Ziaaddini Hassan, Ebrahim-Nejad Batoul, Nakhaee Nouzar
Associate Professor, Department of Psychiatry, Shahid Beheshti Hospital, Kerman University of Medical Sciences, Kerman, Iran.
Family Counselor, Research Center for Health Services Management, Kerman University of Medical Sciences, Kerman, Iran.
Addict Health. 2013 Winter-Spring;5(1-2):1-6.
A significant number of opioid-dependent patients in Iran are now being treated by methadone maintenance therapy (MMT). One of the social complications of substance dependency is family disorganization and a decrease in marital satisfaction. This study aimed to determine the effect of group therapy based on the transtheoretical model of change on family functioning of the patients under MMT.
In this open clinical trial, 48 married people who were between the ages of 19 and 40, and under methadone maintenance therapy had been assigned to two random groups of test and control. In the intervention group, group therapy was held based on the transtheoretical model of behavior change, for 29 sessions (two times a week). To assess the overall health and pathology of the family, the two questionnaires Family Assessment Device (FAD) and Marital Conflict Questionnaire (MCQ), both with approved reliability and validity, were used.
A total of 24 patients in the control group and 23 patients in the intervention group (one person withdrew from the study in the early meetings) were evaluated. The mean ± SD of age of the control and intervention groups, respectively, were 33.9 ± 4.8 and 32.8 ± 4.3 (P = 0.40). Before the intervention began the average score of FAD and MCQ questionnaires between the two groups was comparable. After the intervention was over the score of each of the two questionnaires, with the adjustment of the baseline score, was lower in the treatment group than the control group, the difference was marginally significant (P < 0.10).
The family functioning of the MMT treated patients showed improvement. Therefore, with the use of stage-of-change and group therapy, steps can be taken for improving family functioning of these patients. Due to the relatively long duration and frequency of treatment sessions the feasibility of this intervention needs further research.
伊朗现在有大量阿片类药物依赖患者正在接受美沙酮维持治疗（MMT）。物质依赖的社会并发症之一是家庭混乱和婚姻满意度下降。本研究旨在确定基于行为改变跨理论模型的团体治疗对接受MMT治疗患者家庭功能的影响。
在这项开放性临床试验中，48名年龄在19至40岁之间且正在接受美沙酮维持治疗的已婚人士被随机分为试验组和对照组。在干预组中，基于行为改变跨理论模型进行团体治疗，共29节课程（每周两次）。为评估家庭的整体健康状况和病理情况，使用了两份经认可具有可靠性和有效性的问卷，即家庭评估量表（FAD）和婚姻冲突问卷（MCQ）。
对照组共24名患者和干预组23名患者（1人在早期会议中退出研究）接受了评估。对照组和干预组的平均年龄±标准差分别为33.9±4.8和32.8±4.3（P = 0.40）。干预开始前，两组之间FAD和MCQ问卷的平均得分具有可比性。干预结束后，在调整基线得分后，治疗组两份问卷的得分均低于对照组，差异具有边缘显著性（P < 0.10）。
接受MMT治疗患者的家庭功能有所改善。因此，通过使用改变阶段和团体治疗，可以采取措施改善这些患者的家庭功能。由于治疗课程的持续时间和频率相对较长，这种干预措施的可行性需要进一步研究。
