Margolin Arthur, Avants S Kelly, Arnold Ruth
Yale University School of Medicine, New Haven, Connecticut 06519, USA.
J Psychoactive Drugs. 2005 Dec;37(4):385-90. doi: 10.1080/02791072.2005.10399811.
In this study, 40 HIV-seropositive, cocaine abusing, methadone maintained drug users were randomized to either the standard five-needle National Acupuncture Detoxification Association (NADA) protocol or to a reduced, escalating dose (one to three needle) protocol. In addition to receiving their assigned acupuncture treatments, the last 15 patients also received a spirituality-focused group therapy intervention. Acupuncture treatments were offered five days per week for eight weeks. Urine samples were collected twice weekly and were analyzed for the presence of cocaine and heroin. Depression and anxiety were assessed pre- and post-treatment. Results showed no difference between the two acupuncture conditions on the number of weeks in which urine samples tested negative for illicit opiate and cocaine use. However, patients who received the spirituality-focused group therapy in addition to their assigned acupuncture treatment were abstinent from heroin and cocaine for significantly longer, and had greater reductions in depression and anxiety than did those patients not receiving spirituality-focused psychotherapy. These preliminary findings suggest that acupuncture and a spirituality-focused psychotherapy may be a synergistic combination worthwhile investigating in larger scale, controlled studies.
在本研究中，40名HIV血清反应阳性、滥用可卡因且维持美沙酮治疗的吸毒者被随机分为两组，一组接受标准的五针美国国家针灸戒毒协会（NADA）方案，另一组接受减少剂量且逐渐增加（一针至三针）的方案。除了接受指定的针灸治疗外，最后15名患者还接受了以精神性为重点的团体治疗干预。针灸治疗每周进行五天，持续八周。每周收集两次尿液样本，分析其中可卡因和海洛因的存在情况。在治疗前后评估抑郁和焦虑情况。结果显示，两种针灸方案在尿液样本检测出非法阿片类药物和可卡因呈阴性的周数方面没有差异。然而，除了接受指定的针灸治疗外还接受了以精神性为重点的团体治疗的患者，戒除海洛因和可卡因的时间明显更长，并且与未接受以精神性为重点的心理治疗的患者相比，抑郁和焦虑的减轻程度更大。这些初步研究结果表明，针灸和以精神性为重点的心理治疗可能是一种值得在更大规模的对照研究中进行调查的协同组合。
