中国临床心理学杂志

“动机+认知行为”团体治疗对女性苯丙胺类使用障碍者心理健康的疗效研究

单位：1. 上海交通大学医学院附属精神卫生中心上海 200030
2. 上海市戒毒局上海 200000
3. 华中科技大学同济医学院公共卫生学院流行病与卫生统计学系武汉 430030

分类号：R395.5

出版年,卷(期):页码：2016,24(6):1143-1145

摘要：

目的：探讨动机强化整合认知行为的团体心理干预对女性苯丙胺类使用障碍者心理健康的效果，为将来开展新的心理治疗模式提供实证支持。方法：本研究采用随机对照实验设计，将上海市女子强制隔离戒毒所的60例女性苯丙胺类使用障碍者随机分为两组，干预组30例，对照组30例，其中干预组接受为期16周的“动机+认知行为”团体心理治疗及所内常规教育，对照组只接受所内的常规教育。使用一般人口学资料、吸毒史、抑郁和焦虑自评量表及自编的技能掌握情况问卷在基线、第8周、第16周对被试进行调查，评定干预效果。结果：干预前，采用t检验发现，干预组和对照组在人口学资料及吸毒史、抑郁、焦虑情绪、技能得分差异不显著（P>0.05）；干预后，采用重复测量方差分析发现，两组的抑郁、焦虑及技能得分在时间和组间效应上存在交互作用（P<0.05）；另外发现，干预组在16周后的抑郁得分显著低于对照组，而技能得分显著高于对照组（P<0.05），但两组在焦虑得分上差异不显著（P > 0.05）。结论：“动机+认知行为”团体心理治疗可以改善女性苯丙胺类使用障碍者抑郁情绪状况，对提高防复吸技能也有积极效果。

Objective: To explore the effect of "motivational enhancement integrate cognitive behavioral" group psychotherapy for Amphetamine-Type Stimulants(ATS) female users. Methods: 60 ATS female users from Shanghai forced isolation rehab were randomly divided into intervention group(30 subjects) and control group(30 subjects). The intervention group received 16 weeks group psychotherapy and regular education, while the control group only accepted regular education. The self-designed questionnaires, drugs history, Self-rating depression scale(SDS), Self-rating anxiety scale(SAS) and Skill Questionnaire were tested at baseline, 8 weeks and,16 weeks later. Results: Before the intervention, no significant differences were found as to the demographic data and drugs history, depression, anxiety and skill scores between the two groups. After the intervention, the repeated measures analysis of variance showed that a significant group*time interactive effect(P<0.05). Simple tests further demonstrated that intervention group had a significantly lower depression scores and higher skill scores than the control group(P<0.05). Conclusion: "motivation+cognitive-behavioral" group therapy can improve mood disorders and has positive effect for relapse prevention skills.

基金项目：

上海市禁毒基金（2012）；上海市卫生计生委（2013SY011；2014ZYJB0002），国家自然科学基金资助项目（U1502228）

作者简介：

参考文献：

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