Zargar Fatemeh, Bagheri Nasim, Tarrahi Mohammad Javad, Salehi Mehrdad
Department of Health Psychology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.
Department of Clinical Psychology, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, Iran.
Iran J Psychiatry. 2019 Oct;14(4):283-290.
Psychological and environmental factors, such as difficulties in emotion regulation (ER) and marital problems, are involved in relapse and craving in patients with substance use disorders. Emotional regulation therapy can help maintain opioid withdrawal and improve marital relations by focusing on appropriate adjustment of emotions. This study aimed to evaluate the effectiveness of emotion regulation therapy on craving, emotion regulation, and marital satisfaction in patients with substance use disorders. This randomized controlled clinical trial with pretest and posttest was performed in 2014 in Noor hospital, Isfahan, Iran. In this study, 30 patients who were admitted to the addiction center of Noor hospital were selected using purposive sampling. They were assigned into two groups randomly: (1) 15 patients in treatment as usual (TAU group); (2) 15 patients in emotion regulation group therapy (ERGT). The ERGT group received eight weekly treatments, based on Gross model, to learn recognize emotions and their effects, overcome obstacles of positive emotions, accept emotions, identify regulatory maladaptive and adaptive strategies of emotions, and modify behavior. Before and after the emotion regulation sessions in experimental group, Craving Beliefs Questionnaire (CBQ), Emotion Regulation Questionnaire, and Dyadic Adjustment Scale (DAS) were administered in both groups. The results of analysis of variance indicated that mean scores of marital adjustment increased in ERGT (93.66 ± 15.81) compared to TAU group (55.26 ± 20.98) and the mean scores of craving were decreased in ERGT compared to TAU group (56.66 ± 18.39 and 105.2 ± 34.5, respectively). Also, most aspects of ER improved in ERGT compared to TAU group, and the total score of ER was increased in ERGT significantly (96.69 ± 5.38 in ERGT versus 73.70 ± 5.05 in TAU). Based on the findings of this study, emotion regulation group therapy has a significant effect on reducing Craving and improving marital adjustment and emotion regulation in Patients with Substance Use Disorders. So, it can use as a useful psychotherapy in addiction treatment centers.
心理和环境因素，如情绪调节困难和婚姻问题，与物质使用障碍患者的复发和渴望有关。情绪调节疗法可以通过专注于情绪的适当调整来帮助维持阿片类药物戒断并改善婚姻关系。本研究旨在评估情绪调节疗法对物质使用障碍患者的渴望、情绪调节和婚姻满意度的有效性。 这项带有前测和后测的随机对照临床试验于2014年在伊朗伊斯法罕的努尔医院进行。在本研究中，采用目的抽样法从努尔医院成瘾中心收治的30名患者中选取研究对象。他们被随机分为两组：（1）15名患者接受常规治疗（常规治疗组）；（2）15名患者接受情绪调节团体治疗（情绪调节团体治疗组）。情绪调节团体治疗组根据格罗斯模型接受为期八周的治疗，以学习识别情绪及其影响、克服积极情绪的障碍、接受情绪、识别情绪调节的适应不良和适应策略以及改变行为。在实验组进行情绪调节疗程前后，两组均进行了渴望信念问卷（CBQ）、情绪调节问卷和二元调节量表（DAS）测评。 方差分析结果表明，与常规治疗组（55.26±20.98）相比，情绪调节团体治疗组的婚姻调适平均得分有所提高（93.66±15.81），与常规治疗组相比，情绪调节团体治疗组的渴望平均得分有所降低（分别为56.66±18.39和105.2±34.5）。此外，与常规治疗组相比，情绪调节团体治疗组的情绪调节在大多数方面都有所改善，情绪调节团体治疗组的情绪调节总分显著提高（情绪调节团体治疗组为96.69±5.38，常规治疗组为73.70±5.05）。基于本研究的结果，情绪调节团体治疗对减少物质使用障碍患者的渴望、改善婚姻调适和情绪调节有显著效果。因此，它可以作为成瘾治疗中心一种有用的心理治疗方法。
