代币强化程序在戒毒者康复管理中的应用效果

APPLICATION EFFECT OF TOKEN ENFORCEMENT PROGRAM ON THE REHABILITATION MANAGEMENT FOR DRUG ADDICTS

目的:探讨在对戒毒者管教工作中,导入代币强化程序的临床康复效果。方法:68例住院强制戒毒者随机分为研究组(36例)和对照组(32例),脱毒后两组均给予常规康复训练,研究组在此基础上接受为期8周的代币强化行为疗法,干预前后,采用戒毒者行为规范评定标准,自我控制行为量表(SCS)进行效果评价。结果:干预前,两组不良行为人均发生次数和SCS评分差异无统计学意义(P>0.05);干预后,研究组不良行为人均发生次数明显少于对照组,研究组SCS评分明显低于对照组,差异均具有统计学意义(P<0.001)。结论:在戒毒者康复中导入代币强化程序,能够改善戒毒者的不良行为,提高自我控制能力,对培养戒毒者良好的健康行为,保持操守有积极的促进作用。

Objective：To explore the effect of token enforcement on the clinical rehabilitation management for drug addicts.Methods：Sixty-eight inpatients under compulsory drug treatment were randomly divided into two groups：study group（n=36 cases） and control group（n=32 cases）.Both groups took part in the conventional rehabilitation training after they were drug-free,but the study group were given extra behavior therapy with token enforcement for 8 weeks.Before and after the intervention,the effect was assessed with a drug abstinent behavior standard evaluation and Self-control Scale（SCS）.Results：Before the intervention,there was no difference in the wrong behaviors done per capita and SCS between the two groups（P0.05）.After the intervention,the study group saw much less wrong behaviors per capita and low SCS scores,showing statistical significance when compared with the control group（P0.001）.Conclusion：Introduction of token enforcement program into rehabilitation management for drug addicts on compulsory treatment can help changing the addicts wrong behavior and improve their self-control ability,which could play a positive role in cultivating good healthy behavior among drug addicts on treatment and maintain drug-free in the future.