School of Social Work, Arizona State University, 411 N. Central Ave. Ste. 800, Phoenix, AZ, 85004, USA,
Community Ment Health J. 2013 Dec;49(6):787-92. doi: 10.1007/s10597-013-9595-5. Epub 2013 Jan 17.
The majority of drug abusing offenders who need substance abuse treatment do not receive it. Although interventions like drug court increase the probability of offender success, little is known about how co-occurring psychological symptoms impact drug court treatment outcomes. Based on previous research, we hypothesized that co-occurring psychological symptoms would have a significant relationship with successful drug court completion. Using a sample of suburban drug court enrollees (n = 122), multivariate logistic regression was conducted with successful drug court completion as the outcome variable. Predictor variables included symptom counts of depression, post-traumatic stress, obsessive-compulsive disorder, panic disorder, psychosis, generalized anxiety, and social phobia. Results indicated that participants with fewer symptoms of depression were more likely to successfully complete drug court than participants with more symptoms. The present study extends previous research by demonstrating that symptoms of depression are related to poorer outcomes for drug court enrollees. Accordingly, drug courts need to address participants' symptoms of depression to maximize success.
大多数需要药物滥用治疗的药物滥用罪犯没有接受治疗。尽管药物法庭等干预措施增加了罪犯成功的可能性,但对于共病心理症状如何影响药物法庭治疗结果知之甚少。基于先前的研究,我们假设共病心理症状与成功完成药物法庭治疗之间存在显著关系。使用郊区药物法庭参与者的样本(n=122),将成功完成药物法庭治疗作为因变量进行多变量逻辑回归。预测变量包括抑郁、创伤后应激障碍、强迫症、惊恐障碍、精神病、广泛性焦虑和社交恐惧症的症状计数。结果表明,抑郁症状较少的参与者比抑郁症状较多的参与者更有可能成功完成药物法庭治疗。本研究通过证明抑郁症状与药物法庭参与者的不良结局有关,扩展了先前的研究。因此,药物法庭需要解决参与者的抑郁症状,以最大限度地提高成功率。