負面情緒、自我效能、治療同盟與同儕支持對毒癮戒治處遇效果影響程度之探討

The effects of depression, self-efficacy, peer support, and therapeutic alliance on drug treatment outcomes

朱群芳(Doris Chu) ； 巫梓豪(Tzu-Hao Wu) ； 李潼蕙(Tung-Hui Li) ； 賴苓蕙(Ling-Hui Lai)

《藥物濫用防治》 4卷2期 (2019/06) Pp. 75-103

https://doi.org/10.6645/JSAR.201906_4(2).4

摘要

研究目的：探討負面情緒、自我效能、同儕支持與治療同盟四者在司法矯正機構強制戒治處遇模式與基督教晨曦會福音戒毒模式兩種不同處遇模式中，對於毒癮戒治處遇效果之影響。研究方法：本研究透過問卷針對125名戒治所受戒治人及43名晨曦會戒毒村戒毒學員進行調查，以研究對象離開戒癮機構前自陳其自覺藥物濫用問題、情緒及行為控管能力等改善程度做為處遇效果之評量標準。研究結果：戒治所組別之自我效能分數較高，晨曦會組別之負面情緒及同儕支持分數較高，治療同盟方面則無顯著差異。此外，負面情緒、自我效能、同儕支持與治療同盟四者中，以同儕支持對於處遇效果之影響程度為最大，而負面情緒、自我效能、同儕支持與治療同盟四者共可解釋53.3%的處遇效果變異量。研究結論：不同戒癮模式應側重不同影響因素以增進處遇效果，各模式亦應搭配合宜的同儕互助機制，發揮同儕支持對於毒癮戒治處遇正向之影響。

關鍵字

藥物濫用 ； 毒癮戒治處遇 ； 福音戒治處遇 ； 矯正機構戒治處遇

並列摘要

Purpose: This study aims to examine the effects of depression, self-efficacy, peer support, and therapeutic alliance on treatment outcomes between prison-based and religion-based drug treatment (Operation Dawn) programs. Methods: Surveys were conducted with 125 prison-based and 43 religion-based treatment clients. Treatment outcomes were measured based on items related to self-reported progress in problem solving, emotional and behavioral management. Results: Clients in the prison-based program demonstrated a higher level of self-efficacy. Although clients in Operation Dawn showed a higher level of depression, they demonstrated a higher level of peer support. Among the four primary independent variables ＂depression＂, ＂self-efficacy＂, ＂peer support＂, and ＂therapeutic alliance＂, peer support was the strongest predictor of treatment outcomes. The independent variables explained 53.3% of variance in treatment outcomes. Conclusion: Different treatment modality should focus on different affecting factors to enhance the treatment effectiveness. Also, treatment programs should incorporate appropriate peer support mechanism to improve the effectiveness.

並列關鍵字

substance abuse ； substance abuse treatment ； religion-based drug treatment ； prison-based drug treatment