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对成年智障罪犯开展基于正念的程序的临床及效益-成本结果

Clinical and benefit--cost outcomes of teaching a mindfulness-based procedure to adult offenders with intellectual disabilities.

作者信息

Singh Nirbhay N, Lancioni Giulio E, Winton Alan S W, Singh Ashvind N, Adkins Angela D, Singh Judy

机构信息

ONE Research Institute, Midlothian, VA 23112, USA .

出版信息

Behav Modif. 2008 Sep;32(5):622-37. doi: 10.1177/0145445508315854. Epub 2008 Mar 24.

DOI:10.1177/0145445508315854
PMID:18362201
Abstract

The effects of a mindfulness-based procedure, called Meditation on the Soles of the Feet, were evaluated as a cognitive-behavioral intervention for physical aggression in 6 offenders with mild intellectual disabilities. They were taught a simple meditation technique that required them to shift their attention and awareness from the precursors of aggression to the soles of their feet, a neutral point on their body. Results showed that physical and verbal aggression decreased substantially, no Stat medication or physical restraint was required, and there were no staff or peer injuries. Benefit-cost analysis of lost days of work and cost of medical and rehabilitation because of injury caused by these individuals in both the 12 months prior to and following mindfulness-based training showed a 95.7% reduction in costs. This study suggests that this procedure may be a clinically effective and cost-effective method of enabling adult offenders with intellectual disabilities to control their aggression.

摘要

一种名为“脚底冥想”的正念程序作为针对6名轻度智力残疾罪犯身体攻击行为的认知行为干预措施进行了评估。他们学习了一种简单的冥想技巧,该技巧要求他们将注意力和意识从前驱攻击行为转移到脚底,这是他们身体上的一个中立点。结果显示,身体攻击和言语攻击大幅减少,无需药物治疗或身体约束,也没有工作人员或同伴受伤。对基于正念训练前后12个月内这些人因受伤导致的误工天数以及医疗和康复费用进行的效益成本分析表明,成本降低了95.7%。这项研究表明,该程序可能是一种临床有效且具有成本效益的方法,可使成年智力残疾罪犯控制其攻击行为。

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