Marcus Marianne T, Schmitz Joy, Moeller Gerald, Liehr Patricia, Cron Stanley G, Swank Paul, Bankston Susan, Carroll Deidra D, Granmayeh L Kian
Center for Substance Abuse Education, and Prevention, and Research, University of Texas Health Science Center, Houston, 77030, USA.
Am J Drug Alcohol Abuse. 2009;35(2):103-8. doi: 10.1080/00952990902823079.
This trial compared Mindfulness-Based Stress Reduction, adapted for therapeutic community treatment (MBTC), with treatment as usual (TAU) for reducing stress and increasing retention in a residential facility for substance use disorders.
Four-hundred and fifty-nine participants, who met DSM-IV criteria for substance dependence were recruited (TAU = 164, MBTC = 295).
A survival analysis of time to dropout did not show a significant difference between groups, however level of participation in MBTC was associated with decreased likelihood of dropout (p = < .01), and higher Symptoms of Stress Inventory (SOSI) scores at baseline were associated with increased likelihood of dropout (p = .03).
The association between retention and level of stress on intake as well as level of participation in MBTC provides support for further research on integrating MBTC into therapeutic community treatment.
本试验比较了为治疗性社区治疗改编的基于正念的减压疗法（MBTC）与常规治疗（TAU）在减少物质使用障碍住院治疗机构中的压力及提高留治率方面的效果。
招募了459名符合DSM-IV物质依赖标准的参与者（常规治疗组=164人，MBTC组=295人）。
对退出时间的生存分析显示两组之间无显著差异，然而MBTC的参与程度与退出可能性降低相关（p =<.01），且基线时较高的压力症状量表（SOSI）得分与退出可能性增加相关（p =.03）。
留治率与入院时的压力水平以及MBTC参与程度之间的关联为进一步研究将MBTC纳入治疗性社区治疗提供了支持。
