發(fā)布時間：2018-05-13 05:10

  本文選題：海洛因成癮者 + 慢性渴求��； 參考：《華中科技大學》2013年碩士論文

【摘要】：目的：（1）評價動機-技能-脫敏-心理能量模式對戒毒人員慢性渴求和抑郁情況的效果；（2）評價動機-技能-脫敏-心理能量模式對戒毒人員短期操守率的影響；（3）開發(fā)戒毒人員情緒與動機轉(zhuǎn)變傾向監(jiān)測表并評價其信度與效度，為開展戒毒心理治療研究提供評價工具。 方法：選取襄陽市強制隔離戒毒所男性戒毒人員98名，隨機分為試驗組和對照組，試驗組接受動機-技能-脫敏-心理能量模式和戒毒所常規(guī)戒毒教育，對照組接受戒毒所常規(guī)戒毒教育，一個月后評價試驗組和對照組慢性渴求、抑郁、沖動性和攻擊性人格特征變化情況。對上述觀察對象，試驗組46人以及對照組43人，在其出所后進行電話隨訪，評價兩組人員出所滿一個月、三個月、六個月和一年的操守情況。根據(jù)強制隔離勞教戒毒患者的情緒狀況和戒毒所需要的改變，本課題組擬定戒毒人員情緒與動機轉(zhuǎn)變傾向監(jiān)測表初稿，對298名強制隔離勞教戒毒的男性海洛因依賴患者進行現(xiàn)場測試，并于一周后隨機抽取其中81名患者進行重測。 結(jié)果：（1）重復測量方差分析顯示：①干預后試驗組在強迫性毒品使用量表得分和沖動性人格量表得分上比對照組低（P0.01）；②干預后試驗組強迫性毒品使用量表、貝克抑郁自評量表和攻擊性人格量表得分較干預前自身比較也顯著降低（P0.01）；③干預因素是試驗組強迫性毒品使用量表、貝克抑郁自評量表得分下降的主要影響因素，且試驗組干預后強迫性毒品使用量表、貝克抑郁自評量表得分下降趨勢較對照組明顯（P0.01）。 （2）試驗組出所滿一個月、三個月、六個月和一年時，操守人數(shù)（率）分別是33（71.74%）、24（52.17%）、19（41.30%）和17（36.96%）；對照組操守人數(shù)（率）分別是8（18.60%）、3（6.98%）、1（2.33%）和1（2.33%）。試驗組操守率均遠高于對照組（P0.001）。多元Logistic回歸結(jié)果顯示，無論在一個月、三個月、六個月和一年，干預分組因素均是患者操守的重要影響因素（OR值均15, P均0.01）。 （3）問卷整體的Cronbach’s α系數(shù)為0.88，4個因子的Cronbach’s α系數(shù)在0.77～0.94之間；量表總分的重測信度為0.70，4個因子的重測信度在0.42～0.62之間，各個項目的重測信度在0.29～0.64之間；因子分析共提取4個因子，累積貢獻率達72.71%。 結(jié)論：動機-技能-脫敏-心理能量模式可以在一定程度上減輕強制戒毒人員慢性渴求和抑郁狀況，，有助于預防戒毒后復吸和促進戒毒患者保持操守。戒毒人員情緒與動機轉(zhuǎn)變傾向監(jiān)測表具有良好的信度和效度，在海洛因成癮戒毒后預防復吸的研究過程中具有較好的應(yīng)用價值。 本研究創(chuàng)新之處： 1.引進國外被論證有效的認知行為療法，融合動機晤談、NLP(神經(jīng)語言模式)療法、內(nèi)觀認知療法等組合成一套綜合心理干預模式：動機-技能-脫敏-心理能量模式，并首次在強制戒毒人員中實踐應(yīng)用。 2.以一年操守率論證本綜合干預模式的有效性，并建立Logistic回歸模型，找出患者保持操守的主要有利因素。 3.根據(jù)戒毒人員情緒心理狀況，編制出“戒毒人員情緒與動機轉(zhuǎn)變傾向監(jiān)測表”，用于實時監(jiān)測戒毒人員情緒和戒毒動機狀態(tài)。
[Abstract]:Objective: (1) to evaluate the effect of motivation skill - desensitization - mental energy model on chronic craving and depression in detoxification workers; (2) evaluate the effect of motivation skill - desensitization - mental energy model on the short-term integrity of drug addicts; (3) to develop the monitoring table of emotional and motivational change tendency of drug addicts and evaluate their reliability and validity in order to carry out the precepts. The study of toxic psychotherapy provides an evaluation tool.
Methods: 98 male addicts in Xiangyang compulsory detoxification center were randomly divided into experimental group and control group. The experimental group received motivation skills, desensitization mental energy model and routine detoxification education in detoxification Institute, and the control group accepted the routine detoxification education. One month later, the test group and the control group had chronic craving, depression and impulsiveness. 46 people in the experimental group and 43 people in the control group were followed up by telephone to evaluate the integrity of the two groups of people who were full for one month, three months, six months and one year. The group was prepared for the first draft of the monitoring table for the tendency to change the mood and motivation of drug addicts. 298 male heroin addicts who were forced to detoxification were tested on the spot, and 81 of them were retested randomly one week later.
Results: (1) the repeated measurement of variance analysis showed that: (1) the score of the compulsive drug use scale and the impulsive personality scale were lower than the control group (P0.01) in the test group, and the scores of the Beck depression self rating scale and the aggressive personality scale were significantly lower than those before the intervention. Low (P0.01); (3) the intervention factors were the forced drug use scale in the experimental group, the main influencing factors of the decline in the Beck depression self rating scale, and the forced drug use scale of the test group after the intervention, and the decrease trend of the Beck depression self rating scale was significantly lower than that of the control group (P0.01).
(2) the number of people in the test group was 33 (71.74%), 24 (52.17%), 19 (41.30%) and 17 (36.96%), respectively, for one month, three months, six months and one year, respectively, and the control group was significantly higher than the control group (P0.001). The results of multiple Logistic regression showed that no matter In one month, three months, six months and one year, intervention group factors were important factors affecting patients' integrity (OR value 15, P 0.01).
(3) the overall Cronbach 's alpha coefficient of the questionnaire is 0.88,4 factor Cronbach' s alpha coefficient between 0.77 and 0.94; the retest reliability of the total score for the total score of the scale is between 0.42 and 0.62, and the retest reliability of each item is between 0.29 and 0.64; the factor analysis extracts 4 factors and the cumulative contribution rate is 72.71%.
Conclusion: the motivation skills - desensitization - psychological energy model can reduce the chronic craving and depression of compulsory detoxification personnel to a certain extent, help to prevent relapse after detoxification and promote the integrity of the detoxification patients. The monitoring table of emotional and motive change of drug addicts has good reliability and validity, and it is pretreated after heroin addiction abstinence. The study of anti relapse has good application value.
The innovation of this study is:
1. the introduction of proven effective cognitive behavioral therapy, fusion motivation talk, NLP (neural language model) therapy, and internal cognitive therapy combined into a set of comprehensive psychological intervention models: motivation skills desensitization psychological energy model, and the first practice in compulsory detoxification personnel.
2. to demonstrate the effectiveness of the comprehensive intervention model with the rate of one year's conduct, and establish Logistic regression model to find out the main favorable factors for patients to maintain their integrity.
3. according to the emotional state of drug addicts, the "monitoring table of the tendency to change the mood and motivation of drug addicts" was compiled, which was used to monitor the state of detoxification and detoxification motivation in real time.

