CAJ | 학술논문

目的评估社交情境疗法应用于海洛因强制隔离戒毒者心理治疗的疗效.方法 100例男性海洛因戒毒者随机分为社交情境治疗组(ST组)和常规康复对照组(CT组),各50例.两组均按戒毒所常规管教,ST组在此基础上连续进行2个月的社交情境心理治疗(每次2～3h,共8次).采用抑郁自评量表(SDS)、焦虑自评量表(SAS)及小组成员自我评价问卷、小组活动效果评估表、治疗师评价、戒毒者同伴及戒毒所管理人员访谈对疗效进行评估,治疗后3,6个月随访测评.结果治疗前两组间差异无统计学意义；治疗后测评,CT组SDS得分为(56.16 ±9.12)分,ST组得分为(48.28±9.55)分,明显降低(P＜0.01)；ST组的SAS得分为(46.28 ±7.78)分,低于CT组的(50.72 ±8.32)分(P＜0.01),自我评价分数提高(P＜0.01)；治疗后3个月随访测评显示,两组的抑郁、焦虑得分均明显降低(P＜0.01)；治疗后6个月测评显示,两组在抑郁、焦虑得分差异有统计学意义(P＜0.01).结论社交情境治疗对改善海洛因戒毒人员的抑郁、焦虑情绪显效快、持久且远期疗效良好.
목적 평고사교정경요법응용우해락인강제격리계독자심리치료적료효.방법 100례남성해락인계독자수궤분위사교정경치료조(ST조)화상규강복대조조(CT조),각50례.량조균안계독소상규관교,ST조재차기출상련속진행2개월적사교정경심리치료(매차2～3h,공8차).채용억욱자평량표(SDS)、초필자평량표(SAS)급소조성원자아평개문권、소조활동효과평고표、치료사평개、계독자동반급계독소관리인원방담대료효진행평고,치료후3,6개월수방측평.결과 치료전량조간차이무통계학의의；치료후측평,CT조SDS득분위(56.16 ±9.12)분,ST조득분위(48.28±9.55)분,명현강저(P＜0.01)；ST조적SAS득분위(46.28 ±7.78)분,저우CT조적(50.72 ±8.32)분(P＜0.01),자아평개분수제고(P＜0.01)；치료후3개월수방측평현시,량조적억욱、초필득분균명현강저(P＜0.01)；치료후6개월측평현시,량조재억욱、초필득분차이유통계학의의(P＜0.01).결론 사교정경치료대개선해락인계독인원적억욱、초필정서현효쾌、지구차원기료효량호.
Objective To evaluate the psychological intervention ettectiveness ot socioenvironmental therapyfor heroin addicts accepting compulsory isolation.Methods Totally 100 male heroin addicts accepting compulsory isolation and Labour Camp Rehabilitation were selected and randomly assigned to socioenvironmental therapeutic group (ST group,50 cases) and control group (CT group,50 cases).A two-month socioenvironmental therapy was selectively proceeding in ST group by a same psychological team,while CT group still received conventional rehabilitation.During the 6-month follow-up,self-rating anxiety scale(SAS),self-rating depression scal (SDS) and self-made questionnaires were used every 3 months,to statistically estimate psychological status of subjects.Results Before treatment,no statistically significant difference between the two groups;after treatment,SDS score of CT group was 56.16 ± 9.12,and was lower than that in ST group(48.28-± 9.55) (P ＜ 0.01) ; SAS score of ST group was 46.28 ± 7.78,and was lower than that in CT group (50.72 ± 8.32) (P ＜ 0.01).In the 3-month follow-up evaluation,depression,anxiety scores in CT and ST group were significantly lower,the difference was statistically significant (P ＜ 0.01) ; 6 months after treatment,depression,anxiety score showed was significant difference between two groups(P＜ 0.01).Conclusion Group psychotherapy especially socioenvironmental therapy is quick and long-acting in improving the psychological status of heroin addicts in aspects of depression and anxiety levels,which is distinctly evidenced by the short-term and long-term curative results.