认知行为疗法对甲基苯丙胺成瘾患者负性情绪及复吸倾向的干预效果

Intervention effect of cognitive behavior therapy on negative emotion and relapse tendency of methamphetamine addicts

目的观察认知行为疗法对甲基苯丙胺成瘾患者负性情绪及复吸倾向的干预效果。方法 306例甲基苯丙胺成瘾患者,随机分为试验组和对照组各153例,试验组进行认知行为疗法干预和常规戒毒教育,对照组只进行常规戒毒教育,采用情绪状态量表和自编复吸倾向问卷评价两组干预前及干预1个月后的情绪状态及复吸倾向。结果与对照组相比,试验组干预后情绪状态量表的紧张、抑郁、疲乏和迷惑维度得分低,活力维度得分高(P均<0.05)。与对照组相比,试验组干预后复吸倾向问卷的戒毒意愿、身心状况、社会支持维度得分及总均分较低(P均<0.05)。结论认知行为疗法可以改善甲基苯丙胺成瘾患者的情绪状态,并纠正其复吸倾向。

Objective To observe the intervention effect of cognitive behavior therapy on the negative emotion and relapse tendency of methamphetamine addicts. Methods Totally 306 methamphetamine addicts were randomly divided into two groups： the experimental group and the control group,153 patients in each group. The cognitive behavior therapy and routine drug education were used in the experimental group. However,only routine drug education was used in the control group. The mood state and the relapse tendency of the two groups before and after 1-month intervention were evaluated with the mood state scale and the self-designed questionnaire. Results Compared with the control group,the scores of tension,depression,fatigue and confusion of emotional state scale were lower,and the vigor dimension score was higher in the experimental group,and there was statistical significance difference between these two groups（ all P〈0. 05）. Compared with the control group,the thoughts of rehabilitation,the physical and mental status,social support scores and the total average score were lower in the experimental group,and there was statistical significance difference between these two groups（ all P〈0. 05）. Conclusion The cognitive behavior therapy can improve the emotional state and correct the relapse tendency for the methamphetamine addicts.