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

【摘要】：目的：（1）評價動機(jī)-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(jī)-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(jī)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(qiáng)制隔離戒毒所男性戒毒人員98名，隨機(jī)分為試驗(yàn)組和對照組，試驗(yàn)組接受動機(jī)-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(yàn)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(yàn)組46人以及對照組43人，在其出所后進(jìn)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(qiáng)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(jī)轉(zhuǎn)變傾向監(jiān)測表初稿，對298名強(qiáng)制隔離勞教戒毒的男性海洛因依賴患者進(jìn)行現(xiàn)場測試，并于一周后隨機(jī)抽取其中81名患者進(jìn)行重測。 結(jié)果：（1）重復(fù)測量方差分析顯示：①干預(yù)后試驗(yàn)組在強(qiáng)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(yù)后試驗(yàn)組強(qiáng)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(yù)前自身比較也顯著降低（P0.01）；③干預(yù)因素是試驗(yàn)組強(qiáng)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(yàn)組干預(yù)后強(qiáng)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(yàn)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(yàn)組操守率均遠(yuǎn)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(yù)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(xiàng)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(xiàn)率達(dá)72.71%。 結(jié)論：動機(jī)-技能-脫敏-心理能量模式可以在一定程度上減輕強(qiáng)制戒毒人員慢性渴求和抑郁狀況，，有助于預(yù)防戒毒后復(fù)吸和促進(jìn)戒毒患者保持操守。戒毒人員情緒與動機(jī)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(yù)防復(fù)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(jìn)國外被論證有效的認(rèn)知行為療法，融合動機(jī)晤談、NLP(神經(jīng)語言模式)療法、內(nèi)觀認(rèn)知療法等組合成一套綜合心理干預(yù)模式：動機(jī)-技能-脫敏-心理能量模式，并首次在強(qiáng)制戒毒人員中實(shí)踐應(yīng)用。 2.以一年操守率論證本綜合干預(yù)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(jī)轉(zhuǎn)變傾向監(jiān)測表”，用于實(shí)時監(jiān)測戒毒人員情緒和戒毒動機(jī)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(xué)位授予單位】：華中科技大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2013
【分類號】：R749.64

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