心理社会干预和心理教育对改善物质使用问题患者照料者心理健康和认知功能的有效性：一项试点研究。
Effectiveness of Psychosocial Intervention and Psychoeducation in Improving Psychological Well-being and Cognitive Functioning in Caregivers of Substance Use Issues: A Pilot Study.
作者信息
Ashmitha K A Agnes, Gopal C N Ram, Sridhar O T Sabari, Kancharla Kinjari
机构信息
Faculty of Allied Health Sciences, Chettinad Hospital and Research Institute, Chettinad Academy of Research and Education, Kelambakkam, Tamil Nadu, India.
Department of Psychiatry, Sri Ramachandra Medical College and Research Institute, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India.
出版信息
Ann Neurosci. 2024 Jul;31(3):157-165. doi: 10.1177/09727531231185925. Epub 2023 Aug 16.
BACKGROUND
Family caregivers of individuals with substance use disorder (SUD) face significant challenges that can impact their well-being, coping abilities, and cognitive functioning. However, the empowerment of these caregivers often goes unnoticed, highlighting the need for supportive interventions.
PURPOSE
To develop and evaluate the effectiveness of a one-on-one intervention program for family caregivers of SUD patients using pre-test and post-test assessments.
METHODS
A pilot study was conducted using a randomized controlled trial design with 40 family caregivers of individuals with SUD. Through a lottery method, participants were randomly assigned to either the control or experimental groups, with each group consisting of 20 caregivers. The intervention program consisted of 12 one-on-one sessions. Pre-test and post-test assessments utilized the Ryff Psychological Well-being Scale, Ways of Coping, revised by Lazarus and Folkman, the Hamilton Anxiety Rating Scale, and the Kingston Caregiver Stress Scale. Descriptive and inferential statistics were analyzed using SPSS software.
RESULTS
Significant differences were observed between the control and experimental groups in psychological well-being, cognitive functioning, coping, anxiety, and stress ( < .01). The one-on-one intervention program significantly improved well-being and coping skills while reducing anxiety and stress levels. Consequently, the program empowered caregivers and enhanced their psychological resilience in the caregiving process.
CONCLUSION
The findings support the effectiveness of the one-on-one intervention program in enhancing the well-being, coping skills, cognitive functioning, anxiety, and stress levels of family caregivers of individuals with SUD. This intervention program has the potential to empower caregivers and enable them to better cope with the challenges they face in providing care.
背景
物质使用障碍（SUD）患者的家庭照顾者面临着重大挑战，这些挑战会影响他们的幸福感、应对能力和认知功能。然而，这些照顾者的赋权往往被忽视，这凸显了支持性干预措施的必要性。
目的
通过前后测试评估，开发并评估一项针对SUD患者家庭照顾者的一对一干预项目的有效性。
方法
采用随机对照试验设计进行了一项试点研究，共有40名SUD患者的家庭照顾者参与。通过抽签方法，参与者被随机分配到对照组或实验组，每组由20名照顾者组成。干预项目包括12次一对一辅导课程。前后测试评估使用了Ryff心理幸福感量表、由拉扎勒斯和福克曼修订的应对方式量表、汉密尔顿焦虑量表和金斯顿照顾者压力量表。使用SPSS软件进行描述性和推断性统计分析。
结果
对照组和实验组在幸福感、认知功能、应对、焦虑和压力方面存在显著差异（<.01）。一对一干预项目显著改善了幸福感和应对技能，同时降低了焦虑和压力水平。因此，该项目增强了照顾者的能力，并提高了他们在照顾过程中的心理复原力。
结论
研究结果支持一对一干预项目在提高SUD患者家庭照顾者的幸福感、应对技能、认知功能、焦虑和压力水平方面的有效性。这个干预项目有可能增强照顾者的能力，使他们能够更好地应对在提供照顾过程中面临的挑战。
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