- 期刊
運用CBT於二級毒品（甲基安非他命）緩起訴個案之經驗探討
Explore the Experience of CBT apply to Schedule II illicit drug (Methamphetamine) users who received deferred prosecution
摘要
長期的物質濫用會造成個案情緒、精神、認知功能上的損傷。在台灣，甲基安非他命為近年最大量的非法藥物之一，屬二級毒品。本研究希望透過個別認知行為治療（CBT）的方式，與毒品個案較深入探討其使用毒品的心理層面，提升治療療效，降低情緒困擾，改善其認知功能。本研究於2017－2018年間，針對第二級毒品緩起訴個案，進行8次個別CBT，並進行前後測。評估工具包括貝克憂鬱量表（BDI）、貝克焦慮量表（BAI）、魏斯康辛卡片。結果顯示接受完整療程者共76人，在情緒及認知功能治療前後均有顯著差異，包括BDI，t（75）=3.82，p＜0.01、BAI，t（75）=3.35，p＜0.01、固著反應錯誤，t（75）=3.02，p＜0.01、非固著反應錯誤，t（75）=3.60，p＜0.01。整體而言，本研究結果顯示透過個別認知行為心理治療，可顯著改善甲基安非他命緩起訴個案的憂鬱、焦慮情緒，及其固著反應，增加認知彈性。雖然此研究缺乏對照組參考，但此初步成果，可用以規劃未來進一步較完整的實驗設計，提供更嚴謹的療效證據。
並列摘要
Background: Long-term substance abuse would cause methamphetamine (MA) users' impairment of emotion, mentality, and cognitive function. In Taiwan, methamphetamine is one of the largest quantities of schedule II illegal drugs in recent years. The aim of our study was to investigate the effect of individual cognitive behavioral psychotherapy for emotional and cognitive dysfunction. Method: From 2017 to 2018, the methamphetamine users were recruited from Taiwan Kaohsiung district prosecutors office (KDPO). The senior psychologist played as therapist of 4-months course. MA users received 8 times individual psychotherapy. All cases were evaluated by Beck Depression Inventory-II (BDI-II), Beck Anxiety Inventory (BAI), Wisconsin card sorting test (WCST, including perseverative response/PR, perseverative errors/PE and nonperseverative errors/NPE) as pretests and posttests. Descriptive statistic and nonparametric test were used for statistical analysis. Results: We enrolled 76 MA users from KDPO. We found significantly decreased scores of BDI (p ＜ 0.01), BAI (p ＜ 0.01), PR (p ＜ 0.01), PE(p ＜ 0.01) , NPE(p ＜ 0.01) in MA users after treatment. Conclusions: The results showed that 8 times psychotherapy can improve MA users' depression, anxiety, and cognitive function (flexibility, executive function). Although our study did not have the control group to compare the effect of individual cognitive behavioral psychotherapy. Our results suggested the individual CBT might be a useful therapy for MA users.