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通过接纳与承诺疗法减少药物滥用中的自我污名化:模型、手册开发及初步结果

Reducing self-stigma in substance abuse through acceptance and commitment therapy: Model, manual development, and pilot outcomes.

作者信息

Luoma Jason B, Kohlenberg Barbara S, Hayes Steven C, Bunting Kara, Rye Alyssa K

机构信息

University of Nevada, Reno, NV 89557-0062, USA.

出版信息

Addict Res Theory. 2008;16(2):149-165. doi: 10.1080/16066350701850295. Epub 2009 Jul 11.

DOI:10.1080/16066350701850295
PMID:27746709
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5064952/
Abstract

Little is known about the assessment and treatment of self-stigma in substance abusing populations. This article describes the development of an acceptance based treatment (Acceptance and Commitment Therapy - ACT) for self-stigma in individuals in treatment for substance use disorder. We report initial outcomes from a study with 88 participants in a residential treatment program. The treatment involves 6 h of a group workshop focused on mindfulness, acceptance, and values work in relation to self-stigma. Preliminary outcomes showed medium to large effects across a number of variables at post-treatment. Results were as expected with one potential process of change, experiential avoidance, but results with other potential mediators were mixed.

摘要

对于药物滥用人群中自我污名化的评估和治疗,我们所知甚少。本文描述了一种基于接纳的治疗方法(接纳与承诺疗法——ACT)的发展,该方法用于治疗物质使用障碍患者的自我污名化。我们报告了一项针对88名住院治疗项目参与者的研究的初步结果。该治疗包括一个为期6小时的团体工作坊,重点是与自我污名化相关的正念、接纳和价值观探索。初步结果显示,治疗后在多个变量上有中等到较大的效果。一个潜在的改变过程——经验性回避的结果符合预期,但其他潜在中介变量的结果则好坏参半。

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本文引用的文献

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Subst Use Misuse. 2007;42(2-3):399-409. doi: 10.1080/10826080601142196.
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An investigation of stigma in individuals receiving treatment for substance abuse.对接受药物滥用治疗的个体的污名化调查。
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Persisting with Purpose: Using Acceptance and Commitment Therapy to Target Comorbid Opioid Use Disorder and Chronic Pain in a Racially and Economically Marginalized Population.坚守目标:在一个种族和经济上处于边缘地位的人群中,运用接纳与承诺疗法治疗共病的阿片类物质使用障碍和慢性疼痛
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Stigma and Behavior Change Techniques in Substance Use Recovery: Qualitative Study of Social Media Narratives.物质使用康复中的耻辱感与行为改变技巧:社交媒体叙事的定性研究
JMIR Form Res. 2025 Mar 26;9:e57468. doi: 10.2196/57468.
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Is the social withdrawal subscale a valid instrument to assess social withdrawal among colorectal cancer survivors with permanent stomas? A validation study.社交退缩分量表是评估永久性造口结直肠癌幸存者社交退缩情况的有效工具吗?一项效度研究。
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Effectiveness of Extended Screening and Brief Intervention (X-SBI) on Substance Misuse and Related Outcomes in Correctional Settings.扩展筛查与简短干预(X-SBI)对惩教机构中物质滥用及相关结果的有效性
Indian J Psychol Med. 2025 Jan 30:02537176241313210. doi: 10.1177/02537176241313210.
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Study protocol for a pilot randomised controlled trial of a virtually delivered behavioural intervention (ACTION) for adults with cancer at risk for opioid use disorder.针对有阿片类物质使用障碍风险的成年癌症患者的虚拟交付行为干预(ACTION)试点随机对照试验的研究方案。
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Borderline personality disorder, stigma, and treatment implications.边缘型人格障碍、污名化及其治疗意义。
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