题名

甲基安非他命藥癮者治療預後因子分析－緩起訴二級毒品附命戒癮治療相關因素及性別差異分析研究

并列篇名

A Gender Difference Analysis of Factors Correlated with Treatment Outcomes for Methamphetamine Use Patients in a Deferred Prosecution Program for Drug Offenders

DOI

10.30074/FJMH.202206_35(2).0003

作者

何玉娟(Yu-Juan Ho)；方素真(Su-Chen Fang)；陳辭一(Tzu-I Chen)；高君慈(Chun-Tzu Kao)；黃正誼(Cheng-Yi Huang)；洪嘉均(Chia-Chun Hung)

关键词

甲基安非他命 ； 緩起訴 ； 戒癮治療 ； 性別差異 ； methamphetamine ； deferred prosecution ； addiction treatment ； gender differences

期刊名称

中華心理衛生學刊

卷期/出版年月

35卷2期（2022 / 06 / 01）

页次

145 - 179

内容语文

繁體中文
中文摘要

研究目的：為探討影響甲基安非他命藥癮者完成治療之相關因素，並進行性別差異分析。研究方法：以2016-2018年北部某醫院二級毒品緩起訴附命戒癮治療藥癮者為研究對象，分為中斷治療及完成治療組。分析人口學、物質使用、精神及生理共病、尿液檢驗、衝動控制及改變階段，比較兩組和性別分組間之差異性，找出影響治療完成相關因子。研究結果：共納入916位甲基安非他命藥癮者，完成治療比例為76.3%。與未完成組相比，完成組年齡在35歲以上（p ＜ 0.05）、有伴侶（p ＜ 0.05）、有就業（p ＜ 0.05）的比例較高，衝動性較低（p ＜ 0.05）。完成組第一次驗尿陽性率（p ＜ 0.001）及同儕使用海洛因比率（p ＜ 0.05）較低。性別差異部分，影響女性藥癮者治療因子為年齡及衝動控制程度；男性藥癮者為伴侶狀態、飲酒史及衝動控制程度。研究結論：甲基安非他命使用者的年齡、伴侶狀態、就業、衝動控制、是否有使用毒品同儕、及第一次驗尿結果等因素與是否完成緩起訴治療相關。影響男女性藥癮者之因素略有不同。研究結果可作為未來設計藥癮治療方案之參考。
英文摘要

Purpose: Methamphetamine abuse is a world-wide problem that lacks promising interventions. We designed this study to identify the factors associated with treatment outcomes for methamphetamine abuse patients participating in a deferred prosecution treatment program for drug offenders in Taiwan. Methods: We conducted a retrospective case-control study at a psychiatric center in northern Taiwan. We recruited 916 methamphetamine abuse patients by reviewing their medical charts. We examined whether any of the following factors related to treatment completion: demographic data, self-report substance use records, physical and psychiatric comorbidities, lab data, and behavioral measures (impulsivity and stage of readiness of change). Chi-square tests and logistic regression were applied to test for differences between the completion and drop-out groups, and for gender analysis. Results: The treatment completion rate was 76.3%. Compared with the drop-out group, the completion group was significantly older, and more likely to be married or in a relationship, to have a job, and to be less impulsive. The completion group also had a significantly lower positivity rate on their first urine test and a lower percentage of peer heroin use. Treatment completion by female methamphetamine users was significantly positively correlated with age and significantly negatively correlated with impulsivity; for male users, treatment completion correlated significantly positively with relationship status, and significantly negatively with drinking history and impulsivity level. Conclusion: Gender and impulsivity influence the treatment completion rate of methamphetamine users. The results provide information to tailor intervention programs for methamphetamine abuse patients.
主题分类 社會科學 > 心理學
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被引用次数
  1. 蘇淑文,陳沛緹,徐魏謙,林耿樟,沈秉煌(2023)。初探安非他命使用者接受戒癮治療之評估工具。臨床心理學刊，17(1/2)，44-65。
  2. (2023)。緩起訴附命戒癮治療的中斷治療與成效評估指標。輔導季刊，59(4)，71-85。
  3. (2023)。誰會待得久？戒癮者於宗教型戒癮安置機構留置期間的影響因素。中華心理衛生學刊，36(4)，361-385。
  4. (2023)。司法系統中女性成癮與精神共病者的需求－美國處遇經驗對附條件緩起訴之啟發。刑事政策與犯罪防治研究專刊，36，139-191。
  5. (2024)。青少年物質濫用、成癮和心理健康。精神衛生護理雜誌，19(2)，8-15。
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