整合人际互动团体心理治疗对酒依赖患者饮酒模式的影响

The influence of interpersonal group psychotherapy on the re-drinking of the alcohol dependence patients

目的探讨整合AA(嗜酒者互诫协会)戒酒十二个步骤的人际互动团体心理治疗(后简称整合人际互动团体心理治疗)是否可以降低酒依赖患者复饮率,延长停酒时间。探索适合中国本土酒依赖患者康复方法。方法选取符合入组标准的大连市某人民医院慢性酒依赖患者40人行《酒精使用障碍筛查量表》(AUDIT)评分后随机分为治疗组20人、对照组20人。治疗组:给予每周一次整合人际互动团体治疗,每次治疗持续时间约60~90分钟,一名心理治疗师和一名精神科医生带组,持续时间为1年,记录在治疗期间复饮人数复饮时间。对照组:每半个月电话随访1次,确定是否复饮记录复饮人数及复饮时间。12个月后所有患者再次进行AUDIT评分。结果①、治疗组与对照组相比可有效的降低酒依赖患者复饮率。②、干预后治疗组饮酒风险明显较对照组降低。③、两组复饮的酒依赖患者,进行复饮间隔时间(或称停酒时间)对比,使用COX生存分析,结果提示治疗组患者复饮间隔时间长于对照组。结论该整合人际互动团体心理治疗,持续治疗1年可以降低酒依赖患者复饮率、降低饮酒风险、延长停酒时间。

Objective Whether the long range interpersonal interaction group can reduce the drinking rate of alcohol dependent patients and prolong the time of alcohol withdrawal.Methods The research method:a total of 40 people were randomly divided into two groups of patients were selected from Seventh People’s Hospital of Dalian City,chronic alcohol dependence,treatment group 20,control group 20,two groups were matched in age and sex,were under 18~65 years of age;composite ICD-10 diagnostic criteria for alcohol dependence,alcohol dependence withdrawal syndrome rating scale table(AWS)score less than 3 points.Exclude the treatment group:one week group treatment,duration of about 90~120 minutes.Interpersonal interaction group psychotherapy was used for 1 years.The control group was followed up 1 times every half month to determine whether or not to drink and resume the time.All patients took the AUDIT evaluation 12 months later.Results①Compared to the control group,the treatment group which combines the 12 steps of AA and interpersonal group therapy is a relatively more effective way to reduce the rate of relapse among patients with alcohol dependence.②The AUDIT score of the treatment group is significantly lower than the AUDIT score of the control group and the AUDIT score of the treatment group af ter 12 months is significantly lower than the original AUDIT score of the treatment group.③The drinking intervalsa mong the two groups of relapsed alcohol dependent patients were compared and analyzed by COX survival analysus.The result indicates that patients of the treatment group tended to have a longer drinking interval compared to patinets of the control group.Conclusion Overall,the interpersonal group therapy with the combination of the 12 steps of AA ca n reduce alcohol dependent patients’usageof alcohol,decrease the rate of relapse,and prolong drinking intervals.