住宅式和治疗性社区中心在预防药物滥用复发及减少药物使用者自我毁灭行为方面的比较。
Comparison of Residential and Therapeutic Community Centers in Preventing Substance Abuse Recurrence and Reducing Self-destructive Behaviors of Substance Users.
作者信息
Amani Malahat, Saemian Homa, Rezvan-Doust Hussein
机构信息
Department of Psychology, School of Humanities, University of Bojnord, Bojnord, Iran.
Counseling Center, Kosar University of Bojnord, Bojnord, Iran.
出版信息
Addict Health. 2019 Jan;11(1):43-50. doi: 10.22122/ahj.v11i1.227.
BACKGROUND
Substance abusers show extensive self-destructive behavior due to the nature of the disorder and chronic and recurrence conditions. Various plans are presented for treating substance abuse. The purpose of this study is to compare the residential and therapeutic community (TC) centers in preventing substance abuse recurrence and reducing self-destructive behaviors of substance abusers.
METHODS
The statistical population was all the substance abusers who referred to TC and residential centers that were under the supervision of Welfare Organization of North Khorasan Province, Iran. Five centers were selected by cluster random sampling method. The data colleting tools were self-reporting questionnaires of Resuscitation Predictor Scoring Scale (RPS Scale) and Self-Harm Inventory (SHI) filled out by patients who were staying in treatment for minimum of two weeks.
FINDINGS
There was no significant difference between two treatment methods in terms of reducing tendency to use substance. Also in terms of reducing self-destructive behavior, TC was more effective than residential treatment.
CONCLUSION
Considering the positive consequences of TC, motivational programs need to be established in order to increase the longevity of substance abusers in treatment.
背景
由于物质使用障碍的性质以及慢性和复发性状况，物质滥用者表现出广泛的自我毁灭行为。针对物质滥用提出了各种治疗方案。本研究的目的是比较住院治疗中心和治疗社区（TC）中心在预防物质滥用复发以及减少物质滥用者自我毁灭行为方面的效果。
方法
统计人群为所有转介至伊朗呼罗珊省北部福利组织监管下的TC中心和住院治疗中心的物质滥用者。采用整群随机抽样法选取了五个中心。数据收集工具是由住院治疗至少两周的患者填写的复苏预测评分量表（RPS量表）和自我伤害量表（SHI）的自我报告问卷。
结果
两种治疗方法在降低物质使用倾向方面没有显著差异。在减少自我毁灭行为方面，TC治疗比住院治疗更有效。
结论
考虑到TC治疗的积极效果，需要建立激励项目以提高物质滥用者的治疗时长。
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