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宗教-精神团体治疗对美沙酮治疗患者精神健康和生活质量的有效性:一项随机临床试验

Effectiveness of Religious-Spiritual Group Therapy on Spiritual Health and Quality of Life in Methadone-treated Patients: A Randomized Clinical Trial.

作者信息

Yaghubi Mehdi, Abdekhoda Mohammad, Khani Samira

机构信息

Spiritual Health Research Center, Qom University of Medical Sciences, Qom, Iran.

Tavallodi Dobareh Substance Abuse Treatment Center, Qom, Iran.

出版信息

Addict Health. 2019 Jul;11(3):156-164. doi: 10.22122/ahj.v11i3.238.

Abstract

BACKGROUND

Spirituality is one of the most important factors that can contribute to the recovery of substance use disorder (SUD). The objective of this study is to evaluate the efficacy of the religious-spiritual group therapy on the spiritual health and the quality of life in methadone-treated patients.

METHODS

This study was carried out in Qom City, Iran, in 2018. 72 methadone-treated patients were randomly selected and assigned in two groups: the experimental group (which received religious-spiritual therapy) and control group (which received no treatment). At the beginning of the study (pre-test), eight weeks after the start of the study (post-test), and three months after the start of the study (follow-up test), all participants completed the World Health Organization Quality of Life-BREF (WHOQOL-BREF) questionnaire and the Spiritual Well-Being Scale (SWBS). Participants in the experimental group received 8 sessions (90 minutes for each session) of spiritual and religious training, while the control group received no religious-spiritual intervention; it just was trained with general information on addiction. Data were analyzed using SPSS software and descriptive and inferential statistics methods.

FINDINGS

The results of repeated measures analysis of variance (ANOVA) showed that there was no significant difference between the intervention and control groups in the pretest, but religious-spiritual training significantly increased spiritual health and the patients' quality of life (P < 0.001).

CONCLUSION

Religious-spiritual education can improve the quality of life and spiritual well-being in methadone-treated patients. The findings suggest that religious -spiritual education can be considered as an inexpensive, accessible, useful, and effective treatment for SUD treatment.

摘要

背景

精神信仰是有助于物质使用障碍(SUD)康复的最重要因素之一。本研究的目的是评估宗教 - 精神团体治疗对接受美沙酮治疗患者的精神健康和生活质量的疗效。

方法

本研究于2018年在伊朗库姆市进行。随机选取72名接受美沙酮治疗的患者,分为两组:实验组(接受宗教 - 精神治疗)和对照组(不接受治疗)。在研究开始时(预测试)、研究开始8周后(后测试)以及研究开始3个月后(随访测试),所有参与者均完成了世界卫生组织生活质量简表(WHOQOL - BREF)问卷和精神幸福感量表(SWBS)。实验组的参与者接受了8次(每次90分钟)的精神和宗教培训,而对照组未接受宗教 - 精神干预,仅接受了关于成瘾的一般信息培训。使用SPSS软件以及描述性和推断性统计方法对数据进行分析。

结果

重复测量方差分析(ANOVA)结果显示,干预组和对照组在预测试中无显著差异,但宗教 - 精神培训显著提高了精神健康和患者的生活质量(P < 0.001)。

结论

宗教 - 精神教育可以改善接受美沙酮治疗患者的生活质量和精神幸福感。研究结果表明,宗教 - 精神教育可被视为一种廉价、易获得、有用且有效的SUD治疗方法。

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