人际团体辅导对美沙酮维持治疗者焦虑、抑郁的干预效果

EFFECTS OF INTERPERSONAL GROUP COUNSELING ON THE DEPRESSION AND ANXIETY OF PATIENTS UNDER METHADONE MAINTENANCE TREATMENT

目的:探讨人际团体干预对美沙酮维持治疗(MMT)者焦虑、抑郁的影响,为开展生理-心理-社会三维戒毒模式研究和工作提供可靠的实证材料。方法:抽取普洱市思茅区、墨江县、澜沧县和孟连县美沙酮维持治疗(MMT)者340例,随机分成两组,各170例,对其中一组在美沙酮治疗基础上给予人际团体辅导(以下称干预组),另一组只进行美沙酮治疗(以下称对照组),治疗前后分别做《焦虑自评量表》、《自评抑郁量表》测定,对其结果进行统计学分析。结果:干预前两组焦虑、抑郁症状自评得分差异无统计学意义[(45.2±s 8.6)vs(46.3±s 7.5),(14.0±s6.0)vs(10.2±s 7.8),P﹥0.05];团体辅导后,干预组焦虑、抑郁得分均低于对照组[(38.7±s 6.3)vs(48.8±s10.2),(7.1±s 8.2)vs(12.9±s 5.8),P﹤0.001]。结论:以人际互动为主的人际团体干预对改善美沙酮维持治疗者焦虑、抑郁具有积极的作用。

Objectjve：To study the effect of interpersonal group counseling on the anxiety and depression of patients receiving methadone maintenance treatment （MMT） and provide practical information for future physiological - psychological - social mode of detoxification and rehabilitation. Methods ： We selected 340 patients from MMT centers in Simao District, Mojiang County, Lancang County and Menglian county and randomly divided them into two groups, each of which consisted 170 patients. Of the two groups, one group received MMT and interpersonal group counseling as well （ the intervention group）, the other group received MMT only （as the control group）. Both groups were tested with ＂Self- rating Anxiety Scale＂, and ＂Self- rating Depression Scale＂ before and after the intervention. Results ： At the baseline, there was no statistical significant difference [ （45.2 ±s 8.6） vs （46.3±s 7.5）, （ 14 ±s 6） vs （10. 2 ±s 7.8）,P 〉0.05 ] in the anxiety and depression scores between the two groups; At the end of the study, the intervention group had lower scores both in anxiety and depression compared with the control group [ （38.7±s6.3） vs （48.8 ±s 10.2）, （7.1 ±s 8.2） vs （12.9±s5.8）,P〈0. 001]. Conclusion ： The interpersonal interactive interpersonal group counseling has positive intervention effects on the improvement of anxiety and depression in MMT patients.