正念减压治疗在预防酒精依赖患者复饮中的初步应用与研究

Application and Research of Mindfulness-based Therapy of Prevention of Rehydration in Patients with Alcohol Dependences

目的:初步了解正念减压治疗在预防酒精依赖患者复饮的疗效,为降低酒精依赖患者复饮提供有利的依据。方法:使用一般情况自制量表、汉密尔顿抑郁量表(Hamilton Depression Scale,HAMD)、汉密尔顿焦虑量表(Hamilton Anxiety Scale,HAMA)对2016年01月-2016年03月在新疆精神卫生中心物质依赖病房住院的61名符合《国际疾病与相关健康问题统计分类(第10版)》(International Statistical Classification of Diseases and Related Health Problems,ICD-10)关于"使用酒精所致精神和行为障碍"诊断标准的患者,采用随机数字表随机分为研究组31人(给予正念减压治疗联合药物治疗)与对照组30人(单纯给予药物治疗),并对两组测查结果进行比较分析。结果:治疗后8周,研究组与对照组的焦虑、抑郁水平均有所下降,研究组的减分率显著大于对照组(P<0.05);出院12周后,研究组的复饮人数9人,复饮率为29.03%,对照组的复饮人数17人,复饮率56.67%。结论:正念减压治疗联合药物治疗酒精依赖的疗效显著优于单纯药物治疗。通过正念减压治疗不但可以降低酒依赖患者的抑郁、焦虑的程度,还可有效的降低酒精依赖患者的复饮率。为今后在预防酒依赖患者复饮的工作中,提供了新的治疗理念及治疗方法。

Objective: To explore the efficacy of righteousness treatment in preventing alcohol dependence in patients with rehydration and to provide a favorable basis for reducing the rate of rehydration in alcohol dependent patients. Methods:A typical self-made scale, Hamilton Depression Scale(HAMD), and Hamilton Anxiety Scale(HAMA) were used in the Material Dependency Ward of Xinjiang Mental Health Center from January 2016 to March 2016. Among the 61 patients who met the diagnostic criteria of the International Statistical Classification of Diseases and Related Health Problems(ICD-10)"Spiritual and behavioral disorders caused by alcohol use", A random number table was used to randomly divide the study group into 31 patients(shall be treated with the righteous treatment combined with drugs) and 30 patients in the control group(treated with drugs alone). The results of the two groups were comparable and analyzed. Results: At 8 weeks after treatment,the anxiety and depression levels in the study group and the control group decreased significantly, and the reduction rate in the study group was significantly higher than that in the control group(P<0.05). After 12 weeks of discharge, the study group re introduced 9 people. The re-drinking rate was 29.03%, the number of re-drinkers in the control group was 17, and the re-drinking rate was 56.67%. Conclusion: The therapeutic effect of the righteousness treatment combined with the drug treatment of alcohol dependence is significantly better than that of the simple drug treatment. Treatment through mindfulness cannot only reduce the degree of anxiety and depression of alcohol dependent patients, but also provide a new treatment concept forthe prevention of alcohol dependence in the future.