Mela Mansfield, Baetz Marilyn, Marcoux Gene, Delury Daniel, Cooper Brent, Sajobi Tolulope T
Department of Psychiatry, University of Saskatchewan, Saskatoon, Canada.
Regional Psychiatric Centre, Saskatoon, Canada.
Crim Behav Ment Health. 2017 Apr;27(2):162-175. doi: 10.1002/cbm.1991. Epub 2016 Feb 2.
Clinical trials and meta-analyses provide some evidence for effectiveness of forgiveness therapy delivered individually or in groups. To date, however, forgiveness therapy has not been evaluated with mentally disordered offenders. Given the high prevalence of experienced and perpetrated trauma among such people, this population may particularly benefit from such an intervention.
The aim of this study is to test the feasibility and impact of a 'learn to forgive' group programme among mentally disordered offenders on a specialist secure hospital setting.
We conducted a non-randomised trial with 36 offenders with mental disorders and 29 comparison patients. The intervention group engaged in a six-week manual-based 'learn to forgive' treatment programme, while the comparison group watched a 90-minute video on forgiveness. Both groups completed measures of anger, depression, stress, forgiveness and satisfaction with life at baseline and then 6 and 18 weeks later. A repeated measures mixed-effects model was used to investigate the association between affective outcomes and type of intervention received, after adjusting for baseline characteristics.
The group completion rate was over 90%. The treatment and comparison groups were similar on baseline demographic and criminological measures, but the treatment group had higher baseline anger and depression scores. While both groups showed improved capacity to forgive and reduced negative affect over time, those in the 'learn to forgive' programme showed significantly more improvement in forgiveness and on anger measures.
Forgiveness training can be delivered effectively to offenders with mental disorders in clinical settings. Its range of benefits, including reduction I in anger as well as improved capacity to forgive, suggest that it may have longer term implications for personal safety and reintegration into mainstream societal settings. Copyright © 2016 John Wiley & Sons, Ltd.
临床试验和荟萃分析为单独或分组提供的宽恕疗法的有效性提供了一些证据。然而，迄今为止，宽恕疗法尚未在患有精神障碍的罪犯中进行评估。鉴于这类人群中经历和实施创伤的高发生率，这一人群可能特别受益于这种干预措施。
本研究的目的是在一家专科安全医院环境中，测试针对患有精神障碍的罪犯的“学会宽恕”团体项目的可行性和影响。
我们对36名患有精神障碍的罪犯和29名对照患者进行了一项非随机试验。干预组参与了一个为期六周的基于手册的“学会宽恕”治疗项目，而对照组观看了一段90分钟关于宽恕的视频。两组在基线时以及6周和18周后完成了愤怒、抑郁、压力、宽恕和生活满意度的测量。在调整基线特征后，使用重复测量混合效应模型来研究情感结果与接受的干预类型之间的关联。
团体完成率超过90%。治疗组和对照组在基线人口统计学和犯罪学测量方面相似，但治疗组的基线愤怒和抑郁得分更高。随着时间的推移，两组的宽恕能力均有所提高，负面影响均有所减少，但“学会宽恕”项目组在宽恕和愤怒测量方面的改善更为显著。
宽恕训练可以在临床环境中有效地提供给患有精神障碍的罪犯。其一系列益处，包括愤怒情绪的减少以及宽恕能力的提高，表明它可能对个人安全和重新融入主流社会环境具有长期影响。版权所有© 2016约翰·威利父子有限公司。
