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基于认知行为模型的干预对酒精使用障碍患者抑郁、焦虑及自我效能的影响

The Effects of Cognitive-Behavioral Model-Based Intervention on Depression, Anxiety, and Self-Efficacy in Alcohol Use Disorder.

作者信息

Can Gür Ganime, Okanli Ayşe

机构信息

1 University of Atatürk, Erzurum, Turkey.

2 University of Medeniyet, İstanbul, Turkey.

出版信息

Clin Nurs Res. 2019 Jan;28(1):52-78. doi: 10.1177/1054773817722688. Epub 2017 Aug 4.

Abstract

Exercise is constantly gaining attention as adjuvant treatment for alcohol use disorder (AUD), supplementing classical pharmacological and psychotherapeutic approaches. The aim of this study was to determine the effects of cognitive-behavioral model-based (CBM-based) intervention on the depression, anxiety, and self-efficacy levels in AUD. This quasi-experimental study was conducted using pre- and posttests and repeated measurements with a control group; it was completed between February 2015 and August 2015 in Turkey. Participants were 41 individuals with AUD, 20 in the experimental group and 21 in the control group. The individuals in the experimental group performed aerobic exercise 3 days a week as well as attended the psychoeducation provided 1 day a week. The difference between mean scores of the individuals in the experimental and control groups taken in posttest and 4-month follow-up test in the Beck Depression Inventory (BDI) as well as the difference between mean posttest scores in the Beck Anxiety Inventory (BAI) and Self-Efficacy Scale (SES) were found to be statistically significant ( p < .05). In the intragroup comparisons, a significant difference was found between the "BDI," "BAI," and "SES" measurement times ( p < .05). It was concluded that CBM-based intervention was effective in reducing depression and anxiety, increasing self-efficacy in individuals with AUD. Appropriate nurse-managed CBM-based intervention for individuals with AUD can promote their health.

摘要

运动作为酒精使用障碍(AUD)的辅助治疗方法,正不断受到关注,它补充了传统的药物治疗和心理治疗方法。本研究的目的是确定基于认知行为模型(CBM)的干预对AUD患者抑郁、焦虑和自我效能水平的影响。这项准实验研究采用了前后测和对照组重复测量的方法;于2015年2月至2015年8月在土耳其完成。参与者为41名AUD患者,实验组20人,对照组21人。实验组的个体每周进行3天有氧运动,并每周参加1天的心理教育。实验组和对照组个体在贝克抑郁量表(BDI)后测和4个月随访测试中的平均得分差异,以及贝克焦虑量表(BAI)和自我效能量表(SES)后测平均得分差异均具有统计学意义(p < .05)。在组内比较中,“BDI”、“BAI”和“SES”测量时间之间存在显著差异(p < .05)。研究得出结论,基于CBM的干预对降低AUD患者的抑郁和焦虑、提高自我效能有效。对AUD患者进行适当的基于CBM的护士管理干预可以促进他们的健康。

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