摘要
目的:观察人本取向联合治疗对戒毒劳动教养人员劳动教养期间心理健康状况的干预效果。方法:随机抽取2002-01/2002-12收入某戒毒劳动教养管理所的戒毒劳动教养人员80人为观察对象,小学以上文化程度,年龄18～55岁,无临床确诊的人格障碍和其他精神障碍,还有至少2年才能解教,均知情并同意接受调查。随机分为实验组和对照组,每组40例,对照组采用常规劳动教养管理,实验组在常规劳动教养管理的同时,联合运用人本取向的集体心理治疗和个别心理治疗,针对个案的自尊状况和临床心理症状等问题,进行集体治疗1.5h/次,共进行12次,个体治疗1h/次,共进行12～18次不等,总历时1.5年,治疗前后采用症状自评量表评定被试的心理健康状况。结果:本调查纳入戒毒劳动教养人员80例,分为2组,均完成调查进入结果分析。治疗前,实验组与对照组被试在症状自评量表总分及各因子得分方面没有差异,经过1年半的人本取向联合治疗干预后,与对照组比较,实验室组被试的症状自评量表10项因子分均明显降低(P<0.001～0.01),总分与阳性项目数也明显降低(P<0.01)。其中强迫因子、人际关系因子,敌对因子已降低到与常模相同水平。结论:人本取向个别心理治疗联合团体治疗能全面改善和提高戒毒劳动教养人员的心理卫生水平,是一种可行且有效的改善戒毒劳动教养人员心理卫生状况的心理治疗方法。
AIM： To observe the interventional effect of client-centered conjoint therapy on the psychological health status in the members of drug rehabilitation through labor.
METHODS： Eighty members of drugs rehabilitation through Labor were randomly selected from an anti-drug labor center between January and December 2002 and they should be labored in the center for at least two years, they all aged from 18 to 55 years and received education of elementary school and above, all the members had no definite personality disorder and other mental disorders and all agreed to participate in the study. They were randomly divided into experimental group （n=40） and control group （n=40）. All the subjects received the drug rehabilitation through labor, besides, those in the experimental group received client-centered conjoint therapy of group and individual psychotherapies aiming at the individual self-esteem and clinical psychological symptoms. They were given the 90- minute group therapy session for 12 times, 60-minute individual psychotherapy for 12 to 18 times, totally 1 and half years, both groups received twice assessments of symptom checklist-90 （SCL-90） before psychotherapy and after 1 and half years.
RESULTS： All the 80 subjects entered the analysis of results. There was insignificant differences between the experimental group and the control group in the total score and all factors before psychotherapy. After the client-centered conjoint therapy for 1 and half years, the mean scores of all factors in the experimental group were significant lower than those in the control group （P 〈 0.001-0.01）, and the total score and number of positive items were also lower than those in the control group （P 〈 0.01）, and the scores of obsession-compulsion, interpersonal sensitivity and hostility in the experimental group were decreased to the same levels of national norms.
CONCLUSION： Client-centered therapy in combination with individual and group psychotherapies can wholly ameliorate and improve the mental health level of the members of drug rehabilitation through labor, and it is an effective and helpful way for the mental health of the members of drug rehabilitation through lsabor.
出处
《中国临床康复》
CSCD
北大核心
2006年第10期72-73,76,共3页
Chinese Journal of Clinical Rehabilitation
基金
广东医学院校内基金(X20114)~~
