影响。尽管在两个研究组中都发现了调解和调节作用,PSUD患者的这些效应明显强于SSUD患者.更具体地说,PSUD的人报告了更高的整体得分,内疚,内疚和复发率。此外,SSUD患者的自我效能感得分高于PSUD患者。这项研究的结果表明,药物康复机构应实施各种策略来提高吸毒者的自我效能水平,这将有助于降低他们复发的风险。
A substantial portion of drug abuse research has concentrated on people with a single-substance-use disorder (SSUD), but many people abuse more than one drug. Studies have yet to examine how those with polysubstance-use disorder (PSUD) differ from those with an SSUD on the risk of relapse, self-evaluative emotions (e.g., shame and
guilt), and personality factors (e.g., self-efficacy). Eleven rehab facilities in Lahore city, Pakistan were randomly chosen to provide a sample of 402 males with PSUD. For comparison, 410 age-matched males with SSUD were enlisted using a demographic form with eight questions, the State Shame and
Guilt Scale, and the General Self-Efficacy Scale. Mediated moderation analysis was performed using Hayes\' process macro. The results demonstrate that shame-proneness is positively associated with relapse rate.
Guilt-proneness mediates the relationship between shame-proneness and relapse rate. Self-efficacy buffers the influence of shame-proneness on relapse rate. Although the mediation and moderation effects were found in both study groups, these effects were significantly stronger among people with PSUD than those with SSUD. To be more specific, people with PSUD reported a higher overall score on shame,
guilt, and relapse rate. Additionally, people with SSUD indicated a higher score on self-efficacy than those with PSUD. The findings of this study suggest that drug rehab facilities should implement a variety of strategies to raise drug users\' levels of self-efficacy, which will help to reduce their risk of relapse.