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有性虐待史的个体药物滥用康复问题

Rehabilitation from substance abuse in individuals with a history of sexual abuse.

作者信息

Chiavaroli T

机构信息

Department of Psychology, University of Rhode Island, Providence.

出版信息

J Subst Abuse Treat. 1992 Fall;9(4):349-54. doi: 10.1016/0740-5472(92)90030-r.

Abstract

Twenty subjects were randomly selected from 200 intake files in a substance abuse rehabilitation facility. Each subject provided information regarding whether or not any history of sexual abuse existed. Treatment records were compared on seven categories of treatment taken from Daughters and Sons United criteria for successful recovery from sexual abuse. A higher rate of relative success across categories of treatment was demonstrated for those who dealt with issues of sexual abuse. Conversely, greater rates of recidivism and lower progress in recovery from substance abuse was noted in those who failed to address issues of sexual abuse. This study demonstrates that concentrating on substance abuse and failing to address issues of sexual abuse increases the likelihood of lower rates of rehabilitation. It is suggested that information regarding sexual abuse should be obtained during the assessment and intake procedures conducted by addiction rehabilitation programs and should form an important part of treatment itself.

摘要

从一家药物滥用康复机构的200份入院档案中随机选取了20名受试者。每名受试者提供了是否存在性虐待史的信息。根据“儿女联合组织”(Daughters and Sons United)制定的性虐待成功康复标准,对七类治疗的治疗记录进行了比较。结果表明,那些处理过性虐待问题的人在各类治疗中的相对成功率更高。相反,那些没有处理性虐待问题的人复发率更高,药物滥用康复进展更低。这项研究表明,专注于药物滥用而不处理性虐待问题会增加康复率较低的可能性。建议成瘾康复项目在评估和入院程序中获取有关性虐待的信息,并且该信息应成为治疗本身的重要组成部分。

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