Li Li, Hien Nguyen Tran, Lin Chunqing, Tuan Nguyen Anh, Tuan Le Anh, Farmer Shu C, Detels Roger
Semel Institute for Neuroscience and Human Behavior, Center for Community Health, University of California.
National Institute of Hygiene and Epidemiology.
Psychol Addict Behav. 2014 Jun;28(2):607-13. doi: 10.1037/a0033926. Epub 2013 Sep 30.
Family plays an important role in the lives of injecting drug users (IDUs) in Vietnam. This study examined the preliminary outcomes of an intervention targeting IDUs and their family members in Vietnam. Eighty-three families, including 83 IDUs and 83 family members, were recruited from 4 communes in Phú Tḥo Province, Vietnam. The 4 communes were randomized to either an intervention condition or a standard care condition. The IDUs and their family members in the intervention condition completed 4 group sessions, with the aims to improve their mental health and family relations and to promote positive behavioral change. The intervention effect was evaluated at baseline and 3- and 6-month follow-up assessments. A significant reduction in depressive symptoms and improvement in family functioning were reported for IDUs in the intervention group compared with those in the standard care group. The family members in the intervention group reported better coping skills at 3 months, fewer depressive symptoms at 6 months, and improved family function at both 3 and 6 months compared with those in the standard care group. However, no significant intervention effect was observed for IDUs in terms of drug-using behavior. This study demonstrates the feasibility and preliminary outcomes of an intervention that simultaneously targets IDUs and their family members in Vietnam. Study findings highlight the importance of including family members and enhancing their role in drug use intervention efforts.
在越南,家庭在注射吸毒者(IDUs)的生活中扮演着重要角色。本研究调查了针对越南注射吸毒者及其家庭成员的一项干预措施的初步成果。从越南富寿省的4个公社招募了83个家庭,包括83名注射吸毒者和83名家庭成员。这4个公社被随机分为干预组或标准护理组。干预组的注射吸毒者及其家庭成员完成了4次小组会议,目的是改善他们的心理健康和家庭关系,并促进积极的行为改变。在基线以及3个月和6个月的随访评估中对干预效果进行了评估。与标准护理组相比,干预组的注射吸毒者抑郁症状显著减轻,家庭功能得到改善。与标准护理组相比,干预组的家庭成员在3个月时报告有更好的应对技巧,在6个月时抑郁症状更少,在3个月和6个月时家庭功能均得到改善。然而,在吸毒行为方面,未观察到干预组的注射吸毒者有显著的干预效果。本研究证明了在越南同时针对注射吸毒者及其家庭成员的一项干预措施的可行性和初步成果。研究结果强调了将家庭成员纳入并增强他们在吸毒干预工作中作用的重要性。