Margolin Arthur, Schuman-Olivier Zev, Beitel Mark, Arnold Ruth M, Fulwiler Carl E, Avants S Kelly
Yale University School of Medicine, Welch Center, New Haven, CT 06519, USA.
J Clin Psychol. 2007 Oct;63(10):979-99. doi: 10.1002/jclp.20407.
The purpose of this study was twofold. First, pretreatment correlations are presented among impulsivity, intoxicant use, HIV risk behavior, spirituality, and motivation in a sample of 38 HIV-positive drug users. Second, treatment outcomes are presented from a preliminary study of spiritual self-schema (3-S(+)) therapy - a manual-guided psychotherapy integrating cognitive and Buddhist psychologies - for increasing motivation for abstinence, HIV prevention, and medication adherence. Impulsivity was negatively correlated with spiritual practices and motivation for recovery, and was positively related to intoxicant use and HIV risk behavior. Relative to a standard care comparison condition, patients completing 3-S(+) therapy reported greater decreases in impulsivity and intoxicant use, and greater increases in spiritual practices and motivation for abstinence, HIV prevention, and medication adherence.
本研究有两个目的。其一，呈现了38名HIV阳性吸毒者样本中冲动性、毒品使用、HIV风险行为、灵性及动机之间的治疗前相关性。其二，展示了灵性自我图式（3-S(+)）疗法——一种整合认知心理学与佛教心理学的手册指导式心理治疗——的初步研究结果，该疗法用于增强戒酒动机、预防HIV及坚持服药。冲动性与灵性修行及康复动机呈负相关，与毒品使用及HIV风险行为呈正相关。相对于标准护理对照条件，完成3-S(+)疗法的患者报告称冲动性和毒品使用减少得更多，灵性修行以及戒酒、预防HIV和坚持服药的动机增加得更多。
