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酒精使用障碍患者中与自我表露及复发风险相关的心理韧性

Resilience Associated with Self-Disclosure and Relapse Risks in Patients with Alcohol Use Disorders.

作者信息

Yamashita Ayako, Yoshioka Shin-Ichi

机构信息

Graduate School of Medical Sciences, Tottori University, Yonago 683-8503, Japan; †Department of Nursing, Niimi College, Niimi 718-8585, Japan.

‡Department of Nursing Care Environment and Mental Health, School of Health Science, Tottori University Faculty of Medicine, Yonago 683-8503, Japan.

出版信息

Yonago Acta Med. 2016 Dec 26;59(4):279-287. eCollection 2016 Dec.

Abstract

BACKGROUND

The aim of this study was to clarify the self-disclosure and risks of relapse associated with promoting resilience of patients with alcohol use disorders (AUD) and participating in self-help groups.

METHODS

An anonymous, self-administered questionnaire survey was administered to 48 patients with AUD and participating in self-help groups; this questionnaire consisted of basic attributes, a bidimensional resilience scale to assess both innate and acquired resilience factors, a scale to assess depth of self-disclosure, and a scale assessing relapse risks. We conducted an evaluation by dividing the respondents into a high group and low group based on their median values for both innate and acquired resilience.

RESULTS

Innate/acquired resilience had a mutually reinforcing relationship, and, compared with the low resilience group, the high resilience group had significantly reduced risks for relapses and resulted in deeper self-disclosure.

CONCLUSION

Patients with high resilience had lower risk of alcohol relapse and deeper self-disclosure. The results suggest that one way of supporting patients with AUD in recovery is assisting them in building personal relationships with others and in deepening self-disclosure in a setting where they can relax, thus promoting their natural ability to recover.

摘要

背景

本研究旨在阐明与促进酒精使用障碍(AUD)患者的恢复力及参与自助小组相关的自我表露和复发风险。

方法

对48名患有酒精使用障碍且参与自助小组的患者进行了一项匿名的自填式问卷调查;该问卷包括基本属性、一个用于评估先天和后天恢复力因素的二维恢复力量表、一个用于评估自我表露深度的量表以及一个评估复发风险的量表。我们根据先天和后天恢复力的中位数将受访者分为高分组和低分组进行评估。

结果

先天/后天恢复力存在相互促进的关系,与低恢复力组相比,高恢复力组的复发风险显著降低,且自我表露更深。

结论

恢复力高的患者酒精复发风险较低且自我表露更深。结果表明,支持酒精使用障碍患者康复的一种方法是帮助他们在能够放松的环境中与他人建立人际关系并加深自我表露,从而促进他们自然的康复能力。

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