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分组动机性访谈仅对处于康复阶段的年轻酒精依赖患者有效。

Grouping motivational interviewing is only effective for younger patients with alcohol dependence in the rehabilitation stage.

作者信息

Yao Jing, Han Kun, Cui Hongmei, Chen Nan, Xiu Meihong, Wu Fengchun

机构信息

Peking University HuiLongGuan Clinical Medical School, Beijing HuiLongGuan Hospital, Beijing, China.

Qingdao Mental Health Center, Qingdao, China.

出版信息

Eur Arch Psychiatry Clin Neurosci. 2025 Mar;275(2):431-438. doi: 10.1007/s00406-023-01736-1. Epub 2023 Dec 20.

Abstract

Alcohol dependence (AD) is a risk factor for death and disability. Relapse prevention for AD has been exclusively dominated by psychotherapy intervention for many years. Our study aimed to investigate the efficacy of group motivational interviewing (MI) on the psychological craving for alcohol and depressive symptoms in AD patients in the rehabilitation phase, as well as the impact of age. The participants included 108 individuals with AD in the rehabilitation phase. All participants were assigned to the MI intervention group or the control group and were treated for 6 weeks. The severity of psychological craving for alcohol was assessed by the Penn Alcohol Craving Scale (PACS), and psychological status was evaluated by the Hamilton Depression Rating Scale (HAMD). We found that group MI significantly reduced the psychological craving for alcohol in patients with AD in the rehabilitation phase (p < 0.05). In addition, when patients were divided into two groups according to their ages, we found that group MI interventions tended to be effective only in younger patients with AD, but not in older patients. Our findings provide further evidence that the efficacy of group MI interventions was influenced by the age of patients with AD in the rehabilitation stage.

摘要

酒精依赖(AD)是导致死亡和残疾的一个风险因素。多年来,酒精依赖的复发预防一直完全由心理治疗干预主导。我们的研究旨在调查团体动机性访谈(MI)对康复期酒精依赖患者的心理酒瘾及抑郁症状的疗效,以及年龄的影响。研究对象包括108名处于康复期的酒精依赖个体。所有参与者被分配到动机性访谈干预组或对照组,并接受为期6周的治疗。采用宾夕法尼亚酒精渴望量表(PACS)评估心理酒瘾的严重程度,采用汉密尔顿抑郁量表(HAMD)评估心理状态。我们发现,团体动机性访谈显著降低了康复期酒精依赖患者的心理酒瘾(p < 0.05)。此外,当根据年龄将患者分为两组时,我们发现团体动机性访谈干预仅对年轻的酒精依赖患者有效,而对老年患者无效。我们的研究结果进一步证明,团体动机性访谈干预的疗效受康复期酒精依赖患者年龄的影响。

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