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Advances in understanding addiction treatment and recovery.成瘾治疗与康复认知的进展。
Sci Adv. 2019 Oct 16;5(10):eaaz6596. doi: 10.1126/sciadv.aaz6596. eCollection 2019 Oct.
3
Effectiveness of Mindfulness-based Relapse Prevention on Quality of Life and Craving in Methadone-treated Patients: A Randomized Clinical Trial.基于正念的复发预防对美沙酮治疗患者生活质量和渴望的有效性:一项随机临床试验。
Addict Health. 2018 Oct;10(4):250-259. doi: 10.22122/ahj.v10i4.573.
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Motiv Emot. 2018;42(5):706-724. doi: 10.1007/s11031-018-9698-y. Epub 2018 May 17.
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Comparing Effectiveness of Mindfulness-Based Relapse Prevention with Treatment as Usual on Impulsivity and Relapse for Methadone-Treated Patients: A Randomized Clinical Trial.基于正念的复发预防与常规治疗对美沙酮治疗患者冲动性和复发的疗效比较:一项随机临床试验。
Addict Health. 2017 Jul;9(3):156-165.
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Experiential Avoidance and Bulimic Symptoms among Men in Residential Treatment for Substance Use Disorders: A Preliminary Examination.物质使用障碍住院治疗男性中的体验回避与暴食症状:初步考察。
J Psychoactive Drugs. 2018 Jan-Mar;50(1):81-87. doi: 10.1080/02791072.2017.1368746. Epub 2017 Sep 12.
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Measuring Experiential Avoidance: Evidence toward Multidimensional Predictors of Trauma Sequelae.测量经验性回避:创伤后遗症多维预测因素的证据
Behav Sci (Basel). 2017 Feb 20;7(1):9. doi: 10.3390/bs7010009.
8
Client Engagement in Legally-Mandated Addiction Treatment: A Prospective Study Using Self-Determination Theory.法律规定的成瘾治疗中的客户参与:一项运用自我决定理论的前瞻性研究。
J Subst Abuse Treat. 2016 Oct;69:35-43. doi: 10.1016/j.jsat.2016.06.006. Epub 2016 Jun 16.
9
Relapse Prevention and the Five Rules of Recovery.预防复发与康复的五条规则。
Yale J Biol Med. 2015 Sep 3;88(3):325-32. eCollection 2015 Sep.
10
Self-Determination Theory Applied to Health Contexts: A Meta-Analysis.自我决定理论在健康领域的应用:一项元分析。
Perspect Psychol Sci. 2012 Jul;7(4):325-40. doi: 10.1177/1745691612447309.

加强预防复发:探究经验性回避、整合性自我认知和基本心理需求在物质使用治疗中的影响。

Enhancing Relapse Prevention: Examining the Impact of Experiential Avoidance, Integrative Self-Knowledge, and Basic Psychological Needs in Substance Use Treatment.

作者信息

Ayaz Leila, Nazari Fatemeh

机构信息

Faculty of Humanities and Arts, Islamic Azad University, Zanjan Branch, Zanjan, Iran.

Department of Psychology, Faculty of Humanities and Arts, Islamic Azad University, Zanjan Branch, Zanjan, Iran.

出版信息

Addict Health. 2024 May;16(2):69-75. doi: 10.34172/ahj.2024.1359. Epub 2024 May 1.

DOI:10.34172/ahj.2024.1359
PMID:39051040
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11264483/
Abstract

BACKGROUND

The harmful effects of drug relapse have always been one of the major challenges in addiction treatment. The present study aimed to predict drug relapse in addicted men under treatment based on experiential avoidance, integrative self-knowledge, and basic psychological needs.

METHODS

The present study was a correlational one. The statistical population included all addicted men in Choubindar prison in Qazvin in 2021, among whom 200 individuals were selected randomly. Then, the participants filled out the Relapse Prediction Scale (RPS), Multidimensional Experiential Avoidance Questionnaire (MEAQ), Integrative Self-Knowledge Scale (ISK), and Basic Psychological Needs Scale (BPNS). Data were analyzed using stepwise regression via SPSS software (version 25).

FINDINGS

The results of the study demonstrated that some of the components of experiential avoidance including distraction, distress endurance, behavioral avoidance, and distress aversion could account for 14.0% of the variance of the relapse in the addicts (<0.05). Moreover, the obtained results considering the reflective self-knowledge component and the overall score of integrative self-knowledge could explain 15.0% of the variance in relapse in the addicts. Among the basic psychological needs, communication could predict 3.8% of the variance in relapse.

CONCLUSION

Based on the results of the present study, it is suggested that through addiction treatment and prevention of relapse programs, psychologists reduce drug relapse in addicts by decreasing distractions and behavioral avoidance, increasing distress endurance, enhancing self-knowledge, and improving efficient relationships.

摘要

背景

药物复吸的有害影响一直是成瘾治疗中的主要挑战之一。本研究旨在基于经验性回避、整合性自我认知和基本心理需求来预测接受治疗的成瘾男性的药物复吸情况。

方法

本研究为相关性研究。统计总体包括2021年加兹温Choubindar监狱中的所有成瘾男性,从中随机选取200人。然后,参与者填写了复吸预测量表(RPS)、多维经验性回避问卷(MEAQ)、整合性自我认知量表(ISK)和基本心理需求量表(BPNS)。使用SPSS软件(版本25)通过逐步回归对数据进行分析。

结果

研究结果表明,经验性回避的一些成分,包括分心、痛苦耐受、行为回避和痛苦厌恶,可解释成瘾者复吸变异的14.0%(<0.05)。此外,考虑到反思性自我认知成分和整合性自我认知总分所获得的结果可解释成瘾者复吸变异的15.0%。在基本心理需求中,交流可预测复吸变异的3.8%。

结论

基于本研究结果,建议心理学家通过成瘾治疗和预防复吸项目,通过减少分心和行为回避、增加痛苦耐受、增强自我认知以及改善有效人际关系来减少成瘾者的药物复吸。