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身心取向疗法中的正念意识作为女性物质使用障碍治疗的辅助手段:一项试点可行性研究。

Mindful awareness in body-oriented therapy as an adjunct to women's substance use disorder treatment: a pilot feasibility study.

机构信息

Department of Biobehavioral Nursing and Health Systems, University of Washington, Seattle, WA 98195, USA.

出版信息

J Subst Abuse Treat. 2012 Jul;43(1):94-107. doi: 10.1016/j.jsat.2011.09.016. Epub 2011 Nov 25.

Abstract

This study examined mindful awareness in body-oriented therapy (MABT) feasibility as a novel adjunct to women's substance use disorder (SUD) treatment. As an individual therapy, MABT combines manual and mind-body approaches to develop interoception and self-care tools for emotion regulation. A 2-group randomized controlled trial repeated-measures design was used, comparing MABT to treatment as usual (TAU) on relapse to substance use and related health outcomes. Sixty-one women were screened for eligibility, and 46 enrolled. Participants randomized to MABT received 8 weekly MABT sessions. Results showed moderate to large effects, including significantly fewer days on substance use, the primary outcome, for MABT compared with TAU at posttest. Secondary outcomes showed improved eating disorder symptoms, depression, anxiety, dissociation, perceived stress, physical symptom frequency, and bodily dissociation for MABT compared with TAU at the 9-month follow-up. In conclusion, it is feasible to implement MABT in women's SUD treatment, and results suggest that MABT is worthy of further efficacy testing.

摘要

本研究考察了身体导向治疗(MABT)中的正念意识作为女性物质使用障碍(SUD)治疗的一种新辅助手段的可行性。作为一种个体治疗方法,MABT 将手动和身心方法相结合,为情绪调节开发了内感受和自我护理工具。采用 2 组随机对照试验重复测量设计,将 MABT 与常规治疗(TAU)进行比较,以评估物质使用复发和相关健康结果。对 61 名女性进行了资格筛选,其中 46 名符合条件。随机分配到 MABT 的参与者接受了 8 周的 MABT 治疗。结果显示出中等至较大的效果,包括与 TAU 相比,MABT 在测试后物质使用天数显著减少,这是主要结果。次要结果显示,与 TAU 相比,MABT 在 9 个月随访时改善了饮食障碍症状、抑郁、焦虑、分离、感知压力、身体症状频率和身体分离。总之,在女性 SUD 治疗中实施 MABT 是可行的,结果表明 MABT 值得进一步进行疗效测试。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/61d1/3290748/b0070bca7520/nihms329012f1.jpg

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