【學位授予單位】：華中科技大學
【學位級別】：碩士
【學位授予年份】：2013
【分類號】：R749.64

【參考文獻】

相關(guān)期刊論文 前10條

1 梅傳強;論吸毒的心理演變及其矯治對策[J];重慶大學學報(社會科學版);2002年04期

2 胡炳蔚;毒品與吸毒（Ⅰ）[J];法律與醫(yī)學雜志;1996年04期

3 楊子;;毒品危害[J];觀察與思考;2006年12期

4 高志勤;余海鷹;趙漢清;陳洪生;;海洛因依賴者復吸的社會心理因素及預防復吸的綜合性干預研究[J];中國健康心理學雜志;2010年10期

5 馬惠元,鞠鳳;心理干預對海洛因依賴者MMPI的影響[J];濟寧醫(yī)學院學報;2004年02期

6 徐波;葛大德;黃明豪;叢曉娜;唐萬琴;衛(wèi)平民;;我國毒品濫用的現(xiàn)狀、危害與防控對策[J];江蘇預防醫(yī)學;2009年02期

7 齊磊;錢亞明;;毒品泛濫及其對中國經(jīng)濟發(fā)展的影響[J];社科縱橫;2006年07期

8 陳斌;周伴群;張華源;焦亮;羅志華;趙超敏;張恒秋;;珠海市阿片類成癮人群美沙酮社區(qū)維持治療效果評估[J];實用預防醫(yī)學;2011年02期

9 張錫章;淺談當前青少年吸食毒品的原因、危害及對策[J];鐵道警官高等�？茖W校學報;2004年03期

10 顧陳韻;張懷惠;杜江;董愛珍;法金茂;王建國;王軍;趙敏;;阿片類藥物依賴者成癮嚴重程度與抑郁情緒的相關(guān)研究[J];四川精神衛(wèi)生;2011年03期

本文編號：1881789