“五步脱敏法”对甲基苯丙胺依赖患者成瘾记忆及自尊水平的影响

Effects of five-step desensitization therapy on addictive memory and self-esteem level in methamphetamine dependent patients

目的:探讨融眼动脱敏与再加工(EMDR)、内观、催眠、神经语言程式(NLP)及正面信念植入为一体的综合心理疗法-五步脱敏疗法对甲基苯丙胺依赖患者成瘾记忆及自尊水平的影响。方法:采用随机对照试验设计,选取5所强制戒毒机构内甲基苯丙胺依赖患者128例,随机分为脱敏组(n=65)和常规对照组(n=63)。对照组只接受常规戒毒康复训练,脱敏组在此基础上接受连续5天,每天90分钟的五步脱敏治疗。采用成瘾记忆强度量表(AMIS)和Rosenberg自尊量表(RSES)进行测评。结果:纳入分析的有效样本共116例。其中,脱敏组57例,对照组59例。脱敏组的AMIS得分下降水平优于对照组(P<0.001,Cohen’s d=0.67),RSES得分升高水平优于对照组(P<0.05,Cohen’s d=0.41)。结论:五步脱敏疗法能有效降低甲基苯丙胺依赖患者的成瘾记忆强度,提高其自尊水平。

Objective:To explore the effects of five-step desensitization therapy integrated with Eye Movement Desensitization and Reprocessing(EMDR),Vipassana,Hypnosis and Neuro-Linguistic Programming(NLP) on addictive memory and self-esteem levels in patients with methamphetamine dependence.Methods:Randomized control trial design was used,a total of 128 methamphetamine-dependent patients were selected from five compulsory isolation and drug rehabilitation centers,with 63 in the control group and 65 in the five-step desensitization group.The control group patients received the routine rehabilitation training for detoxification.While the desensitization group received five-step desensitization therapy for 90 minutes per day,5 consecutive days.The Addiction Memory Intensity Scale(AMIS) and the Rosenberg Self-Esteem Scale(RSES) were applied to measure the effect of intervention.Results:A total of 116 valid samples were included in the analysis.Among them,57 cases were in desensitization group and 59 were in the control group.The decrease of AMIS score(P<0.001,Cohen’ s d=0.67) and increase of RSES score(P<0.05,Cohen’ s d=0.41) were greater in the five-step desensitization group than in the control group.Conclusion:It suggests that five-step desensitization therapy could reduce the intensity of addictive memory and improve the self-esteem effectively in patients with methamphetamine dependence.