戒毒人員情緒調(diào)節(jié)能力與沖動性特質(zhì)、毒品渴求之間關(guān)系及干預研究
發(fā)布時間：2018-07-27 10:13
【摘要】：本研究主要圍繞戒毒人員的情緒調(diào)節(jié)能力對其毒品成癮、復吸行為的影響展開研究,探究戒毒人員的情緒調(diào)節(jié)能力與沖動性特質(zhì)、毒品渴求程度之間的關(guān)系。并且,從提升戒毒人員情緒調(diào)節(jié)能力角度出發(fā),探討該主題的團體輔導對于常規(guī)戒毒措施的增效性,從而為開發(fā)更有效的干預措施,以戒除毒品、預防復吸,提供理論依據(jù)和干預方法的參考。研究一,對上海市某女子強制隔離戒毒所210名戒毒人員進行問卷調(diào)查。使用問卷:情緒調(diào)節(jié)策略量表(Emotion Regulation Questionnaire,ERQ)、情緒調(diào)節(jié)困難量表(Difficulties in Emotion Regulation Scale,DERS)、患者健康問卷抑郁量表(Patient Health Questionnaire-9,PHQ-9)、廣泛性焦慮評定量表(Generalized Anxiety Disorder-7,GAD-7)、沖動性特質(zhì)量表(Barratt Impulsiveness Scale,BIS-11)、行為抑制/激活系統(tǒng)量表(Behavioral Inhibition/Activation System Scale,BIS/BAS)以及毒品渴求程度測量尺(視覺模擬尺VAS),共獲得有效問卷200份。使用Pearson相關(guān)分析、中介效應分析程序?qū)?shù)據(jù)進行統(tǒng)計分析,探究戒毒人員情緒調(diào)節(jié)能力、沖動性特質(zhì)和毒品渴求程度三者間的關(guān)系。研究二,根據(jù)情緒調(diào)節(jié)困難量表得分,篩選出28名戒毒人員組成干預組14名和對照組14名,結(jié)合情緒調(diào)節(jié)主要理論設計團體心理干預方案,對干預組進行團體心理干預;對照組只接受所內(nèi)常規(guī)的戒毒干預措施。對干預組及對照組28名成員,基線、團體干預后即刻以及干預后3個月,進行情緒調(diào)節(jié)能力、沖動性特質(zhì)等問卷施測(ERQ、DERS、PHQ-9、GAD-7、BIS-11、BIS/BAS)以及毒品渴求程度評估(VAS),對所得數(shù)據(jù)進行T檢驗以及重復測量方差分析,探究團體心理輔導對戒毒人員情緒調(diào)節(jié)能力和毒品渴求程度的干預效果。結(jié)果表明:研究一,(1)戒毒人員DERS、BIS-11分值和毒品渴求程度呈顯著正相關(guān)(p0.05),ERQ中認知重評策略(CR)分值與毒品渴求程度呈顯著負相關(guān)(p=0.015),且BIS/BAS中BIS得分與毒品渴求程度呈顯著正相關(guān)(p=0.007);(2)戒毒人員負性情緒PHQ-9、GAD-7與BIS-11分值與毒品渴求程度顯著正相關(guān)(p0.05);(3)戒毒人員DERS在BIS-11對毒品渴求程度的影響中中介效應顯著,其中維度情緒沖動的控制(Impulse)和情緒策略的使用(Strategies)中介效應也顯著。研究二,(1)干預組與對照組DERS分維度情緒理解(Clarity)在測量時點與干預方式交互作用以及干預組與對照組之間顯示統(tǒng)計學差異顯著(p0.05);(2)毒品渴求程度在測量時點與干預方式交互作用以及干預組與對照組之間顯示統(tǒng)計學差異顯著(p0.05)。本研究得出結(jié)論:(1)戒毒人員情緒調(diào)節(jié)能力在沖動性特質(zhì)對毒品渴求程度的影響中發(fā)揮部分中介作用,且在情緒調(diào)節(jié)過程中認知重評策略顯著影響毒品渴求程度。(2)針對提升情緒調(diào)節(jié)能力的團體心理干預對降低戒毒人員毒品渴求程度效果顯著,但對提高情緒調(diào)節(jié)能力,降低負性情緒程度的效果不顯著。
[Abstract]:This study focuses on the influence of drug addicts' emotional regulation ability on their drug addiction and relapse behavior, and explores the relationship between their emotional regulation ability and impulsive trait, drug craving degree. Furthermore, from the perspective of enhancing the emotional regulation ability of drug addicts, this paper discusses the synergistic effect of group counseling on routine drug treatment measures, so as to develop more effective intervention measures to abstinence drugs and prevent relapse. To provide theoretical basis and intervention methods for reference. Study 1. A questionnaire survey was conducted among 210 detoxification workers in a women's compulsory isolation treatment center in Shanghai. Questionnaires: (Emotion Regulation questionnaire, (Difficulties in Emotion Regulation scale, (Patient Health questionnaire, (Generalized Anxiety Disorder-7 GAD-7, (Barratt Impulsiveness scale BIS-11, behavior inhibition / irritation Two hundred valid questionnaires were obtained by Behavioral Inhibition/Activation System scale (BIS / BAS) and drug craving scale (VAS),). The data were statistically analyzed by Pearson correlation analysis and intermediary effect analysis program to explore the relationship among emotion regulation ability impulsive trait and drug craving degree of drug addicts. Secondly, according to the score of emotional adjustment difficulty scale, 28 drug addicts were selected into the intervention group (14 cases) and the control group (14 cases). The group psychological intervention scheme was designed according to the main theory of emotional regulation, and the group psychological intervention was carried out in the intervention group. The control group only received routine drug treatment intervention. For 28 members of intervention group and control group, baseline, immediately after group intervention and 3 months after intervention, the ability of emotion regulation was performed. The impulsive trait questionnaire (ERQDERS PHQ-9 / GAD-7 BIS-11BIS-11BIS-11BIS-BAS) and the drug craving degree evaluation (VAS),) were used to test the data obtained by T-test and repeated analysis of variance to explore the intervention effect of group psychological counseling on the ability of emotion regulation and drug craving degree of drug addicts. The results showed that: (1) the scores of DERSN BIS-11 were positively correlated with drug craving degree (p0.05). (p0.05) the scores of cognitive reassessment strategy (CR) were negatively correlated with drug craving (p0. 015), and the BIS score in BIS/BAS was significantly correlated with drug craving degree (p0. 05). Positive correlation (p0. 007); (2) the scores of negative emotion PHQ-9, GAD-7 and BIS-11 were significantly correlated with drug craving degree (p0. 05); (3) the effect of DERS on drug craving was significant in detoxification drug addicts (p0. 