臺灣博碩士論文加值系統

本研究主要在探討毒品犯觀察勒戒制度的評估結果與毒品犯戒癮動機間的關係，受試者為470位接受觀察勒戒的毒品犯，以自填問卷、「觀察勒戒評估紀錄」及「戒癮動機階段評估表」為工具，由精神科醫師進行半結構式會談，進行動機狀態的評估與資料收集。研究結果：（一）毒品犯戒癮動機以處於懵懂期最多（78.82%）；（二）戒瘾動機與有無繼續施用毒品傾向間無顯著相關；（三）在11個評估項目中，僅「毒品犯罪相關司法紀錄」以及「戒斷症狀」兩個項目就解釋評估總分變異量的69％，但是只有「短期內再犯」與「注射使用毒品」兩個項目與戒癮動機間呈現顯著的相關；（四）不同動機狀態的毒品犯，在自填問卷中只有「認知」的分量表，達到統計上的差異。由研究結果發現，目前觀察勒戒評估的結果，無法反應出毒品犯的戒癮動機，其中「毒品犯罪相關司法紀錄」以及「戒斷症狀」兩個項目評分比重過大，明顯影響繼續施用毒品傾向之判定，但「毒品犯罪相關司法紀錄」和「戒斷症狀」這兩個因素與戒癮動機的關連性卻不顯著。未來在修訂評估分數時建議增加與動機有關連的「短期內再犯」與「注射使用毒品」兩個項目的評分比重。

Objectives: To evaluate the relationship between the tendency to relapse of drug addicts in detention centers and their motivation to change addictive behaviors. Methods: Semi-structured interviews using two instruments, the "Relapse Tendency Assessment Record" and the "Stage of Motivation Form", were conducted by senior psychiatrists to assess 470 drug addicts. Results: 1. Most of the drug addicts were found to be in the pre-contemplation stage (78.82%). 2. The tendency to relapse and their motivation to change addictive behaviors were not significantly correlated. 3. Among the 11 assessment items, the "drug-related criminal justice records" and "withdrawal symptoms" accounted for 69% of the variance in tendency to relapse, but only "short-term recidivism" (p <0.05) and "injection drug use" (p <0.01) were significantly correlated to motivation to change. 4. Drug addicts in different motivational stage, only "cognitive" subscale in the self-rating questionnaire, reaching statistical difference. Conclusions: The tendency to relapse did not clearly reflect the drug addicts’ motivation to change. The scores for the "drug-related criminal justice records" and "withdrawal symptoms" items were excessively weighted, had no significant correlation with motivation to change, and affected the result of assessment. In the future, we suggest more weighting of the scores for "short-term recidivism" and "injection drug use" in the "Relapse Tendency Assessment Record" to increase the accuracy of the overall assessment.

第一章 緒論 1
第一節 研究動機與目的 1
第二節 名詞釋義 4
第二章 文獻探討 6
第一節 台灣毒品濫用現況 6
第二節 觀察勒戒制度 10
第三節 藥物成癮的理論 14
第四節 戒癮過程的循環模式 19
第五節 不同動機狀態的治療策略 22
第六節 動機與戒癮治療效果的相關研究 25
第七節 戒癮動機的評估與測量 27
第三章 研究方法 31
第一節 研究架構 31
第二節 研究假設 33
第三節 研究參與者 34
第四節 研究工具 35
第五節 資料分析 41
第六節 研究實施程序 42
第四章 研究結果與討論 44
第一節 觀察勒戒評估項目對施用毒品傾向之預測 44
第二節 施用毒品傾向和戒癮動機階段無顯著差異 45
第三節 戒癮動機階段與觀察勒戒評估項目間之相關 47
第四節 戒癮動機階段與自填戒癮動機之差異 48
第五章 結論與建議 50
第一節 結論 50
第二節 研究限制與建議 52
參考文獻
壹、中文部分 54
貳、英文部分 55
附 錄
附件一 CMRS 58
附件二 URICA 60
附件三 SOCRATES 62
附件四 觀察勒戒評估紀錄 64
附件五 戒癮階段評估表 66
附件六 毒品戒癮治療評估問卷- 預試初編量表 68
附件七 毒品戒癮治療評估問卷- 正式題本 70
附件八 知後同意書 71

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