University of São Paulo- Institute of Psychiatry (USP-IPq), São Paulo, SP, Brazil.
Universidade Estadual do Mato Grosso do Sul, Campo Grande, MS, Brazil.
J Relig Health. 2023 Dec;62(6):4316-4333. doi: 10.1007/s10943-023-01830-7. Epub 2023 Jun 27.
Substance use disorders have significant consequences for patients and those around them. A qualitative systematic review was conducted to examine the effectiveness of religiosity and spirituality (R/S) interventions based on Judeo-Christian principles during the multidisciplinary treatment of patients with substance dependence disorder. Studies of patients of both sexes, at any age, of any nationality, and from any geographic location who were participating in treatment programs with religious elements explicitly tied to Christianity or Judaism were eligible for inclusion. Other religious interventions were excluded. Seven electronic databases were searched to identify eligible intervention studies published in English until August 2021. Two reviewers independently screened studies and extracted data. JBI tools were used to assess risk of bias. Of 146 articles retrieved for full text reading, five were ultimately included in this review published from July 2008 to August 2021. The R/S interventions used in the included studies were music therapy in a religious context, reading of the Bible or Torah, reflexive readings, personal prayer and reflection, and religiously integrated cognitive behavioral psychotherapy with or without a comparison group. Despite the broad search, there were found only a small number of studies and little homogeneity in the data of patients that reported positive impacts of treatments. Well-designed controlled studies are needed to truly investigate the efficacy of Judeo-Christian religious interventions for helping people with substance use problems, so as to strengthen the evidence of the benefits of these type of approaches in the treatment of drug addicts.
物质使用障碍会对患者及其周围的人造成重大影响。本研究进行了一项定性系统评价，以检查基于犹太教-基督教原则的宗教信仰和精神干预措施在物质依赖障碍患者的多学科治疗中的有效性。研究对象为参与治疗项目的男性和女性患者，无论年龄、国籍和地理位置如何，只要治疗项目中明确包含与基督教或犹太教有关的宗教元素即可纳入研究。其他宗教干预措施被排除在外。共检索了 7 个电子数据库，以确定截至 2021 年 8 月发表的符合条件的英文干预研究。两名评审员独立筛选研究并提取数据。使用 JBI 工具评估偏倚风险。在检索到的 146 篇全文阅读文章中，最终有 5 篇研究于 2008 年 7 月至 2021 年 8 月发表的文章纳入本次评价。纳入研究中使用的宗教信仰和精神干预措施包括宗教背景下的音乐疗法、阅读圣经或犹太教法典、反思性阅读、个人祈祷和反思，以及宗教结合认知行为心理疗法，有或没有对照组。尽管进行了广泛的检索，但只发现了少量研究，而且报告治疗效果的患者数据也缺乏同质性。需要进行精心设计的对照研究，以真正调查犹太教-基督教宗教干预措施对帮助有物质使用问题的人的疗效，从而加强此类方法在治疗吸毒者方面的益处的证据。
