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针对甲基苯丙胺依赖探索并建立基于评估的精准综合干预模式 被引量:1

Exploring and establishing a whole course and accurate intervention model based on repeatedly measurement-based assessments for methamphetamine dependence
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摘要 甲基苯丙胺(methamphetamine,MA)具有神经毒性大、心理依赖更强的特点,目前MA依赖尚缺乏有效干预措施。本课题组针对MA依赖的脑病理损害及临床特征,开发构建虚拟现实渴求评估系统,认知、冲动损害评估,态势分析法分析社会心理因素等新型多维度评估指标;并研发计算机化认知康复训练技术、针对降低心理渴求的精准化神经调控干预、正念防复吸和音乐治疗技术及基于移动医疗技术社区戒毒电子系统。在此基础上,我们提出针对MA依赖建立基于评估的精准综合干预模式,即全病程(whole course)、精准化(accurate)、持续的(repeatedly)、基于临床评估的(measurement-based)综合干预模式,简称WARM模式。WARM模式从MA依赖者不同阶段面临的问题入手,致力于实现MA患者的多维度康复,并将进一步探索人工智能辅助的新布局。 Methamphetamine(MA)has the characteristics of neurotoxicity and strong psychological dependence.At present,there is a lack of effective intervention for MA dependence.Aiming at the brain pathological damage and clinical characteristics of MA dependence,new multi-dimensional evaluation instruments were developed including virtual reality craving evaluation system,cognitive and impulsive damage assessment,and SWOT(strengths,weaknesses,opportunities and threats)analysis.Rehabilitation interventions were also investigated and developed including computerized cognitive addiction therapy,precise neuroregulatory intervention aimed at reducing craving,music therapy,and community-based addiction rehabilitation electronic system.On this basis,On this basis,we propose to establish a whole course and accurate intervention model based on repeatedly measurement-based assesments for MA dependence,or WARM model.The WARM model focuses on the difficulties of MA dependence at different stages and is committed to multi-dimensional rehabilitation of MA patients.The WARM model will further be explored with the assistance of artificial intelligence.
作者 李瑞华 陈天真 江海峰 苏杭 杜江 赵敏 Li Ruihua;Chen Tianzhen;Jiang Haifeng;Su Hang;Du Jiang;Zhao Min(Shanghai Mental Health Center,Shanghai Jiao Tong University School of Medicine,Shanghai 200030,China)
出处 《中华精神科杂志》 CAS CSCD 北大核心 2022年第2期83-89,共7页 Chinese Journal of Psychiatry
基金 科技部国家重点研发计划项目(2017YFC1310400)。
关键词 甲基苯丙胺 依赖(心理学) 全病程 基于临床评估 多维度评估 综合干预 Methamphetamine Dependencies(Psychology) Whole course Measurement-based Multi-dimensional evaluation Comprehensive intervention
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