菲律宾针对甲基苯丙胺使用障碍患者的住院认知行为疗法与治疗社区：随机对照试验

Q1 Psychology

Addictive Behaviors Reports Pub Date : 2025-04-13 DOI:10.1016/j.abrep.2025.100605

Takayuki Harada , Tomohiro Shirasaka , Toshiaki Baba , Aya Mizusawa , Alfonso Villaroman , Rosalina Noguera-Caoile , Ma. Alodia Mercado , Jasmin Peralta , Keigo Hatto , Shogo Kanamori

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引用次数: 0

摘要

导言在菲律宾，估计有 180 万人吸食甲基苯丙胺。尽管政府开展了反毒品运动，但镇压方法效果不佳。因此，需要提供治疗和人类服务。在这项整群随机单盲试验中，对照组参与者只接受社区型治疗，而干预组则额外参加我们的 CBT 项目，为期 6 个月。主要结果是通过尿检和出院后 3 个月的自我报告来衡量甲基苯丙胺的再吸食情况，以及出院前和出院后 3 个月的自我报告幸福感。随访时，干预组和对照组分别有 3/27 人（11.11%）和 1/27 人（3.70%）尿检结果呈阳性（χ2(1) = 1.08, n.s., r = 0.037, 95 %CI [-0.064, 0.212]）。干预组的自我报告再吸毒率明显更高（χ2(1) = 9.18, p < 0.01, r = 0.14 (95 %CI [0.050, 0.231]）。然而，出院前的自评健康（F(1, 311) = 6.32, p < 0.025, η2 = 0.02, 95 %CI [0.001, 0.06]）和问题应对（F(1, 311) = 6.50, p < 0.025, η2 = 0.021, 95 %CI [0.001, 0.结论虽然干预措施对毒品再利用没有明显效果，但对患者的幸福感、应对技能和其他心理变量有小幅积极影响。需要开展更多研究，以开发针对该地区甲基苯丙胺使用情况的有效治疗方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

Residential cognitive–behavioral therapy versus therapeutic community for patients with methamphetamine use disorders in the Philippines: A randomized controlled trial

查看原文本刊更多论文

Residential cognitive–behavioral therapy versus therapeutic community for patients with methamphetamine use disorders in the Philippines: A randomized controlled trial

Introduction

In the Philippines, an estimated 1.8 million people use methamphetamine. Despite the government’s anti-drug campaign, repressive methods have been ineffective. Thus, treatment and human services are needed. We developed a cognitive–behavioral therapy (CBT) program for residential and rehabilitation center-based treatment and examined its effectiveness.

Methods

In this block-randomized single-blinded trial, control group participants received therapeutic community-type treatment only, while the intervention group additionally participated in our CBT program for 6 months. Primary outcomes were methamphetamine re-use, measured by urine tests and self-report at 3-months post-discharge, and self-reported well-being at pre-discharge and 3-months post-discharge.

Findings

Participants (n = 326) were randomized into intervention (n = 162) and control (n = 164) groups. At follow-up, 3/27 (11.11 %) and 1/27 (3.70 %) participants in the respective groups had positive urine tests for drug re-use (χ²(1) = 1.08, n.s., r = 0.037, 95 %CI [-0.064, 0.212]). The self-reported drug re-use rate was significantly higher in the intervention group (χ²(1) = 9.18, p < 0.01, r = 0.14 (95 %CI [0.050, 0.231]). However, pre-discharge self-rated health (F(1, 311) = 6.32, p < 0.025, η² = 0.02, 95 %CI [0.001, 0.06]) and problem-focused coping (F(1, 311) = 6.50, p < 0.025, η² = 0.021, 95 %CI [0.001, 0.06]) were significantly better among intervention group participants than among control participants.

Conclusions

Although without significant effect on drug re-use, the intervention had a small positive effect on patients’ well-being, coping skills, and other psychological variables. Additional research is required to develop effective treatments for methamphetamine use in this region.

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来源期刊

Addictive Behaviors Reports Medicine-Psychiatry and Mental Health

CiteScore

6.80

自引率

0.00%

发文量

审稿时长

71 days

期刊介绍： Addictive Behaviors Reports is an open-access and peer reviewed online-only journal offering an interdisciplinary forum for the publication of research in addictive behaviors. The journal accepts submissions that are scientifically sound on all forms of addictive behavior (alcohol, drugs, gambling, Internet, nicotine and technology) with a primary focus on behavioral and psychosocial research. The emphasis of the journal is primarily empirical. That is, sound experimental design combined with valid, reliable assessment and evaluation procedures are a requisite for acceptance. We are particularly interested in ''non-traditional'', innovative and empirically oriented research such as negative/null data papers, replication studies, case reports on novel treatments, and cross-cultural research. Studies that might encourage new lines of inquiry as well as scholarly commentaries on topical issues, systematic reviews, and mini reviews are also very much encouraged. We also welcome multimedia submissions that incorporate video or audio components to better display methodology or findings.