Facultad de Psicología, Universidad de Oviedo, Oviedo, Spain.
Psicothema. 2013;25(3):307-12. doi: 10.7334/psicothema2012.292.
Acceptance and Commitment Therapy is the third wave therapy with the greatest empirical evidence in the treatment of drug abuse.
Thirty-one women with substance use disorder (SUD) were randomly assigned to two conditions, an intervention based on Acceptance and Commitment Therapy (ACT) and a control group on a waiting list. All participants were assessed three times (before treatment, at the end, and at a six-month follow-up) using urinalysis, the Mini International Neuropsychiatric Interview (MINI), the Addiction Severity Index (ASI-6), the Anxiety Sensitivity Index, and the Acceptance and Action Questionnaire (AAQ-II).
After 16 ACT intervention sessions, abstinence rates of 27.8% were observed, increasing to 43.8% after six months. The treatment also promoted improvements in other areas, such as reductions in the percentage of comorbid psychopathology and anxiety sensitivity, and the increase of psychological flexibility, which, in general, were not documented in the comparison group.
Clinical gains were achieved, and we consider ACT to be an effective and appropriate treatment to be applied in the prison context.
接受与承诺疗法是在治疗药物滥用方面具有最大实证证据的第三波浪潮疗法。
31 名有物质使用障碍（SUD）的女性被随机分配到两种条件，一种是基于接受与承诺疗法（ACT）的干预，另一种是等待名单上的对照组。所有参与者在三次评估中使用尿样分析、迷你国际神经精神访谈（MINI）、成瘾严重程度指数（ASI-6）、焦虑敏感性指数和接受与行动问卷（AAQ-II）进行评估。
经过 16 次 ACT 干预疗程后，观察到 27.8%的戒断率，六个月后增加到 43.8%。治疗还促进了其他方面的改善，例如共病精神病理学和焦虑敏感性的百分比降低，以及心理灵活性的增加，而这些在对照组中并没有记录。
取得了临床收益，我们认为 ACT 是一种有效的、合适的治疗方法，可在监狱环境中应用。
