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谁能从性别敏感治疗中受益?考量虐待史对监狱女性纵向结果的影响。

Who Benefits from Gender Responsive Treatment? Accounting for Abuse History on Longitudinal Outcomes for Women in Prison.

作者信息

Saxena Preeta, Messina Nena, Grella Christine E

机构信息

UCLA Integrated Substance Abuse Programs.

出版信息

Crim Justice Behav. 2014 Apr;41(4):417-432. doi: 10.1177/0093854813514405.

Abstract

This study explores outcome variation among women offenders who participated in gender-responsive substance abuse treatment (GRT). In order to identify subgroups of participants that may differentially benefit from this treatment, secondary analyses examined the interaction between randomization into GRT and a history of abuse (physical/sexual) on depression and number of substances used post- treatment. The sample consisted of 115 incarcerated women assessed at baseline and 6- and 12-months post parole. Longitudinal regression showed that women reporting abuse randomized into GRT had significantly reduced odds of depression ( = .29, < .05, 95% CI = .10 - .86) and lowered rates of number of substances used ( = .52, < .05, 95% CI = 0.28-0.98), in comparison to those who reported abuse and were randomized to the non-GRT group. GRT for women offenders who have experienced prior abuse would maximize the benefits of the trauma-informed, gender-sensitive intervention.

摘要

本研究探讨了参与性别响应性药物滥用治疗(GRT)的女性罪犯的治疗结果差异。为了确定可能从这种治疗中获得不同程度益处的参与者亚组,二次分析考察了随机分组接受GRT与虐待史(身体虐待/性虐待)之间的相互作用对抑郁以及治疗后使用药物数量的影响。样本包括115名在基线时以及假释后6个月和12个月时接受评估的被监禁女性。纵向回归分析表明,与报告有虐待史且被随机分配到非GRT组的女性相比,报告有虐待史且被随机分配到GRT组的女性抑郁几率显著降低(β = 0.29,p < 0.05,95%置信区间 = 0.10 - 0.86),使用药物的数量也有所减少(β = 0.52,p < 0.05,95%置信区间 = 0.28 - 0.98)。对有过虐待史的女性罪犯进行GRT,将使这种创伤知情、对性别敏感的干预措施的益处最大化。

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本文引用的文献

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Women and addiction: a trauma-informed approach.女性与成瘾:一种基于创伤知情的方法。
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