严重物质使用障碍住院病人的接受与承诺治疗:一项试点研究。

IF 5.1 Q1 SUBSTANCE ABUSE
Substance Abuse and Rehabilitation Pub Date : 2017-07-26 eCollection Date: 2017-01-01 DOI:10.2147/SAR.S132255
Gabriella Svanberg, Ingrid Munck, Maria Levander
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引用次数: 9

摘要

背景:物质使用障碍(SUD)患者通常同时伴有精神健康障碍和执行功能下降,这两者都是持续康复的障碍。患有严重SUD的患者可以在瑞典国家机构护理委员会进行机构化治疗,但很难参与,而且辍学率仍然很高。近年来的研究表明,接受与承诺疗法(ACT)是治疗心理健康和心理障碍的有效方法。目的:本试点研究的总体目的是探索一种基于手册的ACT干预方法,用于因严重SUD而被制度化的患者,并描述其对心理健康、心理灵活性和执行功能的影响。该试点研究首次在住院患者中使用基于手册的ACT干预。方法:18名参与者接受了针对SUD量身定制的7期ACT干预。对完整数据(n=18)和每个参与者的个人随访数据进行统计分析。为了跟踪和描述变化,策略是评估13个临床量表从干预前到干预后的变化。结果:结果表明,心理健康没有变化,心理灵活性和10项执行功能中的9项(如抑制控制、任务监测和情绪控制)有积极变化的趋势。结论:试点研究表明,在《照顾酗酒者和吸毒者法案》(也称为LVM之家)监管的机构和个人层面,心理灵活性和执行功能的临床获益。由于样本量不能提供足够的统计能力来概括和得出有关干预效果的确切结论,因此研究结果是描述性的和初步的。需要在更大规模的研究中进一步发展和实施联合疗法,包括维持阶段和后续行动。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Acceptance and commitment therapy for clients institutionalized for severe substance-use disorder: a pilot study.

Acceptance and commitment therapy for clients institutionalized for severe substance-use disorder: a pilot study.

Acceptance and commitment therapy for clients institutionalized for severe substance-use disorder: a pilot study.

Acceptance and commitment therapy for clients institutionalized for severe substance-use disorder: a pilot study.

Background: Individuals with substance-use disorder (SUD) often have co-occurring mental health disorders and decreased executive function, both of which are barriers to sustained rehabilitation. Clients with severe SUD can be institutionalized in The Swedish National Board of Institutional Care but are difficult to engage and dropout rates remain high. Recent studies suggest that acceptance and commitment therapy (ACT) is an effective treatment for mental health and SUD.

Objectives: The overall aims of the present pilot study were to explore a manual-based ACT intervention for clients institutionalized for severe SUD and to describe the effects on mental health, psychological flexibility, and executive function. This pilot study is the first to use a manual-based ACT intervention within an inpatient context.

Methods: Eighteen participants received a seven-session ACT intervention tailored for SUD. Statistical analyses were performed for the complete data (n=18) and on an individual level of follow-up data for each participant. In order to follow and describe changes, the strategy was to assess the change in 13 clinical scales from pre-intervention to post-intervention.

Results: Results suggested that there was no change in mental health and a trend implying positive changes for psychological flexibility and for 9 of 10 executive functions (e.g., inhibitory control, task monitoring, and emotional control).

Conclusion: The pilot study suggests clinical gains in psychological flexibility and executive functions both at the Institution regulated by the Care of Alcoholics and Drugabuser Act (also known as LVM home) and at the individual level. Since the sample size does not provide adequate statistical power to generalize and to draw firm conclusions concerning intervention effects, findings are descriptive and preliminary in nature. Further development and implementation of ACT on a larger scale study, including the maintenance phase and a follow-up, is needed.

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