Scholarlink

<p>Craving and relapse remain core challenges in the treatment of new drug dependence, frequently contributing to a persistent vicious cycle and poor clinical outcomes. Understanding the psychosocial factors that drive these phenomena is essential for developing targeted prevention and intervention strategies. However, research exploring these psychosocial determinants remains scarce and fragmented. A sample of 824 patients was included in this cross-sectional study. Data were collected mainly using the Obsessive Compulsive Drug Use Scale, Revised Short-Form Egna Minnen av Barndoms Uppfostran for Chinese, Childhood Trauma Questionnaire-Short Form, and Barratt Impulsiveness Scale 11. Additionally, relapse episodes were recorded. Network analysis was used to identify key nodes and their interactions. Central and bridge symptoms were determined using <i>graph</i> and <i>networktools</i>, with stability tested via <i>bootnet</i>. Craving and relapse were dependent variables. For craving, C1 (Desire)-I1 (Nonplanning Impulsiveness), C2 (Interference)-P4 (Mother’s Emotional Warmth), and C3 (Resistance)-A5 (Sexual Abuse) showed special associations. For relapse, R1 (Relapse)-C1 (Desire) was the strongest, followed by R1 (Relapse)-P1 (Father’s Rejection). A3 (Emotional Abuse) emerged as the central node with the greatest expected influence. Critical bridge nodes included I2 (Motor Impulsiveness) and C3 (Resistance). Emotional abuse emerged as the central node, underscoring its key role in the psychosocial network underlying addictive behaviors. Motor impulsiveness and resistance served as bridge nodes across distinct pathways. Targeting these may aid in characterizing craving and relapse in individuals with new drug dependence, thereby improving treatment outcomes and promoting public health.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Examining Craving and Relapse in Young and Middle-Aged Patients with New Drug Dependence: A Network Analysis of Impulsiveness, Childhood Abuse, and Parenting Style

  • 期刊论文

  • 发表日期：

    2025年8月27日

查看全文
  • Shumei Zhuang,
  • Yuelin Song,
  • Shimei Jin,
  • Xiaoxu Shang,
  • Yan Liu,
  • Lei Shi,
  • Yitong Qu,
  • Yinan Zhang,
  • Lehan Li

摘要

Craving and relapse remain core challenges in the treatment of new drug dependence, frequently contributing to a persistent vicious cycle and poor clinical outcomes. Understanding the psychosocial factors that drive these phenomena is essential for developing targeted prevention and intervention strategies. However, research exploring these psychosocial determinants remains scarce and fragmented. A sample of 824 patients was included in this cross-sectional study. Data were collected mainly using the Obsessive Compulsive Drug Use Scale, Revised Short-Form Egna Minnen av Barndoms Uppfostran for Chinese, Childhood Trauma Questionnaire-Short Form, and Barratt Impulsiveness Scale 11. Additionally, relapse episodes were recorded. Network analysis was used to identify key nodes and their interactions. Central and bridge symptoms were determined using graph and networktools, with stability tested via bootnet. Craving and relapse were dependent variables. For craving, C1 (Desire)-I1 (Nonplanning Impulsiveness), C2 (Interference)-P4 (Mother’s Emotional Warmth), and C3 (Resistance)-A5 (Sexual Abuse) showed special associations. For relapse, R1 (Relapse)-C1 (Desire) was the strongest, followed by R1 (Relapse)-P1 (Father’s Rejection). A3 (Emotional Abuse) emerged as the central node with the greatest expected influence. Critical bridge nodes included I2 (Motor Impulsiveness) and C3 (Resistance). Emotional abuse emerged as the central node, underscoring its key role in the psychosocial network underlying addictive behaviors. Motor impulsiveness and resistance served as bridge nodes across distinct pathways. Targeting these may aid in characterizing craving and relapse in individuals with new drug dependence, thereby improving treatment outcomes and promoting public health.