酒駕受刑人心理健康、拒酒自我效能與酒癮嚴重程度之研究

A Study on the Severity, Mental Health and Drinking, Refusal Self-efficacy of Alcohol in Juvenile Drums

本研究主要探討酒駕受刑人之酒精成癮嚴重程度、拒酒效能及心理健康狀態，期能作為日後設計酒駕處遇課程之參酌。研究以80名酒駕受刑人為對象，採取自填問卷調查酒駕受刑人之個人特質變項，結合簡短版密西根酒癮評估量表、成人健康心理量表及拒酒自我效能等量表，並將酒駕受刑人之酒精成癮程度區分非酒癮組及酒癮組兩組，針對心理健康狀態及拒酒自我效能等進行卡方檢定、Mann-Whitney U檢定及Pearson相關。研究發現：酒駕受刑人多以未婚單身及離婚單身為主，年齡介在31-50歲者佔大多數；有酒癮者佔所有酒駕受刑人約兩成；酒癮組比非酒癮組有高再犯酒駕風險；非酒癮者及酒癮者兩組在「心理健康量表總分」、「社交困擾」及「憂鬱低落」達顯著差異，酒癮者比非酒癮者心理健康狀態差、較具有社交困擾及憂鬱低落情形；兩組在「情境拒酒自我效能」及「拒酒自我效能總分」達顯著差異，非酒癮者比酒癮者具較佳之情境拒酒自我效能及拒酒自我效能總分。酒駕受刑人之「健康心理狀況」與「拒酒自我效能」有高度正相關、與酒癮嚴重度呈現負相關；「酒癮總分」與「心理健康總分」呈現負相關；「拒酒自我效能總分」與「心理健康總分」有高度正相關；「情境拒酒自我效能」與「社交困擾」、「憂鬱低落」及「正向樂觀」有正相關；「紓解情緒自我效能」與「憂鬱低落」呈現正相關。最後提出未來課程方向與研究之建議。 This study is intended to understand the extent of alcohol addiction, alcohol refusal self-efficacy and mental health condition of drunk driving offenders, which could be used as a reference for future treatment design of drunken course.. This study was conducted by 80 drunk drivers as the objects of study, and the selfcontained questionnaire were used to investigate the personal characteristics of the drunk driving offenders. Also ''the Brief Michigan Alcoholism Screening Test'', ''Adult Mental Health Scale'' and the ''Alcohol Refusal Self-Efficacy Scale'' were combined. The alcohol addicts were divided into two groups: non-alcoholic and alcoholic groups, and Chi-square test, Mann-Whitney U test and Pearson correlation were performed on the mental health condition and alcohol refusal of self-efficacy of drunk driving offenders. The study found: drunk driving offenders were mostly unmarried single and divorce single, the majority were at the age of 31-50 years old. The alcoholics were accounted for about 20% of all drinkers. The alcohol addiction group has a higher risk of repeated drunk driving than the non-alcoholic group. There are significant differences between the two groups in ''Mental Health Condition '', ''Social Distress'' and ''Depression'',the alcohol addiction group is worse than non-alcoholic group in mental health, social distress and depression. There are significant differences between the two groups in '' the Alcohol Refusal Situation of Self-Efficacy and'' the Alcohol Refusal of Self-Efficacy '',the non-alcoholic group is better than alcohol addiction group in self-efficacy and the alcohol refusal of selfefficacy. There was a positive correlation between '' Mental Health condition'' of the drunk driving offenders and the '' Alcohol Refusal of the Self-Efficacy'', and negatively correlated with “the Severity of Alcoholism”. ''The total score of Alcohol Addict'' was negatively correlated with the ''Mental Health Condition '' .There is a positive correlation between the '' Alcohol Refusal of Self-Efficacy'' and ''Mental Health Condition ''. There is a positive correlation between '' the Alcohol Refusal Situation of the Self-Efficacy '' and ''Social Distress'', ''Depression'' and ''Positive Optimism'' .There is a positive correlation between ''Emotional Expression of the Self-Efficacy '' and ''Depression''.Finally,the future curriculum direction and research recommendations.