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交互分析团体治疗对接受美沙酮治疗的女性患者成瘾强度的有效性。

Effectiveness of Transactional Analysis Group Therapy on Addiction Intensity of Woman Patients Treated with Methadone.

作者信息

Etemadi-Chardah Niloofar, Matinpour Bahman, Heshmati Rasoul

机构信息

MSc Student, Department of Psychology, School of Educational Sciences and Psychology, University of Tabriz, Tabriz, Iran.

Department of Psychology, School of Educational Sciences and Psychology, University of Tabriz, Tabriz, Iran.

出版信息

Addict Health. 2017 Jul;9(3):146-155.

Abstract

BACKGROUND

Addiction brings about severe and profound physical, psychological and social damages such as divorce, crime, and unemployment. The present study was to investigate the effectiveness of transactional analysis (TA) therapy on addiction intensity of woman patients treated with methadone.

METHODS

The research design was quasi-experimental with a pretest-posttest and a control group. The statistical population consisted of all the addicted women who referred to any drug rehabilitation center of Tehran, Iran, in 2016. They were selected using available sampling. Forty addicted patients were placed randomly in both the experimental and control groups. Addiction severity index (ASI) and demographic questionnaires were used. Group therapy using TA approach was executed on the experimental group for 10 sessions, each session for 2 hours (one session per week).

FINDINGS

The results of covariance analysis after controlling pretest showed that the difference between test and control group was significant for three subscales of psychological, drug abuse and alcohol consumption status (P < 0.001). The difference between test and control groups was significant considering the seven-variable centroid (P < 0.001). The difference in dimensions of addiction intensity between the two groups was significant (P < 0.001). Also, analysis of the variables separately showed significant differences in psychiatric condition, drug and alcohol use dimensions (P < 0.001).

CONCLUSION

Based on these findings, it seems that group therapy using TA approach is effective in reducing addiction intensity of woman patients treated with methadone. Therefore, it can be concluded that TA group interventions account for 76% of the changes in psychological status, 43% of the changes in drug abuse status, and 49% of the changes in alcohol consumption status in woman patients under methadone treatment.

摘要

背景

成瘾会造成严重而深远的身体、心理和社会损害,如离婚、犯罪和失业。本研究旨在探讨交互分析(TA)疗法对接受美沙酮治疗的女性患者成瘾强度的有效性。

方法

研究设计为准实验性,采用前测-后测和对照组。统计总体包括2016年转诊至伊朗德黑兰任何戒毒中心的所有成瘾女性。采用便利抽样法进行选择。40名成瘾患者被随机分为实验组和对照组。使用成瘾严重程度指数(ASI)和人口统计学问卷。实验组采用TA方法进行团体治疗,共10次,每次2小时(每周一次)。

结果

控制前测后的协方差分析结果显示,实验组和对照组在心理、药物滥用和酒精消费状况三个子量表上的差异具有统计学意义(P<0.001)。考虑到七变量质心,实验组和对照组之间的差异具有统计学意义(P<0.001)。两组在成瘾强度维度上的差异具有统计学意义(P<0.001)。此外,对变量进行单独分析显示,在精神状况、药物和酒精使用维度上存在显著差异(P<0.001)。

结论

基于这些发现,采用TA方法的团体治疗似乎对降低接受美沙酮治疗的女性患者的成瘾强度有效。因此,可以得出结论,TA团体干预占美沙酮治疗女性患者心理状态变化的76%、药物滥用状态变化的43%和酒精消费状态变化的49%。

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