本文選題：物質(zhì)依賴者 + 治療阻礙量表(BTI)�。� 參考：《中南大學(xué)》2013年碩士論文

【摘要】：目的：1.系統(tǒng)了解物質(zhì)依賴者尋求治療的阻礙因素。2.對(duì)治療阻礙因素評(píng)定量表(Barriers to Treatment Inventory, BTI)進(jìn)行信效度分析。 方法：采用治療阻礙評(píng)定量表(BTI)對(duì)來自湖南省三所戒毒機(jī)構(gòu)的、符合美國(guó)精神障礙診斷和統(tǒng)計(jì)手則(DSM-IV)關(guān)于物質(zhì)依賴診斷標(biāo)準(zhǔn)的262例物質(zhì)依賴者進(jìn)行調(diào)查研究。 結(jié)果：1.物質(zhì)依賴者尋求治療的阻礙因素：內(nèi)部阻礙因素方面主要表現(xiàn)為：“我能很好的掌握毒品的使用情況”(31.3%)、“如果我去接受治療,我的家人會(huì)因此而蒙羞”(30.1%)以及“個(gè)人方面的原因”(48.1%)；外部阻礙因素方面主要表現(xiàn)為“家里有事情要做,很難有時(shí)間去接受治療”(61.1%)、“很難找到與我日常工作安排沒有沖突才治療程序”(60.3%)、“接受治療的地方距離太遠(yuǎn)”(56.9%)、“我不知道哪里可以接受治療”(83.2%)、“沒法前往治療場(chǎng)所”(93.9%)、“暫時(shí)經(jīng)濟(jì)困難,我必須要等候一段時(shí)間才能得到治療”(74.4%)和“要得到治療,我的手續(xù)可能過于繁雜”(87.8%)。 2.對(duì)BTI量表中條目進(jìn)行了相關(guān)性分析,結(jié)果顯示因子3“害怕治療(FT)”中條目12“我曾經(jīng)有過很糟糕的治療經(jīng)歷”與因子3中其它條目相關(guān)性差,并發(fā)現(xiàn)條目12的因子載荷很小或無統(tǒng)計(jì)學(xué)意義(r=0.026,P=0.767),因此,條目12被刪除了不再進(jìn)一步分析。BTI量表的信度為0.72說明內(nèi)部一致性較好；驗(yàn)證性因子分析的結(jié)果表明BTI量表具有良好的結(jié)構(gòu)效度,即量表的結(jié)構(gòu)與構(gòu)造的結(jié)構(gòu)基本一致,說明此量表是可行及可信的。 3.物質(zhì)依賴者的內(nèi)部和外部治療阻礙因素結(jié)果：內(nèi)部治療阻礙因素方面：本研究結(jié)果顯示：年齡組：年紀(jì)小于30歲的吸毒者比大于30歲的吸毒者更表現(xiàn)出因子2“負(fù)性的社會(huì)支持(NSS)"(γ=-0.19,P=0.038)和因子4“個(gè)人方面的原因(PC)”(γ=-0.31,P0.001)方面的治療阻礙；主要使用毒品組：以“冰毒”為主的吸毒者比其他物質(zhì)濫用者更表現(xiàn)出因子1“認(rèn)識(shí)不到自己的問題(AP)”(γ=0.44,P0.001)、因子2“負(fù)性的社會(huì)支持(NSS)”(γ=0.25,P=0.010)以及條目14"擔(dān)心在治療過程中見到一些我不愿意見到的人”(γ=-0.15,P=0.005)方面的治療阻礙；曾經(jīng)有過治療經(jīng)歷組：曾經(jīng)有過治療經(jīng)歷的吸毒者比從未有過治療經(jīng)歷的吸毒者更表現(xiàn)出因子1“認(rèn)識(shí)不到自己的問題(AP)”(γ=0.20,P=0.012)方面的治療阻礙；婚姻狀況組：已婚吸毒者比未婚吸毒者更表現(xiàn)出條目17“我討厭別人問我隱私方面的問題”(γ=-0.11,P=0.030)方面的治療阻礙；主要毒品持續(xù)時(shí)間組：持續(xù)時(shí)間越長(zhǎng)的吸毒者越表現(xiàn)出條目5“我能很好的掌握毒品的使用情況”(γ=-3.7,P0.001)方面的治療阻礙；性別組及教育程度組：對(duì)所有四個(gè)因子及17個(gè)條目均無顯著差異。外部治療阻礙因素方面：本次調(diào)查中的物質(zhì)依賴者被分成三類：類別1：大多數(shù)(59%)的物質(zhì)依賴者對(duì)所有外部阻礙的贊成率非常高,所以被稱為主要類別阻礙類別：類別2：22%的物質(zhì)依賴者對(duì)所有外部阻礙的贊成率較低,所以被稱為低阻礙類別；類別3：19%的物質(zhì)依賴者回答因子5“治療時(shí)間與日常工作相沖突(TC)”阻礙因素的贊成率為零,回答因子6“治療機(jī)構(gòu)難以獲得(TA)”和因子7“治療場(chǎng)所難以進(jìn)入(ED)”阻礙因素的條目時(shí)贊成率幾乎是百分之百,這兩因子主要體現(xiàn)在治療機(jī)構(gòu)或治療場(chǎng)所方面的阻礙因素,所以被稱為系統(tǒng)級(jí)阻礙類別。物質(zhì)依賴者的個(gè)體特征年齡和成癮物質(zhì)的特征主要使用毒品是影響物質(zhì)依賴者分類的影響因素。 結(jié)論：1.我國(guó)物質(zhì)依賴者接受治療前均會(huì)遇到各種阻礙因素；不同個(gè)體特征的物質(zhì)依賴者會(huì)表現(xiàn)出不同的阻礙因素和阻礙類別,干預(yù)時(shí)要不同對(duì)待。2.修訂后的中文版BTI量表具有良好的信效度,可作為調(diào)查我國(guó)物質(zhì)依賴者治療阻礙因素的研究工具。
[Abstract]:Objective : 1 . To understand the obstructive factors for the treatment of substance - dependent persons . 2 . To analyze the validity of treatment - obstructive factor scale ( BTI ) .

