Nattala Prasanthi, Murthy Pratima, Meena K S
Department of Nursing, Centre for Addiction Medicine, Bengaluru, Karnataka, India.
Centre for Addiction Medicine, Bengaluru, Karnataka, India.
Indian J Psychiatry. 2018 Feb;60(Suppl 4):S529-S533. doi: 10.4103/psychiatry.IndianJPsychiatry_39_18.
A major goal of long-term management of substance use disorders is to empower recovering individuals in resisting drug use when confronted with real-world high-risk situations (cues). Since opportunities to reproduce and learn from real-life situations are limited in treatment settings, the key is to bring those real-world drug use cues to the treatment setting through vicarious learning. Cue-exposure approaches achieve this by presenting these cues while the usual drug-use response is prevented. This provides opportunity to practice how to deal with the cues before being discharged from the treatment setting. Videos are one way to present the cues as well as demonstrate how to deal with them successfully. In this article, we discuss our experiences with the use of videos to model relapse prevention strategies for specific cues, and provide some future directions for the use of video-based interventions for relapse prevention in substance use disorders.
物质使用障碍长期管理的一个主要目标是使康复者在面对现实世界中的高风险情况(线索)时能够有能力抵制药物使用。由于在治疗环境中重现和从现实生活情况中学习的机会有限,关键是通过替代性学习将那些现实世界中的药物使用线索引入治疗环境。线索暴露方法通过呈现这些线索同时防止通常的药物使用反应来实现这一点。这提供了在从治疗环境出院之前练习如何应对这些线索的机会。视频是呈现线索以及演示如何成功应对线索的一种方式。在本文中,我们讨论了使用视频为特定线索模拟预防复发策略的经验,并为基于视频的干预措施在物质使用障碍预防复发方面的应用提供了一些未来方向。