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目的:评估戒毒人员在接受延长强制隔离戒毒期限过程中的心理状态和感受,探讨运用系统心理危机干预模式进行心理危机干预,为保证戒毒所安全,维护社会秩序稳定提供有力措施。方法:自拟《戒毒人员基本情况调查问卷》对北京市公安局强制隔离戒毒所2008年6月-2008年8月在所的戒毒人员进行调查,并利用焦虑自评量表(Self-Rating Anxiety Scale,SAS)和抑郁自评量表(Self-RatingDepression Scale,SDS)评估负面情绪反应程度,之后进行第一阶段系统心理危机干预。第二周再评估,再次进行心理危机干预,第四周进行第三次评估。结果:287例被调查者中男205例(71.4%)、女82例(28.6%),平均年龄32.95±7.37a。焦虑、抑郁分布情况:第一次调查:无情绪焦虑者12例(4.2%),严重焦虑78例(27.2%)。无抑郁情绪表现者仅为1例(0.3%),而严重抑郁达到202例(70.4%)。第三次调查,无情绪焦虑者282例(98.3%),严重焦虑者为0。无抑郁情绪表现者为256例(89.2%),而严重抑郁仅为1例(0.3%)。对延期戒毒期限的认识:①认为延期利大于弊:第一次调查:2例(0.7%),第三次调查:128例(44.6%),比较有显著性差异(x~2=186.457,P<0.001)。②认为对戒除毒瘾有作用:第一次调查:4例(1.4%),第三次调查:236例(82.9%),比较有显著性差异(x~2=452.036,P<0.001)。③认为对保持操守有作用:第一次调查:6例(2.1%),第三次调查:136例(47.4%),比较有显著性差异(x~2=200.696,P<0.001)。结论:运用此系统心理危机干预模式对戒毒人员进行心理危机干预,对于由于一个事件引发一个群体心理应激反映具有明显的治疗效果。
Objective: To evaluate the mental state and feelings of drug addicts during their extended period of compulsory isolation and detoxification, and to explore psychological crisis intervention using the system of mental crisis intervention to provide effective measures to ensure the safety of drug addicts and maintain the stability of social order. Methods: The “Questionnaire for Basic Conditions of Drug Addicts” was investigated by self-rating Anxiety (self-rating anxiety scale) from June 2008 to August 2008 in Beijing Municipal Public Security Bureau. Scale, SAS) and Self-Rating Depressive Scale (SDS) to assess the degree of negative emotional reactions, followed by the first phase of systemic psychological crisis intervention. The second week re-evaluation, re-psychological crisis intervention, the fourth week of the third assessment. Results: Among 287 respondents, 205 (71.4%) were male and 82 (28.6%) were female, with an average age of 32.95 ± 7.37 years. Anxiety, depression distribution: The first survey: 12 cases without emotional anxiety (4.2%), 78 cases of severe anxiety (27.2%). Only 1 patient showed no depression (0.3%), while the severe depression reached 202 (70.4%). In the third survey, 282 (98.3%) had no mood anxiety and 0 had severe anxiety. There were 256 cases (89.2%) without depressive symptoms and only 1 case (0.3%) with severe depressive symptoms. The understanding of the extension of detoxification period: ① that the deferred benefits outweigh the disadvantages: the first survey: 2 cases (0.7%), the third survey: 128 cases (44.6%), compared with significant differences (x ~ 2 = 186.457, P <0.001). ② considered to have the effect of withdrawal from drug addiction: the first survey: 4 cases (1.4%), the third survey: 236 cases (82.9%), there was significant difference (x ~ 2 = 452.036, P <0.001). (3) There are significant differences (x ~ 2 = 200.696, P <0.001) in the first survey: 6 cases (2.1%) and the third survey: 136 cases (47.4%). Conclusion: Using this systematic psychological crisis intervention model to intervene the psychological crisis of drug addicts, it has a significant therapeutic effect for the psychological stress response of a group caused by an incident.