Rawson R A, Mann A J, Tennant F S, Clabough D
Drug Alcohol Depend. 1983 Oct;12(2):197-200. doi: 10.1016/0376-8716(83)90045-5.
Structured, psychotherapeutic counselling during 21-day heroin detoxification was evaluated by randomly assigning a group of 25 heroin addicts to a detoxification treatment regimen with mandatory counselling by a therapist and 25 to a control group who received only standard detoxification without counselling. There was no significant difference between groups in the number who successfully detoxified as measured by conversion of morphine positive urine to morphine negative urine. The counselling intervention group did, however, improve the attendance of subjects while in detoxification treatment, and significantly more patients entered long-term treatment following detoxification. Maximal use of a counselor during 21-day heroin detoxification may best be realized by directing therapy toward engaging patients in long-term care.
在21天的海洛因戒毒过程中,对结构化心理治疗咨询进行了评估。通过随机分配,将25名海洛因成瘾者分为一组,接受由治疗师进行强制咨询的戒毒治疗方案,另外25名分为对照组,只接受无咨询的标准戒毒治疗。以吗啡阳性尿液转变为吗啡阴性尿液来衡量,两组成功戒毒的人数没有显著差异。然而,咨询干预组确实提高了戒毒治疗期间受试者的出勤率,并且戒毒后进入长期治疗的患者明显更多。在21天的海洛因戒毒过程中,通过将治疗导向使患者参与长期护理,可能最好地实现对咨询师的最大利用。