物质使用障碍患者康复认同中的治疗治疗因素:内容分析

Alexis Amelio Fernández Flores, Alberto Castro Valles, María Nieves González Valles, Irene Concepción Carrillo Saucedo
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引用次数: 0

摘要

各种研究表明,治疗中的一些成分在建立新的康复身份和解决物质使用障碍方面很重要。目的:本研究旨在从戒断一年以上的物质使用障碍患者的观点出发,探讨治疗相关因素的相互作用对长期康复认同内化的影响及其成熟后的内在逻辑。方法:采用基于先验知识的演绎内容分析方法,采用半结构式访谈法对9名戒断1年以上的物质使用障碍被试进行意向性和滚雪球法筛选。结果:探讨了相关的主要类别:延长治疗时间和持续护理,改变的动机和接受治疗的质量。讨论和结论:研究结果表明,持续和积极的治疗对实现稳定的恢复身份的重要性,需要宣泄作为过渡到清醒的辅助,并有意识地接受疾病的慢性性质。此外,在经历了与“跌入谷底”相关的关键和累积的痛苦经历、巩固偶然康复的治疗质量以及同伴的支持以提高自我效能和改变的动力之后,需要和自愿寻求帮助得到了强调。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Factores de tratamiento terapéutico en identidad de recuperación en personas con trastorno por consumo de sustancias: análisis de contenido
Introduction: Various studies have shown that some components located within the treatment are important in building a new recovery identity and in addressing substance use disorders. Objective: the present study aims to explore the impact that the interaction of some treatment-related factors has on the internalization of a long-term recovery identity and the internal logic that follows the maturation of this process from the Opinion of people with substance use disorder who have been abstinent for more than a year. Method: a deductive content analysis was used that was operationalized on the basis of prior knowledge with semi-structured interviews with 9 participants diagnosed with a substance use disorder who were in a state of abstinence for more than one year, selected through intentionality and snowball. Results: the main categories explored that were relevant were: prolonged treatment time and continuous care, motivation to change, and quality of treatment received. Discussion and conclusions: the findings showed the importance of continuing and active treatment to achieve a stable recovery identity, the need for catharsis as an aid for the transition to sobriety and the conscious acceptance of the chronic nature of the disease. Also, the need and voluntary search for help was highlighted after having experienced critical and cumulative experiences of suffering associated with “hitting rock bottom”, the quality of treatment to consolidate a fortuitous rehabilitation, and the support of peers to increase self-efficacy and motivation towards change.
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