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抑郁症状与成功完成药物法庭程序。

Symptoms of depression and successful drug court completion.

机构信息

School of Social Work, Arizona State University, 411 N. Central Ave. Ste. 800, Phoenix, AZ, 85004, USA,

出版信息

Community Ment Health J. 2013 Dec;49(6):787-92. doi: 10.1007/s10597-013-9595-5. Epub 2013 Jan 17.

DOI:10.1007/s10597-013-9595-5
PMID:23325072
Abstract

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.

摘要

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。

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本文引用的文献

1
Effects of major depression on crack use and arrests among women in drug court.重大抑郁症对参与毒品法庭的女性使用可卡因和被捕的影响。
Addiction. 2011 Jul;106(7):1279-86. doi: 10.1111/j.1360-0443.2011.03389.x. Epub 2011 Apr 7.
2
Mental health among suburban drug court participants.郊区毒品法庭参与者的心理健康状况。
Am J Drug Alcohol Abuse. 2007;33(3):475-81. doi: 10.1080/00952990701315459.
3
Identifying predictors of treatment outcome in a drug court program.确定药物法庭项目中治疗结果的预测因素。
Am J Drug Alcohol Abuse. 2005;31(4):641-56. doi: 10.1081/ada-200068428.
4
Treatment retention predictors of drug court participants in a rural state.一个农村州药物法庭参与者的治疗留存预测因素
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Comorbid psychiatric diagnosis predicts three-year outcomes in alcoholics: a posttreatment natural history study.共病精神科诊断可预测酗酒者的三年预后:一项治疗后自然史研究。
J Stud Alcohol. 1996 Nov;57(6):619-26. doi: 10.15288/jsa.1996.57.619.