心理健康专业人员对认知行为疗法治疗阿片类药物使用障碍的调查。
A mental health professional survey of cognitive-behavioral therapy for the treatment of opioid use disorder.
机构信息
School of Professional and Applied Psychology, Philadelphia College of Osteopathic Medicine, Philadelphia, Pennsylvania, USA.
出版信息
J Clin Psychol. 2021 Jul;77(7):1607-1613. doi: 10.1002/jclp.23170. Epub 2021 May 10.
OBJECTIVE
The objective of this survey was to obtain mental health professional perspectives on cognitive-behavioral therapy (CBT) for opioid use disorder (OUD) treatment.
METHODS
Respondents (N = 84) rated components of CBT for their efficacy in OUD treatment. Ratings were reported for the overall sample, by degree completed, and by clinicians versus nonclinicians. Respondents also ranked additional therapeutic strategies that might enhance the efficacy of CBT for OUD.
RESULTS
Respondents rated treatment alliance/rapport, coping skills, and motivational interviewing as the most effective CBT components for OUD. Forms and worksheets were rated as the least effective component. The most beneficial additions to CBT for OUD would be mindfulness, peer support, and medication adherence strategies. Finally, the survey responses suggested that addressing co-morbid mental health disorders and life stressors may be important within CBT treatment for OUD.
目的
本调查旨在了解心理健康专业人士对认知行为疗法（CBT）治疗阿片类药物使用障碍（OUD）的看法。
方法
受访者（N=84）对 CBT 治疗 OUD 的各个组成部分的疗效进行了评估。根据完成程度和临床医生与非临床医生对整体样本进行了评分。受访者还对可能增强 CBT 治疗 OUD 疗效的其他治疗策略进行了排名。
结果
受访者认为治疗联盟/融洽关系、应对技能和动机访谈是治疗 OUD 最有效的 CBT 组成部分。表格和工作表被评为最无效的组成部分。对 CBT 治疗 OUD 最有益的补充是正念、同伴支持和药物依从性策略。最后，调查结果表明，在 CBT 治疗 OUD 中，解决共病精神健康障碍和生活压力源可能很重要。
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