心智化疗法对甲基苯丙胺成瘾者焦虑抑郁及慢性渴求的干预效果研究
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摘要
目的探讨心智化疗法对甲基苯丙胺成瘾人员焦虑、抑郁等负性情绪及慢性药物渴求的干预效果。方法以辽宁省6个强制隔离戒毒所612例甲基苯丙胺成瘾人员为研究对象,分为试验组(心智化疗法)与对照组,每组各306例患者。采用贝克焦虑量表、贝克抑郁量表和药物渴求量表评价两组戒毒人员的焦虑、抑郁及慢性渴求情况。结果心智化疗法干预后试验组贝克焦虑量表、贝克抑郁量表和药物渴求量表得分较干预前降低(P<0.05),试验组干预后贝克焦虑量表、贝克抑郁量表和药物渴求量表得分下降趋势较对照组更加明显(P<0.05)。结论心智化疗法可以在一定程度上改善甲基苯丙胺成瘾人员的焦虑、抑郁等负性情绪,并减轻其对毒品的慢性渴求状况。
Objective To investigate the effect of mentalization based treatment on the negative emotion such as anxiety,depression and chronic drug craving among methamphetamine addicts.Methods Totally 612 methamphetamine addicts in 6compulsory isolated detoxification center of Liaoning served as the study subjects and randomly divided into the experimental group(mentalization based treatment group)and control group,306 cases in each group.The Beck Anxiety Inventory(BAI),Beck Depression Inventory(BDI)and the Drug Craving Inventory were used to evaluate the anxiety,depression and chronic craving in the two groups.Results The scores of BAI,BDI and Drug Craving Inventory after mentalization base treatment in the experimental group were decreased compared with those of before intervention(P<0.05).The declining trend of the scores of BAI,BDI and Drug Craving Inventory after intervention in the experimental group were more significant than that in the control group(P<0.05).ConclusionThe mentalization based treatment can improve the negative emotions such as anxiety and depression to some extent,and reduces the chronic drug craving among methamphetamine drug addicts.
Objective To investigate the effect of mentalization based treatment on the negative emotion such as anxiety,depression and chronic drug craving among methamphetamine addicts.Methods Totally 612 methamphetamine addicts in 6compulsory isolated detoxification center of Liaoning served as the study subjects and randomly divided into the experimental group(mentalization based treatment group)and control group,306 cases in each group.The Beck Anxiety Inventory(BAI),Beck Depression Inventory(BDI)and the Drug Craving Inventory were used to evaluate the anxiety,depression and chronic craving in the two groups.Results The scores of BAI,BDI and Drug Craving Inventory after mentalization base treatment in the experimental group were decreased compared with those of before intervention(P<0.05).The declining trend of the scores of BAI,BDI and Drug Craving Inventory after intervention in the experimental group were more significant than that in the control group(P<0.05).ConclusionThe mentalization based treatment can improve the negative emotions such as anxiety and depression to some extent,and reduces the chronic drug craving among methamphetamine drug addicts.
引文
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[4]郑健荣,黄炽荣,黄洁晶,等.贝克焦虑量表的心理测量学特性、常模分数及因子结构的研究[J].中国临床心理学杂志,2002,10(1):4-6.
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[7]Marsch LA,Dallery J.Advances in the psychosocial treatment of addiction the role of technology in the delivery of evidence-based psychosocial treatment[J].Psych Clin North Am,2012,35(2):481-493.
[8]王玮.认知行为疗法对甲基苯丙胺成瘾患者负性情绪及复吸倾向的干预效果[J].山东医药,2015,55(47):4-6.
[9]Bateman AW,Fonagy P.Mentalization-based treatment of BPD[J].J Pers Disord,2004,18(1):36-51.
[10]Charles-Walsh K,Upton DJ,Hester R.Examining the interaction between cognitive control and reward sensitivity in substance use dependence[J].Drug Alcohol Depend,2016,166(16):235-242.
[11]Ostler T,Bahar OS,Jessee A.Mentalization in children exposed to parental methamphetamine abuse:relations to children′s mental health and behavioral outcomes[J].Atta Hum Dev,2010,12(3):193-207.
[12]杨龙雨,张辉,曾军莉,等.甲基苯丙胺依赖者躯体脱毒后慢性渴求及其相关因素分析[J].中国药物依赖性杂志,2015,24(3):218-223.