团体心理治疗改善强制隔离戒毒人员心理健康水平的效果研究

发布时间：2018-03-19 23:35

本文选题：心理疗法　切入点：戒毒人员　出处：《中国全科医学》2017年32期 　论文类型：期刊论文

【摘要】：目的探讨团体心理治疗对强制隔离戒毒人员心理健康的作用,为强制隔离戒毒机构有效开展心理矫治工作提供依据。方法 2016年6—12月,将江苏省句东强制隔离戒毒所88名男性戒毒人员,以年龄为因素进行分层随机化分组,分为治疗组和对照组,各44名。治疗组接受自我认知、珍惜生命、承担责任、自信心、意志力、感恩、情商、减压、潜能、人生信念、积极心理、人生目标等12个主题组成的团体心理治疗,分"解冻""变革""重冻"3步骤实施,1次/周,封闭2 d,8 h/d,持续6个月。对照组同期采用常规戒毒方法,主要包括劳动和思想改造。分别于干预前及干预结束后,采用症状自评量表(SCL-90)评价戒毒人员心理健康水平。结果干预前,88名戒毒人员SCL-90强迫症状、人际敏感评分与全国常模比较,差异无统计学意义(P0.05);躯体化、抑郁、焦虑、敌对、恐怖、偏执、精神病及平均评分高于全国常模(P0.05)。干预后,治疗组躯体化、强迫症状、抑郁、焦虑、敌对、恐怖、偏执、精神病及平均评分与全国常模比较,差异无统计学意义(P0.05);人际敏感评分低于全国常模(P0.05)。干预后,治疗组人际敏感、抑郁、焦虑、敌对、恐怖及平均评分低于对照组(P0.05),且躯体化、强迫症状、人际敏感、抑郁、焦虑、敌对、偏执、精神病及平均评分低于干预前(P0.05)。结论团体心理治疗可改善戒毒人员SCL-90评分,帮助其提高心理健康水平,恢复心理功能。
[Abstract]:Objective to explore the effect of group psychotherapy on the mental health of drug addicts in compulsory isolation, and to provide the basis for effective psychological correction in compulsory isolation detoxification institutions. Methods from June to December, 2016, A total of 88 male drug addicts in Jiangsu Province were randomly divided into treatment group (44 cases) and control group (44 cases) based on age. The treatment group accepted self-cognition, cherished life, assumed responsibility and self-confidence. Willpower, gratitude, emotional quotient, decompression, potential, life belief, positive psychology, life goal and so on 12 themes of group psychotherapy, divided into "thaw" "change" and "heavy freeze" 3 steps to implement once a week, The control group was treated with routine detoxification methods, including labor and ideological reform, before and after the intervention. Results SCL-90 obsessive-compulsive symptoms of 88 drug addicts were evaluated by SCL-90. Results compared with the national norm, there was no significant difference in interpersonal sensitivity scores, somatization, depression, anxiety, hostility, somatization, depression, anxiety and hostility. After intervention, the scores of somatization, obsessive compulsion, depression, anxiety, hostility, phobia, paranoid ideation, psychosis and average scores in the treatment group were compared with the national norm. After intervention, the scores of interpersonal sensitivity, depression, anxiety, hostility and terror in the treatment group were lower than those in the control group (P 0.05), and the scores of somatization, compulsion, interpersonal sensitivity, depression and anxiety were lower than those in the control group. The average scores of hostility, paranoid ideation, psychosis and mental illness were lower than those before intervention (P 0.05). Conclusion Group psychotherapy can improve the SCL-90 score of drug addicts, help them to improve their mental health level and restore their psychological function.
【作者单位】：江苏大学教师教育学院;江苏大学医学院;江苏大学文学院;江苏省句东强制隔离戒毒所教育科;江苏省句东强制隔离戒毒所心理矫治科;
【分类号】：R749.64

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