Effectiveness of a spiritual adaptation of cognitive behavioural therapy in improving resilience, self-esteem and spirituality among clients with opioid use disorder: A quasi-experimental study

IF 2.6 4区医学 Q1 NURSING

Journal of Psychiatric and Mental Health Nursing Pub Date : 2024-08-05 DOI:10.1111/jpm.13089

Hassan Mohammed Sonbol, Mona Metwally El-Sayed, Samah Mohamed Taha, Mahmoud Abdelwahab Khedr, Ayman Mohamed El-Ashry, Eman Sameh Abd Elhay

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引用次数: 0

Abstract

What is known on the subject?

Opioid use disorder (OUD) is a prevalent problem among Egyptian youth, and achieving recovery and abstinence is challenging. Cognitive behavioural therapy (CBT), a well-known approach, can be particularly beneficial when it addresses psychological aspects such as resilience and self-esteem.

What does the paper add to existing knowledge?

Our research is recognized as a trailblazer in integrating a spiritual adaptation of CBT with spiritual elements for treating patients with OUD in the Egyptian context. This innovative approach marks a significant advancement in the field.
The study found a statistically significant increase in the mean scores of resilience, self-esteem, and spirituality (p < .001 each) following the spiritual adaptation of CBT sessions compared to the control group.

What are the implications for practice?

The findings can guide psychiatrists and nurses in providing more comprehensive and effective care to patients with OUD by incorporating a spiritual adaptation of CBT with spiritual components into treatment plans.

Introduction

Opioid use disorder (OUD) is a prevalent problem among Egyptian youth, and achieving recovery and abstinence is challenging. Cognitive behavioural therapy (CBT), a well-known approach, can be particularly beneficial when it addresses psychological aspects such as resilience, self-esteem and spirituality.

Aim

This study aimed to evaluate the effectiveness of a spiritual adaptation of CBT in enhancing these factors among clients with OUD.

Methods

A quasi-experimental study with a control group was conducted using a pretest-posttest design. The study included 49 clients with OUD and 46 clients in the control group. The Rosenberg Self-Esteem Scale–Modified Arabic Version, Daily Spiritual Experience Scale, and the Connor–Davidson Resilience Scale were used as measurement tools. CBT was delivered in 60-min group sessions. After 3 months, the questionnaires were re-administered to evaluate the effectiveness of a spiritual adaptation of CBT sessions.

Results

The study found a statistically significant increase in the mean scores of resilience, self-esteem and spirituality (p < .001 each) following a spiritual adaptation of CBT sessions compared to the control group.

Discussion

A spiritual adaptation of CBT effectively enhanced resilience, self-esteem and spirituality in clients with OUD.

Implications for Practice

Understanding the effectiveness of a spiritual adaptation of CBT in enhancing resilience, self-esteem and spirituality can enable psychiatrists and nurses to provide more comprehensive and effective care to patients with OUD.

查看原文本刊更多论文

认知行为疗法的灵性调整对改善阿片类药物使用障碍患者的复原力、自尊和灵性的效果：一项准实验研究。

相关知识：阿片类药物使用障碍（OUD）是埃及青少年中普遍存在的问题，实现康复和戒断具有挑战性。认知行为疗法（CBT）是一种众所周知的方法，如果能解决心理方面的问题，如复原力和自尊，则会特别有益。论文对现有知识有何补充？我们的研究被公认为是在埃及背景下将 CBT 的精神疗法与治疗 OUD 患者的精神元素相结合的开路先锋。这种创新方法标志着该领域的重大进步。研究发现，抗逆力、自尊和灵性的平均得分（p 摘要：引言：阿片类药物使用障碍（OUD）是埃及青少年中普遍存在的问题，实现康复和戒断具有挑战性。认知行为疗法（CBT）是一种众所周知的方法，当它涉及心理方面（如复原力、自尊和灵性）时尤其有益：方法：采用前测-后测设计，进行了一项带对照组的准实验研究。研究包括 49 名 OUD 患者和 46 名对照组患者。测量工具包括罗森伯格自尊量表-阿拉伯语修订版、每日精神体验量表和康纳-戴维森复原力量表。CBT 在 60 分钟的小组课程中进行。3 个月后，再次进行问卷调查，以评估对 CBT 课程进行心灵调整的效果：研究发现，复原力、自尊和灵性的平均得分在统计学上有显著提高（P 讨论）：对 CBT 进行灵性调整可有效增强 OUD 患者的复原力、自尊和灵性：对实践的启示：了解CBT的精神适应疗法在增强复原力、自尊和灵性方面的效果，可以帮助精神科医生和护士为OUD患者提供更全面、更有效的护理。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Psychiatric and Mental Health Nursing 医学-护理

CiteScore

4.70

自引率

3.70%

发文量

审稿时长

4-8 weeks

期刊介绍： The Journal of Psychiatric and Mental Health Nursing is an international journal which publishes research and scholarly papers that advance the development of policy, practice, research and education in all aspects of mental health nursing. We publish rigorously conducted research, literature reviews, essays and debates, and consumer practitioner narratives; all of which add new knowledge and advance practice globally. All papers must have clear implications for mental health nursing either solely or part of multidisciplinary practice. Papers are welcomed which draw on single or multiple research and academic disciplines. We give space to practitioner and consumer perspectives and ensure research published in the journal can be understood by a wide audience. We encourage critical debate and exchange of ideas and therefore welcome letters to the editor and essays and debates in mental health.