[药物依赖囚犯预防复发指导的评估：在“私人融资计划”监狱中使用自学工作手册和团体治疗的干预措施——第二份报告]

[Evaluation of the Relapse Prevention Guidance for drug-dependent inmates: the intervention using self-teach workbook and group therapy in a "Private Finance Initiative" prison --the second report].

作者信息

Kobayashi Ohji, Matsumoto Toshihiko, Imamura Fumi, Wada Kiyoshi, Ozaki Shiro, Takeuchi Yoshio, Hasegawa Masahiko, Imamura Yoko, Tania Yuko, Adachi Yasumori

机构信息

Department of Drug Dependence Research, National Institute of Mental Health, National Center of Neurology and Psychiatry, Ogawa-Higashi 4-1-1, Kodaira-city, Tokyo 187-8553, Japan.

出版信息

Nihon Arukoru Yakubutsu Igakkai Zasshi. 2011 Jun;46(3):368-80.

PMID:21861334

Abstract

BACKGROUND

There has been no relapse prevention program for drug dependent inmates in Japanese prisons. Recently, "Relapse Prevention Guidance" program is provided to the adult male inmates in Harima Rehabilitation Program Center (HRPC), one of the newly founded "Private Finance Initiative" prisons.

AIMS

To evaluate the effectiveness of the program by comparing the outcomes between groups of inmates with different severity level of dependence.

METHODS

The program was provided to 89 subjects in HRPC. Inmates were classified into 4 groups according to the severity measured by the Drug Abuse Screening Test (DAST). After a month of waiting period, self-teaching workbook was provided to each inmate for 4 weeks. The educational program consisting of 8 weekly psychoeducational group therapies was then provided to each group of 10 inmates. The evaluation was conducted both at the beginning and at the end of the workbook and the educational program intervention by administering 2 self-reporting questionnaires; the Self-efficacy Scale for drug dependence (SES), and the 8th version of the Stages of Change Readiness and Treatment Eagerness Scale for drug dependence (SOCRATES-8D).

RESULTS

Only the "mild" group showed significant increase in SES during waiting period. After the workbook intervention, "moderate" group showed significant decrease in SES, and increase in the recognition and the ambivalence subscale of the SOCRATES-8D. The same increase in the subscales of SOCRATES-8D was noted in "Severe" group. Educational program produced increase in the recognition and the taking steps subscales of SOCRATES-8D in "mild" group, increase in SES score and the taking steps subscale in "moderate", increase in SES score and total score of SOCRATES-8D in "severe" group. No significant change was noted in "very severe" group in any of the interventions.

CONCLUSION

The "Relapse Prevention Guidance" is sufficiently effective, improving self-efficacy and motivation for change in drug dependent adult male inmates.

摘要

背景

日本监狱中尚未有为药物依赖囚犯制定的预防复发项目。最近，在新成立的“私人融资倡议”监狱之一的播磨康复项目中心（HRPC），为成年男性囚犯提供了“预防复发指导”项目。

目的

通过比较不同依赖严重程度的囚犯组之间的结果，评估该项目的有效性。

方法

该项目提供给HRPC的89名受试者。根据药物滥用筛查测试（DAST）测量的严重程度，将囚犯分为4组。经过一个月的等待期后，为每名囚犯提供4周的自学工作手册。然后，为每组10名囚犯提供由8次每周心理教育小组治疗组成的教育项目。在工作手册和教育项目干预开始和结束时，通过发放2份自我报告问卷进行评估；药物依赖自我效能量表（SES）和药物依赖变化准备和治疗渴望阶段量表第8版（SOCRATES - 8D）。

结果

只有“轻度”组在等待期内SES显著增加。工作手册干预后，“中度”组SES显著下降，SOCRATES - 8D的认知和矛盾性子量表增加。“重度”组在SOCRATES - 8D的子量表上也有同样的增加。教育项目使“轻度”组SOCRATES - 8D的认知和采取行动子量表增加，“中度”组SES得分和采取行动子量表增加，“重度”组SES得分和SOCRATES - 8D总分增加。“极重度”组在任何干预中均未观察到显著变化。