05); (3). Among them, the control of (Impulse) and the use of (Strategies) mediating effect of emotional impulse were also significant. The second study was as follows: (1) the intervention group and the control group showed significant difference in the dimension of DERS emotional understanding of the interaction between the measurement time point and the intervention mode and the statistical difference between the intervention group and the control group (p0.05); (2) the drug craving degree was measured at the time point and the intervention side. There was significant difference in the interaction between the intervention group and the control group (p0.05). The results of this study are as follows: (1) the emotional regulation ability of drug addicts plays an intermediary role in the influence of impulsive traits on drug craving. In the process of emotion regulation, cognitive reevaluation strategy significantly affected the drug craving degree. (2) the group psychological intervention aimed at improving the ability of emotion regulation had significant effect on reducing drug craving degree of drug addicts, but it could improve the ability of emotion regulation. The effect of reducing negative emotion was not significant.
【學位授予單位】：上海師范大學
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：B842.6
本文編號：2147500
[Abstract]:This study focuses on the influence of drug addicts' emotional regulation ability on their drug addiction and relapse behavior, and explores the relationship between their emotional regulation ability and impulsive trait, drug craving degree. Furthermore, from the perspective of enhancing the emotional regulation ability of drug addicts, this paper discusses the synergistic effect of group counseling on routine drug treatment measures, so as to develop more effective intervention measures to abstinence drugs and prevent relapse. To provide theoretical basis and intervention methods for reference. Study 1. A questionnaire survey was conducted among 210 detoxification workers in a women's compulsory isolation treatment center in Shanghai. Questionnaires: (Emotion Regulation questionnaire, (Difficulties in Emotion Regulation scale, (Patient Health questionnaire, (Generalized Anxiety Disorder-7 GAD-7, (Barratt Impulsiveness scale BIS-11, behavior inhibition / irritation Two hundred valid questionnaires were obtained by Behavioral Inhibition/Activation System scale (BIS / BAS) and drug craving scale (VAS),). The data were statistically analyzed by Pearson correlation analysis and intermediary effect analysis program to explore the relationship among emotion regulation ability impulsive trait and drug craving degree of drug addicts. Secondly, according to the score of emotional adjustment difficulty scale, 28 drug addicts were selected into the intervention group (14 cases) and the control group (14 cases). The group psychological intervention scheme was designed according to the main theory of emotional regulation, and the group psychological intervention was carried out in the intervention group. The control group only received routine drug treatment intervention. For 28 members of intervention group and control group, baseline, immediately after group intervention and 3 months after intervention, the ability of emotion regulation was performed. The impulsive trait questionnaire (ERQDERS PHQ-9 / GAD-7 BIS-11BIS-11BIS-11BIS-BAS) and the drug craving degree evaluation (VAS),) were used to test the data obtained by T-test and repeated analysis of variance to explore the intervention effect of group psychological counseling on the ability of emotion regulation and drug craving degree of drug addicts. The results showed that: (1) the scores of DERSN BIS-11 were positively correlated with drug craving degree (p0.05). (p0.05) the scores of cognitive reassessment strategy (CR) were negatively correlated with drug craving (p0. 015), and the BIS score in BIS/BAS was significantly correlated with drug craving degree (p0. 05). Positive correlation (p0. 007); (2) the scores of negative emotion PHQ-9, GAD-7 and BIS-11 were significantly correlated with drug craving degree (p0. 05); (3) the effect of DERS on drug craving was significant in detoxification drug addicts (p0. 05); (3). Among them, the control of (Impulse) and the use of (Strategies) mediating effect of emotional impulse were also significant. The second study was as follows: (1) the intervention group and the control group showed significant difference in the dimension of DERS emotional understanding of the interaction between the measurement time point and the intervention mode and the statistical difference between the intervention group and the control group (p0.05); (2) the drug craving degree was measured at the time point and the intervention side. There was significant difference in the interaction between the intervention group and the control group (p0.05). The results of this study are as follows: (1) the emotional regulation ability of drug addicts plays an intermediary role in the influence of impulsive traits on drug craving. In the process of emotion regulation, cognitive reevaluation strategy significantly affected the drug craving degree. (2) the group psychological intervention aimed at improving the ability of emotion regulation had significant effect on reducing drug craving degree of drug addicts, but it could improve the ability of emotion regulation. The effect of reducing negative emotion was not significant.
【學位授予單位】：上海師范大學
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：B842.6
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