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评估简短介入团体治疗对酒精使用障碍患者疾病严重程度、改变意愿、自我效能和动机水平的有效性:一项前后对照研究。

Assessing the effectiveness of brief interventional group therapy on severity of illness, readiness for change, self-efficacy and motivation levels in patients with alcohol use disorder: A pre-post study.

作者信息

Bagde Romesh, Kadiani Adnan, Kedare Janhavi, Shailly Smriti

机构信息

Department of Psychiatry, IGGMC, Nagpur, Maharashtra, India.

Department of Psychiatry, TNMC and BYL Nair Ch Hospital, Mumbai, Maharashtra, India.

出版信息

Ind Psychiatry J. 2024 Jul-Dec;33(2):299-304. doi: 10.4103/ipj.ipj_125_24. Epub 2024 Dec 17.

DOI:10.4103/ipj.ipj_125_24
PMID:39898066
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11784695/
Abstract

BACKGROUND

There has been an increase in the estimated burden of alcohol use disorders (AUD) in countries like India. Treatment of AUD needs to be multi model and can be pharmacological and Psychological is their approach. Brief interventions are an effective approach to reducing drinking.

AIM

To assess if brief group intervention has any change in the motivation stage, readiness to change scores, self efficacy levels of an individual.

MATERIALS & METHOD: Alcohol use disorder patients were included and pre intervention scales-Severity of Alcohol Dependence Questionnaire {SADQ}, Stage of change readiness and treatment eagerness, General Self efficacy scale, University of Rhodes Island change assessment scale were applied. Three Group sessions were taken on a weekly basis and scales were re applied at the end of 12 weeks.

RESULTS

A total of 83.33% of the participants were in early remission, the SADQ scores decreased in all participants, and 60% were in the Action phase of Motivation. Approximately 80% had a high score on the taking steps component of readiness to change scale and there was a statistically significant increase in the mean self efficacy score post intervention.

CONCLUSION

Brief group intervention involving psychoeducation and motivational enhancement techniques is a low cost, simple, and time saving behavioral intervention that not only increases rates of early remission but also leads to change in motivation and self efficacy levels.

摘要

背景

在印度等国家,酒精使用障碍(AUD)的估计负担有所增加。AUD的治疗需要采用多模式方法,可包括药物治疗和心理治疗。简短干预是减少饮酒的有效方法。

目的

评估简短的小组干预是否会使个体在动机阶段、改变意愿得分、自我效能水平方面发生任何变化。

材料与方法

纳入酒精使用障碍患者,并应用干预前量表——酒精依赖严重程度问卷(SADQ)、改变准备阶段和治疗渴望量表、一般自我效能量表、罗德岛大学改变评估量表。每周进行三次小组会议,并在12周结束时重新应用这些量表。

结果

共有83.33%的参与者处于早期缓解状态,所有参与者的SADQ得分均下降,60%处于动机的行动阶段。大约80%的人在改变意愿量表的采取步骤部分得分较高,干预后平均自我效能得分有统计学意义的增加。

结论

涉及心理教育和动机增强技术的简短小组干预是一种低成本、简单且节省时间的行为干预,不仅能提高早期缓解率,还能导致动机和自我效能水平的改变。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56a1/11784695/dfe2b0d9b911/IPJ-33-299-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56a1/11784695/dfe2b0d9b911/IPJ-33-299-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56a1/11784695/dfe2b0d9b911/IPJ-33-299-g001.jpg

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