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关系心理治疗母亲小组:一项针对药物滥用母亲的随机临床试验。

Relational Psychotherapy Mothers' Group: a randomized clinical trial for substance abusing mothers.

作者信息

Luthar Suniya S, Suchman Nancy E, Altomare Michelle

机构信息

Department of Clinical and Counseling Psychology, Teachers College, Columbia University, P.O. Box 133, West 120th Street, New York, NY 10027, USA.

出版信息

Dev Psychopathol. 2007 Winter;19(1):243-61. doi: 10.1017/S0954579407070137.

Abstract

The purpose of this study was to ascertain the effectiveness of the Relational Psychotherapy Mothers' Group (RPMG), a supportive parenting group intervention for substance abusing women. Sixty mothers receiving RPMG were compared to 67 women receiving recovery training (RT); both treatments supplemented treatment in the methadone clinics. At the end of the 6-month treatment period, RPMG mothers showed marginally significant improvement on child maltreatment (self-reported) and cocaine abuse based on urinalyses when compared with RT mothers; notably, children of RPMG mothers reported significantly greater improvement in emotional adjustment and depression than children of RT mothers. At 6 months follow-up, however, treatment gains were no longer apparent. Overall, the findings suggest that whereas supportive parenting interventions for substance abusing women do have some preventive potential, abrupt cessation of the therapeutic program could have deleterious consequences.

摘要

本研究的目的是确定关系心理治疗母亲小组(RPMG)的有效性,这是一种针对药物滥用女性的支持性育儿小组干预措施。将60名接受RPMG的母亲与67名接受康复训练(RT)的女性进行比较;两种治疗方法都作为美沙酮诊所治疗的补充。在6个月的治疗期结束时,与接受RT的母亲相比,接受RPMG的母亲在虐待儿童(自我报告)和基于尿液分析的可卡因滥用方面有略微显著的改善;值得注意的是,接受RPMG的母亲的孩子在情绪调节和抑郁方面的改善明显大于接受RT的母亲的孩子。然而,在6个月的随访中,治疗效果不再明显。总体而言,研究结果表明,虽然针对药物滥用女性的支持性育儿干预措施确实具有一定的预防潜力,但治疗项目的突然停止可能会产生有害后果。

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