Aldemir Ebru, Berk Güneş, Coşkunol Hakan
Ege University Institute on Drug Abuse, Toxicology and Pharmaceutical Science, İzmir, Turkey.
Cambridgeshire and Peterborough NHS Foundation Trust, Cambridgeshire, England.
Noro Psikiyatr Ars. 2018 Jun 4;55(3):261-270. doi: 10.5152/npa.2017.19440. eCollection 2018 Sep.
The aim of this study is to evaluate the effectiveness of Addiction Programme of Probation (APP) created by the Substance Abuse Treatment Commission of Ministry of Health.
The sample was consisted of probationers who were referred to Ege University by probation offices in February 2010. Literate probationers aged above 18, who fulfilled the SCID-I criteria for substance dependence, or had positive urine sample for illegal drugs were included. The probationers were allocated respectively to three treatment groups: APP (n=28); Motivational Interviewing (MI; n=30); Individual Intervention (II; n=30). The effectiveness of the treatment modalities was assessed by the State Anxiety Inventory; the WHO Quality of Life-Brief form; the Treatment Motivation Questionnaire. Visual analogue and Likert-type scales were used to assess the sense of the importance and the readiness of quitting drugs also the levels of craving. Urine toxicological analyses were performed fortnightly.
The APP increased the readiness of quitting drugs. The MI increased both the sense of importance and readiness of quitting drugs, decreased the frequency and severity of craving. The II improved the mental and physical health, increased the confidence in treatment also readiness of quitting drugs. Additionally, II decreased the level of anxiety, the severity, frequency and duration of craving. There was a significant decrease in positive urine samples of all groups.
Because of changing only "the level of being ready to quit substance abuse", APP is considered as an inadequate program compared with MI and II.
本研究旨在评估由卫生部药物滥用治疗委员会制定的缓刑成瘾计划（APP）的有效性。
样本包括2010年2月由缓刑办公室转介至伊兹密尔大学的缓刑人员。纳入了年龄在18岁以上、识字、符合物质依赖的SCID-I标准或尿液非法药物检测呈阳性的缓刑人员。这些缓刑人员被分别分配到三个治疗组：APP组（n = 28）；动机性访谈组（MI；n = 30）；个体干预组（II；n = 30）。通过状态焦虑量表、世界卫生组织生活质量简表、治疗动机问卷评估治疗方式的有效性。使用视觉模拟量表和李克特式量表评估戒毒的重要性意识、准备程度以及渴望程度。每两周进行一次尿液毒理学分析。
APP提高了戒毒的准备程度。MI增加了戒毒的重要性意识和准备程度，降低了渴望的频率和强度。II改善了身心健康，增强了对治疗的信心以及戒毒的准备程度。此外，II降低了焦虑水平、渴望的强度、频率和持续时间。所有组的尿液阳性样本均显著减少。
由于APP仅改变了“准备戒除药物滥用的程度”，与MI和II相比，它被认为是一个不充分的计划。
