Twohig Michael P, Shoenberger Deacon, Hayes Steven C
University of Nevada, Reno, USA.
J Appl Behav Anal. 2007 Winter;40(4):619-32. doi: 10.1901/jaba.2007.619-632.
In this investigation, 3 adults who met criteria for marijuana dependence were treated using an abbreviated version of acceptance and commitment therapy (ACT). The treatment was delivered in eight weekly 90-min individual sessions. The effects of the intervention were assessed using a nonconcurrent multiple baseline across participants design. Self-reported marijuana use, confirmed through oral swabs, reached zero levels for all participants at posttreatment. At a 3-month follow-up, 1 participant was still abstinent and the other 2 were using but at a lower average level of consumption compared to baseline. Depression, anxiety, withdrawal symptoms, and general levels of experiential avoidance generally improved. This preliminary test suggests that additional development and testing of ACT for marijuana use are warranted.
在本研究中，3名符合大麻依赖标准的成年人接受了接纳与承诺疗法（ACT）的简化版治疗。治疗以每周一次、每次90分钟的个体治疗形式进行，共八次。采用跨参与者的非同期多重基线设计评估干预效果。通过口腔拭子确认，所有参与者在治疗后的自我报告大麻使用量均降至零水平。在3个月的随访中，1名参与者仍保持戒断状态，另外2名参与者仍在使用大麻，但与基线相比，平均使用量较低。抑郁、焦虑、戒断症状以及经验性回避的总体水平普遍有所改善。这项初步测试表明，有必要对ACT用于大麻使用问题进行进一步的开发和测试。
