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本文引用的文献

1
Autonomic and affective mediators of the relationship between mindfulness and opioid craving among chronic pain patients.慢性疼痛患者中，正念与阿片类药物渴求之间关系的自主神经及情感调节因素
Exp Clin Psychopharmacol. 2019 Feb;27(1):55-63. doi: 10.1037/pha0000225. Epub 2018 Sep 27.
2
Suicidal ideation among adults with a recent sexual assault: Prescription opioid use and prior sexual assault.近期遭受性侵犯的成年人的自杀意念：处方阿片类药物使用与先前的性侵犯。
Addict Behav. 2018 Oct;85:120-124. doi: 10.1016/j.addbeh.2018.05.028. Epub 2018 May 31.
3
Physical and Sexual Dating Violence and Nonmedical Use of Prescription Drugs.身体暴力和性约会暴力以及处方药的非医疗使用。
Pediatrics. 2017 Dec;140(6). doi: 10.1542/peds.2017-2289.
4
A Randomized Clinical Trial Examining the Effect of Video-Based Prevention of Alcohol and Marijuana Use Among Recent Sexual Assault Victims.一项随机临床试验，旨在研究基于视频的预防近期性侵犯受害者酗酒和使用大麻的效果。
Alcohol Clin Exp Res. 2017 Dec;41(12):2163-2172. doi: 10.1111/acer.13505. Epub 2017 Oct 25.
5
The effect of post-traumatic stress disorder on the risk of developing prescription opioid use disorder: Results from the National Epidemiologic Survey on Alcohol and Related Conditions III.创伤后应激障碍对患处方阿片类药物使用障碍风险的影响：来自全国酒精及相关状况流行病学调查III的结果
Drug Alcohol Depend. 2017 Oct 1;179:260-266. doi: 10.1016/j.drugalcdep.2017.07.012. Epub 2017 Aug 8.
6
Mindfulness Meditation for Chronic Pain: Systematic Review and Meta-analysis.正念冥想治疗慢性疼痛：系统评价与荟萃分析
Ann Behav Med. 2017 Apr;51(2):199-213. doi: 10.1007/s12160-016-9844-2.
7
Mindfulness meditation-based pain relief: a mechanistic account.基于正念冥想的疼痛缓解：一种机制性解释。
Ann N Y Acad Sci. 2016 Jun;1373(1):114-27. doi: 10.1111/nyas.13153.
8
Past year non-medical opioid use and abuse and PTSD diagnosis: Interactions with sex and associations with symptom clusters.过去一年非医疗性阿片类药物的使用、滥用与创伤后应激障碍诊断：与性别的相互作用及与症状群的关联
Addict Behav. 2016 Jul;58:167-74. doi: 10.1016/j.addbeh.2016.02.019. Epub 2016 Feb 16.
9
Acceptance- and mindfulness-based interventions for the treatment of chronic pain: a meta-analytic review.基于接纳与正念的慢性疼痛治疗干预措施：一项荟萃分析综述
Cogn Behav Ther. 2016;45(1):5-31. doi: 10.1080/16506073.2015.1098724. Epub 2016 Jan 28.
10
A randomized controlled trial targeting alcohol use and sexual assault risk among college women at high risk for victimization.一项针对高受害风险的大学女生饮酒行为和性侵犯风险的随机对照试验。
Behav Res Ther. 2015 Nov;74:38-49. doi: 10.1016/j.brat.2015.08.007. Epub 2015 Aug 29.

近期性侵犯后处方阿片类药物滥用：视频干预的随机临床试验。

Prescription Opioid Misuse After a Recent Sexual Assault: A Randomized Clinical Trial of a Video Intervention.

机构信息

Department of Nursing, College of Nursing, Medical University of South Carolina, Charleston, SC.

Department of Psychiatry & Behavioral Sciences, Medical University of South Carolina, Charleston, SC.

出版信息

Am J Addict. 2019 Sep;28(5):376-381. doi: 10.1111/ajad.12922. Epub 2019 Jun 26.

DOI:10.1111/ajad.12922
PMID:31242340
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7354707/
Abstract

BACKGROUND AND OBJECTIVES

Prescription opioid (PO) misuse is increasing and is associated with overdose. Individuals who experienced a recent sexual assault are at risk for increased substance use, yet limited interventions target PO misuse after sexual assault. The current study examined the efficacy of video interventions on PO misuse after sexual assault.

METHODS

Adolescent girls and women (n = 154) were recruited in the context of a sexual assault medical forensic exam in the emergency department. Effects of a prevention of post-rape stress (PPRS) video and a pleasant imagery and relaxation instruction (PIRI) video were compared with treatment as usual (TAU) during a sexual assault medical forensic exam on PO misuse. Participants reported if they had used POs for non-medical purposes since the sexual assault at 1.5 month follow-up.

RESULTS

Results from a logistic regression analysis indicated that participants with a prior sexual assault were less likely to misuse prescription opioids 1.5 months after the assault in the PIRI condition compared with TAU. There were no main effects for video condition and no interactions for the PPRS condition on PO misuse.

DISCUSSION AND CONCLUSIONS

Providing the PIRI video, or teaching other types of mindfulness or relaxation exercises, may be warranted as a secondary prevention for individuals during the sexual assault medical forensic exam for those with a prior sexual assault history.

SCIENTIFIC SIGNIFICANCE

This research provides an initial examination of the impact of mindfulness skills recently after traumatic event exposure on PO misuse. (Am J Addict 2019;28:376-381).

摘要

背景与目的

处方类阿片（PO）滥用正在增加，并与过量用药有关。经历过近期性侵犯的个体存在增加物质使用的风险，然而，针对性侵犯后 PO 滥用的干预措施有限。本研究旨在评估视频干预措施对性侵犯后 PO 滥用的效果。

方法

在急诊室性侵犯医疗法医检查中招募了青少年女孩和妇女（n=154）。在性侵犯医疗法医检查中，比较了预防强奸后应激（PPRS）视频和愉快意象与放松指导（PIRI）视频对 PO 滥用的效果，与常规治疗（TAU）进行比较。参与者在 1.5 个月随访时报告了自性侵犯以来是否曾出于非医疗目的使用过 PO。

结果

逻辑回归分析的结果表明，与 TAU 相比，有既往性侵犯史的参与者在 PIRI 条件下，1.5 个月后性侵犯后 PO 滥用的可能性较低。视频条件无主效应，PPRS 条件也无交互作用。

讨论与结论

对于有既往性侵犯史的个体，在性侵犯医疗法医检查期间提供 PIRI 视频或教授其他类型的正念或放松练习可能是合理的二级预防措施。

科学意义

这项研究初步考察了创伤事件后不久使用正念技能对 PO 滥用的影响。（美国成瘾医学杂志 2019；28：376-381）。