Johnson Jennifer E, Zlotnick Caron
Department of Psychiatry and Human Behavior, Brown University, Providence, RI 02906, USA.
J Subst Abuse Treat. 2008 Jun;34(4):371-7. doi: 10.1016/j.jsat.2007.05.010. Epub 2007 Jul 13.
Despite the high rates of depression among substance-abusing female prisoners, no study has tested the efficacy of treatment for this underserved population with complex treatment needs to date. This feasibility study tested group interpersonal psychotherapy for depression adapted for women in prison substance use treatment programs. Twenty-six female prisoners with current diagnoses of major depression and/or dysthymic disorder plus at least one substance use disorder participated in this uncontrolled pilot study. Six consecutive groups met 24 times over 8 weeks. Of the 25 study participants who began the treatment groups, 18 (72%) no longer met the criteria for any depressive disorder by the end of treatment. Depressive symptoms and perceived social support improved significantly by the end of treatment. These pilot results suggest that addressing depressive symptoms via interpersonal concerns is feasible for women in a prison substance use treatment program despite multiple Axes I and II comorbidities.
尽管在滥用药物的女性囚犯中抑郁症发病率很高，但迄今为止，尚无研究对这一有着复杂治疗需求且未得到充分服务的人群的治疗效果进行测试。这项可行性研究测试了为监狱中物质使用治疗项目的女性改编的团体人际心理治疗对抑郁症的效果。26名目前被诊断为重度抑郁症和/或心境恶劣障碍且至少有一种物质使用障碍的女性囚犯参与了这项非对照试验性研究。六个连续的小组在8周内共会面24次。在开始治疗小组的25名研究参与者中，18名（72%）在治疗结束时不再符合任何抑郁症的标准。治疗结束时，抑郁症状和感知到的社会支持显著改善。这些试验结果表明，尽管存在多种轴I和轴II共病情况，但通过人际关注来解决抑郁症状对监狱物质使用治疗项目中的女性来说是可行的。
