Child Abuse Effect Treatment Motivation And Interpersonal Trust:The Mediated Role Of Self-concept

Drug addiction was an severe social problem, it not only do serious physical and psychological harm for addicts, but also cause great economic pressure and security risks for society. Drug addictive treatment include physical and psychological detoxification, clinical practice showed that it was easy get rid of physical dependence, but it was difficult to get rid of psychological dependence on drugs. Therefore, it will be helpful to further exploring the psychological mechanism of drugs addiction for drug treatment process. Drugs treatment motivation and social support can be effectively predicted treatment outcomes of psychological addiction, and interpersonal trust was a key factor for feelings of social support. Therefore, treatment motivation and interpersonal trust will play important roles in the psychological addictive treatment. Traumatic experiences affected the growth process of one’s psychological and behavioral, studies have found that childhood maltreatment experience was a risk factor for people to additive in drugs. However, how child abuse affects psychological mechanism of drugs addiction is still unclear. Concluding, this study was mainly studying the impact of childhood abused experience on drugs treatment groups from the perspective of self-perception, it was said that this study want to explore whether, child abuse experience affects treatment motivation and interpersonal trust through self-concept among detoxification addicts. This study was designed to investigate three aspects issues of followings:(1) investigating childabuse, self-concept, treatment motivation and interpersonal trust among detoxification addicts. (2) exploring the relationship between child abuse, self-concept, treatment motivation and interpersonal trust. (3) Testing whether genders, ages and severity of drugs using would play adjusted roles. This paper take investigation method and choose convenience sampling,900 subjects wereselected from two drugs rehabilitation centers in Chongqing, finally, there were 816 valid subjects (550 male,266 female), all subjects filled in questionnaires in a quiet indoor and withdrew questionnaires on the spot. The self-report questionnaires include Childhood Trauma Questionnaires, Tennessee Self-Concept Scale,Drugs Treatment Motivation Questionnaires and self-compiled of Interpersonal Trust Questionnaires. AMOS16.0 and SPSS19.0 were used for data analysis, the detail methods included independent sample t test, project analysis, exploratory factor analysis, confirmatory factor analysis, partial correlation analysis, structural equation modeling, cross-group comparison model.Basing on interpersonal relationships theory of Chinese, composing an interpersonal trust questionnaire, which suitable for Chinese culture. Finally, interpersonal trust questionnaire was included 27 items, divided into three dimensions:emotional trust, relationship trust and random trust, all these three dimensions were significantly associated with total interpersonal trust questionnaire (r1=0.8, r2=0.78, r3=0.45, ps<0.001), exploratory factor analysis showed that factors loading were ranged from 0.44 to 0.68, there was a good fit index of model (RMSEA=0.04, CFI=0.9, PGFI=0.74). Cronbach’s a coefficients of emotional trust, relationship trust and random trust were 0.78 (11 items) 0.74 (10 items) and 0.70 (6 items), the total questionnaire Cronbach’s a coefficient was 0.80. This suggests that interpersonal trust questionnaire has good reliability and validity.The results showed that:(1) child abuse was very common (64.5%) among detoxification addicts, especially maltreatment form of emotional neglect (81.0%) and physical neglect (69.6%), the extent of child abuse very severe (2.28±0.58) in general. (2) Child abuse and self-concept was significant negative correlation (r=-0.43,/p<0.001), child abuse and drug motivation was significant negative correlation (r=-0.033, ps<0.001), self-concept and treatment motivation was significantly positive correlation (r=0.35,p<0.001), self-concept and interpersonal trust was significant positive correlation (r=0.11,p=0.02). (3) child abuse was direct negative impact on treatment motivation (β =-0.48,p<0.001), self-concept played an partially mediated role between child abuse and treatment motivation (child abuseâ†'self-concept:β=-0.53,p<0.001; child abuseâ†'treatment motivation:β =-0.32,p<0.001; self-conceptâ†'treatment motivation:β=0.32,p<0.001, sobel text statistic= 10.306, p<0.001), the total of mediating effect was 33.33%. (4) Child abuse direct negative impacted on interpersonal trust (β=-0.02,p<0.001), but self-concept can not played intermediary role between child abuse and interpersonal trust (child abuseâ†'self-concept:β=-0.53,p<0.001; self-conceptâ†' interpersonal trust:β=0.02, p<0.001; child abuseâ†'interpersonal trust:β=-0.01,p=0.07; sobel text statistic=0.30, p=0.77). (5) genders, ages and severity of drugs plays an moderated role in total variables model.There was common phenomenon of child abuse among drugs treatment groups, and the degree of child abused was very serious. Therefore, it should be assessed the situation of child abuse experience when offer the clinical help for detoxification addicts. For these people, improving self-concept (such as building healthy self-attitude, improve positive self-evaluation, etc.) then improving drug treatment motivation. It should be targeted at different genders, ages as well as the severity of the drugs that should be taken different treatment strategies.