De Leon George, Melnick Gerald, Cao Yan, Wexler Harry K
National Development and Research Institutes, New York, NY 10010, USA.
J Subst Abuse Treat. 2006 Jul;31(1):87-94. doi: 10.1016/j.jsat.2006.03.016.
The present prospective study explored whether a specific class of client subjective assessments predicts later recovery. Measures of client perceptions of self-change in substance abusers were obtained a year after release from a prison-based therapeutic community. Analyses assessed the contribution of these perceptions-along with motivation, age, and risk index of social deviancy-in predicting reincarceration at 3-year follow-up. Results showed that two factors (Individual Growth and Socialization) significantly differentiated reincarceration and nonreincarceration at 1-year postrelease and significantly predicted reincarceration at 3-year follow-up. Findings underscore the relevance of perceptions of self-change early in recovery to later recovery behaviors. Research on recovery factors needs a uniform assessment protocol, which organizes client perceptions, beliefs, and attributions in accordance with a recovery stage framework.
本前瞻性研究探讨了一类特定的来访者主观评估是否能预测后期的康复情况。在从基于监狱的治疗社区释放一年后，获取了药物滥用者对自我改变的认知测量数据。分析评估了这些认知以及动机、年龄和社会偏差风险指数在预测3年随访时再次入狱情况方面的作用。结果表明，两个因素（个人成长和社会化）在释放后1年时能显著区分再次入狱者和未再次入狱者，并且在3年随访时能显著预测再次入狱情况。研究结果强调了康复早期自我改变认知与后期康复行为的相关性。关于康复因素的研究需要一个统一的评估方案，该方案根据康复阶段框架来组织来访者的认知、信念和归因。
