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动机性访谈对青少年在押人员犯罪行为的影响。

The Impact of Motivational Interviewing on Delinquent Behaviors in Incarcerated Adolescents.

作者信息

Clair-Michaud Mary, Martin Rosemarie A, Stein Linda A R, Bassett Shayna, Lebeau Rebecca, Golembeske Charles

机构信息

Cancer Prevention Research Center, University of Rhode Island, 130 Flagg Rd., Kingston, RI 02881; The Rhode Island Training School, 300 New London Avenue, Cranston, RI 02920.

Center for Alcohol and Addiction Studies, Brown University, 121 South Main Street, Providence, RI 02912.

出版信息

J Subst Abuse Treat. 2016 Jun;65:13-9. doi: 10.1016/j.jsat.2015.09.003. Epub 2015 Sep 25.

Abstract

The impact of Motivational Interviewing (MI) on risky behaviors of incarcerated adolescents and adults has been investigated with promising results. Findings suggest that MI reduces substance use, improves motivation and confidence to reduce use, and decreases risky behaviors. The current study investigated the impact of MI on general, alcohol-related, and marijuana-related delinquent behaviors in incarcerated adolescents. Participants in the study were incarcerated adolescents in a state correctional facility in the Northeast region and were assessed as part of a larger randomized clinical trial. Adolescents were randomly assigned to receive MI or relaxation therapy (RT) (N=189) treatment. Delinquent behaviors and depressive symptomatology were measured using the Delinquent Activities Scale (DAS; Reavy, Stein, Paiva, Quina, & Rossi, 2012) and the Center for Epidemiological Studies-Depression scale (CES-D; Radloff, 1991) respectively. Findings indicate that depression moderated treatment effects. Compared to RT, MI was better at reducing predatory aggression and alcohol-related predatory aggression 3 months post-release when depressive symptoms were low. Identifying an efficacious treatment for these adolescents may benefit society in that it may decrease crimes against persons (i.e., predatory aggression) post release.

摘要

动机性访谈(MI)对被监禁青少年和成年人的危险行为的影响已得到研究,结果令人鼓舞。研究结果表明,动机性访谈可减少物质使用,提高减少使用的动机和信心,并减少危险行为。本研究调查了动机性访谈对被监禁青少年的一般、与酒精相关和与大麻相关的犯罪行为的影响。该研究的参与者是东北地区一所州立惩教设施中的被监禁青少年,并作为一项更大规模的随机临床试验的一部分进行评估。青少年被随机分配接受动机性访谈或放松疗法(RT)(N = 189)治疗。分别使用犯罪活动量表(DAS;Reavy、Stein、Paiva、Quina和Rossi,2012年)和流行病学研究中心抑郁量表(CES-D;Radloff,1991年)测量犯罪行为和抑郁症状。研究结果表明,抑郁调节了治疗效果。与放松疗法相比,当抑郁症状较低时,动机性访谈在减少释放后3个月的掠夺性攻击和与酒精相关的掠夺性攻击方面效果更好。为这些青少年确定一种有效的治疗方法可能会使社会受益,因为这可能会减少释放后针对他人的犯罪(即掠夺性攻击)。

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