認知行為團體療法對濫用葯物者輔導成效之研究

The Effects of Cognitive Behavioral Group Therapy on the Drug Abusers

江振亨(Chen-Heng Chiang) ； 林瑞欽(Rueih-Chin Lin)

《犯罪學期刊》 5期 (2000/06) Pp. 277-309

https://doi.org/10.29607/ZHWHGX.200006.0007

摘要

本研究旨在探究認知行為團體療法對濫用葯物者之理性信念、內在抑制力及自重感的輔導成效。就嘉義監獄因吸食、施打毒品而判刑之受刑人為對象，抽取16名受刑人，隨機分派至實驗組8名，控制組8名，採等組前、後測及追蹤測量實驗設計，其中實驗組接受每週一次，每次2－3小時，共10個單元，合計1320分鐘的認知行為團體療法，控制組則不接受此項實驗處遇。「葯物濫用者理性信念量表」、「內在抑制力量表」、「自重感量表」被用以測量實驗中的依變項，所得資料以單因子單變量共變數分析加以處理。結果顯示：認知行為團體療法顯著的增進實驗組受試者的理性信念與內在抑制力，尤其是在改善認知扭曲、消極逃避、心理成癮等非理性信念及對於增進自我控制、自律、道德觀、延宕需求尋求等有顯著的立即與追蹤治療效果。其次，對於受試者的自我支持、自重感、心理健康具有立即性的實驗效果，但其追蹤輔導效果卻未達顯著，但在人際支持方面卻產生追蹤效果，基於上述結果，肯定本研究所採行的認知行為團體處遇，對葯物濫用者的戒治已產生顯著的效果。

關鍵字

認知行為團體療法 ； 自重感 ； 內在抑制力 ； 葯物濫用 ； 葯物成癮

並列摘要

The main purpose of this study was to investigate the effects of the Cognitive Behavioral Group Therapy (CBGT) on the drug abusersrational beliefs, inner containment and self-esteem.Sixteen prisoners were selected from Chai-yi prison who were usedillegal drugs. The subjects were divided into two groups by random-assignment. The pretest- posttest-follow-up test equivalent-groupdesign was adopted in the study. The experiment group received the CBGT ten sessions in two-half months (average two-three hours persession and total 1320 minutes), and the control group received notreatment.The study used ”Drug abusers' rational beliefs inventory”, ”Innercontntainment inventory”, and ”Self-esteem inventory” to conductpretest, posttest, and follow-up measures. The data was analyzed byused the analysis of covariance.Results were summarized as follows:The CBGT did enhance the subjects' rational beliefs and innercontntainment to against the drug abuse. Especially, the CBGT hadsignificant, immediate effect on changing the drug abusers' cognitivedistortion, negative escape, mental addition and enhancing the drugabusers' self-control, self-regular, morality and procrastinating tosearch of needs, and--there were significant, follow- p effect on it. In addition, the CBGT had ”Significant, immediate effect on the drugabusers' self-support, self-esteem and mental health, but there wereno significant, follow-up effects on it .It had significant, follow-up effect on the interpersonal support. Based on front results, the CBGT -had been produced significant effects on the treatment of drugabusers.

並列關鍵字

cognitive behavioral approach group ； self-esteem ； inner containment ； drug abusers ； drug addition