Những thách thức đối với SASSI-4 và InDUC-2R: Quản lý ấn tượng tích cực ở những đối tượng có lịch sử sử dụng chất gây nghiện

Sara E. Hartigan1, Richard Rogers1, Margot M. Williams1, Jordan E. Donson1
1Department of Psychology, University of North Texas, Denton, USA

Tóm tắt

Trong lĩnh vực đánh giá sử dụng chất (SU), hầu hết các biện pháp có giá trị bề ngoài và do đó có những mối lo ngại nghiêm trọng về tính dễ bị tổn thương của chúng trước quản lý ấn tượng tích cực (PIM) ở những người tham gia không tiết lộ. Để giải quyết vấn đề PIM, hai biện pháp chuyên biệt với các chỉ số giá trị dựa trên chiến lược phát hiện đã được đánh giá thực nghiệm: (a) Phân tích sàng lọc tinh vi về sử dụng chất ở người lớn-4 (SASSI-4) và (b) Bảng điều tra hậu quả sử dụng thuốc-2R (InDUC-2R). Nghiên cứu hiện tại đã kiểm tra hiệu quả của chúng trong việc phân biệt giữa từ chối sử dụng chất một cách từng phần (tức là, thừa nhận việc sử dụng nhưng phủ nhận các tác động tiêu cực) và mong muốn xã hội chung. Mẫu nghiên cứu gồm 104 đối tượng vi phạm đã được tuyển chọn từ một chương trình điều trị sử dụng chất được yêu cầu bởi tòa án. Các phần liên quan của Cuộc phỏng vấn lâm sàng cấu trúc cho các rối loạn DSM-5, Phiên bản lâm sàng (SCID-5-CV) được sử dụng làm tiêu chuẩn chẩn đoán bên ngoài. Về các kết quả chính, cả SASSI-4 và InDUC-2R đều đặc biệt dễ bị tổn thương trước PIM. Về phát hiện, thang DEF của SASSI-4 thường mang lại kết quả khuyến khích cho PIM nhưng không thể phân biệt giữa hai loại PIM. Như một lợi thế riêng biệt, thang Kiểm soát của InDUC-2R đã chứng tỏ hiệu quả trung bình trong việc xác định cụ thể từ chối sử dụng chất một cách từng phần. Để cải thiện các phân loại PIM của SASSI-4, một chỉ số dựa trên chiến lược mới, tỷ lệ kiểu phản hồi, đã được xác thực ban đầu. Những phát hiện này được thảo luận trong bối cảnh tư vấn lâm sàng và tư pháp.

Từ khóa

#Quản lý ấn tượng tích cực #sử dụng chất #SASSI-4 #InDUC-2R #chứng cứ lâm sàng

Tài liệu tham khảo

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