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使用传统亚马逊医学的新型成瘾治疗项目中的治疗期间变化。

Within-treatment changes in a novel addiction treatment program using traditional Amazonian medicine.

作者信息

O'Shaughnessy David M, Berlowitz Ilana, Rodd Robin, Sarnyai Zoltán, Quirk Frances

机构信息

College of Medicine and Dentistry, James Cook University, Townsville, QLD 4811, Australia.

Department of Psychology, University of Fribourg, Fribourg, Switzerland.

出版信息

Ther Adv Psychopharmacol. 2021 Jan 25;11:2045125320986634. doi: 10.1177/2045125320986634. eCollection 2021.

Abstract

AIMS

The therapeutic use of psychedelics is regaining scientific momentum, but similarly psychoactive ethnobotanical substances have a long history of medical (and other) uses in indigenous contexts. Here we aimed to evaluate patient outcomes in a residential addiction treatment center that employs a novel combination of Western and traditional Amazonian methods.

METHODS

The study was observational, with repeated measures applied throughout treatment. All tests were administered in the center, which is located in Tarapoto, Peru. Data were collected between 2014 and 2015, and the study sample consisted of 36 male inpatients who were motivated to seek treatment and who entered into treatment voluntarily. Around 58% of the sample was from South America, 28% from Europe, and the remaining 14% from North America. We primarily employed repeated measures on a psychological test battery administered throughout treatment, measuring perceived stress, craving frequency, mental illness symptoms, spiritual well-being, and physical and emotional health. Addiction severity was measured on intake, and neuropsychological performance was assessed in a subsample from intake to at least 2 months into treatment.

RESULTS

Statistically significant and clinically positive changes were found across all repeated measures. These changes appeared early in the treatment and were maintained over time. Significant improvements were also found for neuropsychological functioning.

CONCLUSION

These results provide evidence for treatment safety in a highly novel addiction treatment setting, while also suggesting positive therapeutic effects.

摘要

目的

迷幻剂的治疗用途正在重新获得科学关注,但具有类似精神活性的民族植物药在本土环境中有着悠久的医学(及其他)应用历史。在此,我们旨在评估一家采用西方与传统亚马逊方法新组合的住院成瘾治疗中心的患者治疗效果。

方法

本研究为观察性研究,在整个治疗过程中采用重复测量。所有测试均在位于秘鲁塔拉波托的该中心进行。数据收集于2014年至2015年期间,研究样本包括36名自愿寻求治疗且有治疗意愿的男性住院患者。样本中约58%来自南美洲,28%来自欧洲,其余14%来自北美洲。我们主要在整个治疗过程中对一套心理测试进行重复测量,测量感知压力、渴望频率、精神疾病症状、精神幸福感以及身心健康状况。在入院时测量成瘾严重程度,并在从入院到治疗至少2个月的一个子样本中评估神经心理表现。

结果

在所有重复测量中均发现了具有统计学意义且临床呈阳性的变化。这些变化在治疗早期出现并随时间维持。神经心理功能也有显著改善。

结论

这些结果为一种高度新颖的成瘾治疗环境中的治疗安全性提供了证据,同时也表明了积极的治疗效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6dbb/7841703/9fd1a84f3e9c/10.1177_2045125320986634-fig1.jpg

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