基于依恋的团体干预对物质成瘾干预的假设模型

A hypothetical model of attachment-based group intervention for substance addiction intervention

物质成瘾者心瘾治疗缺少有效的矫治措施,团体心理干预作为治疗物质成瘾的重要手段其作用机制尚不明确。早期依恋损伤会影响情感调节系统发育以及增加成瘾的风险。本文归纳了基于依恋的情感调节与物质成瘾相关神经系统改变的联系,并讨论了神经系统的可塑性在其中的作用。团体干预可通过建立安全的环境发展成员的情感调节能力,从而引发神经系统层面的改变。提出团体干预减少复吸的假设模型,为团体干预物质成瘾的开展提供理论依据。

There is a lack of effective psychological treatment for substance addicts, and the mechanism underlying group psychotherapy is unclear. This paper summarizes the link between attachment-based affective regulation and neurological changes associated with substance addiction, and discusses the role of neurological plasticity. We proposed that group psychotherapy can develop members′ emotion regulation through the establishment of a safe environment, thereby triggering changes at the neurological level. A hypothetical model for group interventions to reduce relapse is proposed, providing a theoretical basis for the development of group interventions for substance addiction.