戒毒人员情绪调节能力与冲动性特质、毒品渴求之间关系及干预研究

发布时间：2018-07-27 10:13

【摘要】：本研究主要围绕戒毒人员的情绪调节能力对其毒品成瘾、复吸行为的影响展开研究,探究戒毒人员的情绪调节能力与冲动性特质、毒品渴求程度之间的关系。并且,从提升戒毒人员情绪调节能力角度出发,探讨该主题的团体辅导对于常规戒毒措施的增效性,从而为开发更有效的干预措施,以戒除毒品、预防复吸,提供理论依据和干预方法的参考。研究一,对上海市某女子强制隔离戒毒所210名戒毒人员进行问卷调查。使用问卷:情绪调节策略量表(Emotion Regulation Questionnaire,ERQ)、情绪调节困难量表(Difficulties in Emotion Regulation Scale,DERS)、患者健康问卷抑郁量表(Patient Health Questionnaire-9,PHQ-9)、广泛性焦虑评定量表(Generalized Anxiety Disorder-7,GAD-7)、冲动性特质量表(Barratt Impulsiveness Scale,BIS-11)、行为抑制/激活系统量表(Behavioral Inhibition/Activation System Scale,BIS/BAS)以及毒品渴求程度测量尺(视觉模拟尺VAS),共获得有效问卷200份。使用Pearson相关分析、中介效应分析程序对数据进行统计分析,探究戒毒人员情绪调节能力、冲动性特质和毒品渴求程度三者间的关系。研究二,根据情绪调节困难量表得分,筛选出28名戒毒人员组成干预组14名和对照组14名,结合情绪调节主要理论设计团体心理干预方案,对干预组进行团体心理干预;对照组只接受所内常规的戒毒干预措施。对干预组及对照组28名成员,基线、团体干预后即刻以及干预后3个月,进行情绪调节能力、冲动性特质等问卷施测(ERQ、DERS、PHQ-9、GAD-7、BIS-11、BIS/BAS)以及毒品渴求程度评估(VAS),对所得数据进行T检验以及重复测量方差分析,探究团体心理辅导对戒毒人员情绪调节能力和毒品渴求程度的干预效果。结果表明:研究一,(1)戒毒人员DERS、BIS-11分值和毒品渴求程度呈显著正相关(p0.05),ERQ中认知重评策略(CR)分值与毒品渴求程度呈显著负相关(p=0.015),且BIS/BAS中BIS得分与毒品渴求程度呈显著正相关(p=0.007);(2)戒毒人员负性情绪PHQ-9、GAD-7与BIS-11分值与毒品渴求程度显著正相关(p0.05);(3)戒毒人员DERS在BIS-11对毒品渴求程度的影响中中介效应显著,其中维度情绪冲动的控制(Impulse)和情绪策略的使用(Strategies)中介效应也显著。研究二,(1)干预组与对照组DERS分维度情绪理解(Clarity)在测量时点与干预方式交互作用以及干预组与对照组之间显示统计学差异显著(p0.05);(2)毒品渴求程度在测量时点与干预方式交互作用以及干预组与对照组之间显示统计学差异显著(p0.05)。本研究得出结论:(1)戒毒人员情绪调节能力在冲动性特质对毒品渴求程度的影响中发挥部分中介作用,且在情绪调节过程中认知重评策略显著影响毒品渴求程度。(2)针对提升情绪调节能力的团体心理干预对降低戒毒人员毒品渴求程度效果显著,但对提高情绪调节能力,降低负性情绪程度的效果不显著。
[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.
【学位授予单位】：上海师范大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：B842.6

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