Depression, Readiness for Change, and Treatment Among Court-Mandated DUI Offenders.
Depression, Readiness for Change, and Treatment Among Court-Mandated DUI Offenders.
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DOI：
10.1080/15504263.2013.779092
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发表时间：
2013-01-01
影响因子：
2.2
通讯作者：
Patterson DA
中科院分区：
文献类型：
--
作者：
Nochajski TH;Stasiewicz PR;Patterson DA
目前的研究是一项更大规模研究的一部分，该研究旨在评估短暂干预对因酒后驾车（DUI）而被定罪的个人随后使用酒精和药物的影响。这一要素考虑了抑郁水平与后续物质使用治疗和与物质使用有关的问题之间的相互作用。受试者被转介到成瘾研究所从不同的法院在西纽约地区的临床评价和治疗转诊，如果进一步的治疗指示。共有765人被推荐参加该方案，其中549人同意参加。参与者在基线时使用许多不同的测量方法进行评估，其中包括抑郁和准备改变。在基线后18-24个月进行随访评估，随后的治疗经验是本研究关注的主要指标之一。共有443名参与者在随访时成功接受了采访。与低抑郁组相比，高抑郁组更容易改变，更有可能接受治疗（p <0.001）。ANCOVA显示抑郁症与药物问题严重程度、药物使用、DUI风险、酒精预期、戒断自我效能和精神痛苦的治疗相互作用（所有p <0.05）。此外，接受治疗的高度抑郁组在所有结果中取得了最大的积极进展（所有p < .01）。改变的准备，治疗进入和ANCOVA结果，都支持韦尔斯帕克和她的同事的方法，抑郁症可能是一个强有力的指标DUI罪犯的准备改变他们的物质使用行为。
The current study is part of a larger study that was designed to evaluate the impact of brief interventions on subsequent alcohol and drug use of individuals convicted of driving under the influence (DUI). This element considers the interaction of depression levels with treatment on subsequent substance use and problems related to substance use. Subjects were referred to the Research Institute on Addictions from various courts in the Western New York area for clinical evaluation and treatment referral, if further treatment was indicated. A total of 765 individuals were referred to the program, with 549 agreeing to participate. Participants were assessed at baseline using a number of different measures, with depression and readiness to change among them. A follow-up assessment took place 18–24 months following the baseline, with subsequent treatment experiences being one of the primary measures of interest for this study. A total of 443 participants were successfully interviewed at follow-up. The high depression group had greater readiness to change and a greater likelihood of entering treatment than the low depression group (p’s < .001). ANCOVAs showed depression by treatment interactions for drug problem severity, drug use, DUI risk, alcohol expectancies, abstinence self-efficacy, and psychiatric distress (all p’s < .05). Furthermore, the treated high depression group made the largest positive gains across all outcomes (all p’s < .01). The readiness to change, treatment entry, and ANCOVA results, all support Wells-Parker and her colleagues’ approach that depression may be a strong indicator of DUI offenders’ readiness to change their substance use behavior.
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影响因子：
--
作者：
Lapham, SC;Smith, E;Hunt, WC
通讯作者：
Hunt, WC
影响因子：
12.7
作者：
Kunitz, SJ;Woodall, WG;Rogers, E
通讯作者：
Rogers, E
影响因子：
4.2
作者：
Lapham, SC;de Baca, JC;Hunt, WC
通讯作者：
Hunt, WC
影响因子：
6
作者：
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通讯作者：
DeYoung, DJ
影响因子：
4.2
作者：
Lapham, SC;Baca, JC;Berger, LR
通讯作者：
Berger, LR