Menon Jayakrishnan, Kandasamy Arun
Centre for Addiction Medicine, National Institute of Mental Health and Neuro Sciences (NIMHANS), Bengaluru, Karnataka, India.
Indian J Psychiatry. 2018 Feb;60(Suppl 4):S473-S478. doi: 10.4103/psychiatry.IndianJPsychiatry_36_18.
Addiction and related disorders are chronic lapsing and relapsing disorders where the combination of long term pharmacological and psychosocial managements are the mainstay approaches of management. Among the psychosocial interventions, the Relapse Prevention (RP), cognitive-behavioural approach, is a strategy for reducing the likelihood and severity of relapse following the cessation or reduction of problematic behaviours. Here the assessment and management of both the intrapersonal and interpersonal determinants of relapse are undertaken. This article discusses the concepts of relapse prevention, relapse determinants and the specific interventional strategies.
成瘾及相关障碍是慢性复发性疾病,长期药物治疗和心理社会管理相结合是主要的治疗方法。在心理社会干预措施中,预防复发(RP)这种认知行为方法,是一种用于降低问题行为停止或减少后复发可能性及严重程度的策略。在此过程中,会对复发的个人内在因素和人际因素进行评估与管理。本文将探讨预防复发的概念、复发决定因素以及具体的干预策略。