Sahoo Sidhant Kumar, Bhattacharjee Dipanjan, Khanande Roshan V, Pachori Hariom, Khanra Sourav, Das Basudeb
Department of Psychiatric Social Work, Central Institute of Psychiatry, Ranchi, Jharkhand, India.
Department of Psychiatric Social Work, Post Graduate Institute of Behavioural and Medical Sciences, Raipur, Chhattisgarh, India.
Indian J Psychiatry. 2024 Sep;66(9):805-813. doi: 10.4103/indianjpsychiatry.indianjpsychiatry_634_21. Epub 2024 Sep 19.
Individuals experiencing alcohol dependence syndrome (ADS) may struggle with relapse due to various factors, even after receiving successful inpatient treatment. While motivation enhancement therapy (MET) and pharmacotherapy are commonly used interventions for ADS, incorporating task-centered casework (TCP) - a nondirective, goal-oriented, and time-limited approach - may yield promising outcomes.
This study examined the effects of adjunctive TCP in conjunction with pharmacotherapy and MET on frequently relapsing patients with ADS.
This study utilized a case-control design to evaluate the efficacy of combined therapies (pharmacotherapy, MET, and TCP) on 60 male subjects with a diagnosis of ADS and multiple admissions in a tertiary deaddiction center. The participants were divided equally into experimental and control groups, with the experimental group receiving all three therapies and the control group only receiving pharmacotherapy and MET. Both groups maintained their pharmacotherapy regimens throughout the 2-month study period. Assessments were conducted at baseline and the end of the study using various measures, including social-demographic and clinical data, the SAD-Q, ACQ SF-R, SOCRATES-8A, CIWA-Ar, and WHOQOL-BREF Hindi version.
The results of the study indicate that the experimental group exhibited a marked decrease in alcohol cravings, an increased willingness to make positive changes, and overall better treatment outcomes and quality of life compared to the control group. In patients with ADS who underwent treatment with MET, TCP, and pharmacotherapy, it was observed that cravings were a significant predictor of their quality of life and readiness to make changes.
TCP can be complemented with existing addiction therapies in the treatment of addiction because it has additional advantages in the form of nondirectiveness, goal orientation, time-limitedness, and collaboration between the therapist and the patient. ADS patients can benefit from this therapy by discovering their inert potential and identifying their shortcomings.
患有酒精依赖综合征（ADS）的个体即使在接受成功的住院治疗后，也可能因各种因素而难以避免复发。虽然动机增强疗法（MET）和药物疗法是治疗ADS常用的干预措施，但纳入以任务为中心的个案工作（TCP）——一种非指导性、目标导向且有时限的方法——可能会产生令人期待的结果。
本研究考察了辅助性TCP联合药物疗法和MET对ADS频繁复发患者的影响。
本研究采用病例对照设计，评估联合疗法（药物疗法、MET和TCP）对一家三级戒毒中心60名诊断为ADS且多次入院的男性受试者的疗效。参与者被平均分为实验组和对照组，实验组接受所有三种疗法，对照组仅接受药物疗法和MET。在为期2个月的研究期间，两组均维持其药物治疗方案。在基线和研究结束时使用各种测量方法进行评估，包括社会人口统计学和临床数据、SAD-Q、ACQ SF-R、SOCRATES-8A、CIWA-Ar以及WHOQOL-BREF印地语版本。
研究结果表明，与对照组相比，实验组的酒精渴望明显降低，做出积极改变的意愿增强，总体治疗效果和生活质量更好。在接受MET、TCP和药物疗法治疗的ADS患者中，观察到渴望是其生活质量和改变意愿的重要预测因素。
TCP可与现有的成瘾疗法相结合用于成瘾治疗，因为它具有非指导性、目标导向、有时限以及治疗师与患者协作等额外优势。ADS患者可通过发掘自身潜在惰性并认清自身不足而从这种疗法中受益。