Methods : A survey was conducted on 262 substance - dependent persons from three drug addicts in Hunan Province , who were in compliance with the diagnostic criteria of mental disorders in the United States ( DSM - IV ) , on the criteria of substance dependence diagnosis by using the treatment - obstruction rating scale ( BTI ) .

Results : 1 . The barriers to the treatment of substance - dependent persons were : " I can well master the use of drugs " ( 31.3 % ) , " if I go to treatment , my family will be ashamed " ( 30.1 % ) and " personal reasons " ( 48.1 % ) ;
" I don ' t know where to treat " ( 60.3 % ) , " I don ' t know where to receive treatment " ( 60.3 % ) , " I don ' t know where to receive treatment " ( 83.2 % ) , " I don ' t know where to treat " ( 83.2 % ) , " I don ' t know where to receive treatment " ( 83.2 % ) , " I have to wait for some time to get treatment " ( 74.4 % ) and " to get treatment , my procedure may be too complicated " ( 87.8 % ) .

2 . The correlation analysis of the entries in the BTI scale showed that the entry 12 " I used to have a bad treatment experience " in the " fear treatment ( FT ) " had a poor correlation with other entries in the factor 3 , and found that the factor loading of the entry 12 was very small or had no statistical significance ( r = 0.026 , P = 0.767 ) . Therefore , the entry 12 was deleted no further analysis . The reliability of the BTI scale was 0.72 , and the internal consistency was good ;
The results of confirmatory factor analysis indicate that the BTI scale has good structural validity , that is , the structure of the scale is basically consistent with the structure of the structure , which indicates that the scale is feasible and credible .

3 . Internal and external treatment of substance - dependent factors : Internal treatment barriers : The results of this study show that the age group : drug users who are younger than 30 years of age are more likely to have a factor of 2 " negative social support ( NSS ) " ( 緯 = - 0.19 , P = 0.038 ) and factor 4 " personal reasons ( PC ) " ( 緯 = - 0.31 , P0.001 ) than those who are more than 30 years old ;
Drug groups were mainly used : drug addicts with " ice poison " showed a factor of 1 " less than their own problems ( AP ) " ( 緯 = 0.44 , P0.001 ) , factor 2 " negative social support ( NSS ) " ( 緯 = 0.25 , P = 0.010 ) and entry 14 " fear of seeing some of the people I don ' t want to see in the course of treatment " ( 緯 = - 0.15 , P = 0.005 ) ;
There was once a treatment experience group : drug users who had experienced treatment had a higher level of treatment than those who had experienced a treatment experience than those who had not experienced treatment ( AP ) ( 緯 = 0.20 , P = 0.012 ) ;
marital status group : married drug addicts showed an entry 17 " I hate people asking questions about privacy concerns " ( 緯 = - 0.11 , P = 0.030 ) .
The longer the main drug duration group : the longer the drug addict the longer the duration of the drug , the better the treatment impeded the use of drugs " ( 緯 = - 3.7 , P0.001 ) ;
Gender and degree of education : There was no significant difference in all four factors and 17 entries . The substance - dependent persons in this survey were classified into three categories : category 1 : the majority ( 59 per cent ) of the substance - dependent persons were very high in favour of all external barriers , so they were called the main categories of obstruction categories : category 2 : 22 per cent of the substance - dependent persons had a lower preference for all external barriers , and were therefore referred to as low - barrier categories ;
Category 3 : 19 % of the substance - dependent response factor 5 " treatment time and day - to - day work - to - day conflict ( TC ) " barrier factor is almost 100 per cent , and the two factors mainly reflect barriers to the treatment facility or the treatment site , which are called the system - level barrier categories . The main use of drug dependence - based individual characteristic ages and addictive substances is the factor affecting the classification of substance - dependent persons .

Conclusion : 1 . There are various obstacles before the treatment of the substance - dependent persons in China .
Different individual characteristics of substance - dependent persons exhibit different barrier factors and hinder the categories , and should be treated differently at the time of intervention . 2 . The revised BTI scale has good faith validity , which can be used as a research tool for investigating the factors of Chinese drug dependence treatment .
【學(xué)位授予單位】：中南大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2013
【分類號(hào)】：R749.64

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