Yan Ya-Qiong, Liu Yong-You, Zeng Yue-Feng, Cui Yi-Wei, Lei Ji-Wei, Wang Zeng-Zhen
Department of Epidemiology and Health Statistics, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, Hubei, China.
Biomed Environ Sci. 2008 Feb;21(1):75-84. doi: 10.1016/S0895-3988(08)60010-0.
To investigate the social mental state of drug addicts in a compulsive drug abuse treatment center; evaluate the effectiveness of integrated program for the prevention of abuse relapse and improvement of drug addicts' psychological health.
The study subjects were addicts from the Wuhan Compulsive Drug Abuse Treatment Center between October 2003 and June 2004, who satisfied the inclusion criteria. A non-randomized control-intervention study design was adopted. Volunteers willing to take part in intervention were put into the intervention group with their full awareness and willingness to prevent drug abuse relapse. The control group was composed of the addicts who were willing to prevent relapse and to be followed up after their discharge.
The effectiveness of the integrated intervention program in promoting addicts' psychological health: before the intervention, the scores of Self-Rating Anxiety Scale (SAS), the positive and negative dimensionalities of Simple Coping Style Questionnaire (SCSQ) and Chinese Perceived Stress Scales (CPSS) had no significant differences between the intervention group and the control group. After the intervention, except that the SCSQ's positive dimensionality in the intervention group was significantly higher than that in the control group, other indices in the intervention group were lower. Before and after the intervention, the psychological health level in both the groups was lower than that in the normal population; there were significant differences between addicts and normal subjects in regards with all of the indices above.
Drug abuse was associated closely with addicts' social mental factors. The integrated intervention program can alleviate anxiety and stress, reduce co-morbid mental disorders and effectively improve their coping style. In conclusion, the program can promote addicts' psychological health significantly.
调查某强制戒毒治疗中心吸毒人员的社会心理状态；评估综合干预方案预防复吸及改善吸毒人员心理健康的效果。
研究对象为2003年10月至2004年6月间来自武汉市强制戒毒治疗中心且符合纳入标准的吸毒人员。采用非随机对照干预研究设计。自愿参加干预的人员在充分知晓并愿意预防复吸的情况下被纳入干预组。对照组由愿意预防复吸并在出院后接受随访的吸毒人员组成。
综合干预方案对促进吸毒人员心理健康的效果：干预前，干预组与对照组的自评焦虑量表（SAS）得分、简易应对方式问卷（SCSQ）的积极和消极维度得分以及中国人知觉压力量表（CPSS）得分无显著差异。干预后，除干预组SCSQ的积极维度得分显著高于对照组外，干预组的其他指标均较低。干预前后，两组的心理健康水平均低于正常人群；吸毒人员与正常受试者在上述所有指标方面均存在显著差异。
吸毒与吸毒人员的社会心理因素密切相关。综合干预方案可缓解焦虑和压力，减少共病精神障碍，有效改善其应对方式。总之，该方案可显著促进吸毒人员的心理健康。
