接纳与承诺疗法在物质依赖中的应用

Review on the application of ACT in substance dependence

近年来,物质依赖人群的成瘾戒治复发率居高不下,严重危害了家庭和社会。以功能性语境主义为哲学背景,关系框架为理论基础的接纳承诺疗法(ACT)在西方国家发展迅猛,在各类物质依赖人群的心理干预中取得显著成果。相较于其他传统的认知行为疗法,ACT在干预后表现出更持久的效果。本文着重介绍了接纳承诺疗法的原理、工具,梳理了近年来国外在物质依赖领域的实证研究及效果,为进一步实践该疗法提供借鉴。

In recent years,the relapse rate of addiction is stay in a high position among the substance dependency,and brings negative effects for the families and the society. Based on the Functional Contextualism and the Relational Frame Theory as the philosophical background,Acceptance and Commitment Therapy（ACT） has developed rapidly in the psychological intervention of substance dependent groups and has achieved remarkable results in the western countries. Compared with other traditional cognitive behavioral therapy,ACT shows a more sustained impact after the intervention. This review focuses on the principles and tools of ACT,and reviews the empirical research and effect in the field of substance dependence in recent years,so as to provide reference for the further studies.