Joe G W, Brown B S, Simpson D
Institute of Behavioral Research, Texas Christian University, Fort Worth 76129, USA.
J Nerv Ment Dis. 1995 Nov;183(11):704-10. doi: 10.1097/00005053-199511000-00006.
Client attendance at individual counseling sessions in community-based methadone treatment programs was more frequent among clients with self-reported psychological problems at intake. These problems included anxiety, depression, suicidal ideation, and other symptoms suggesting psychopathology (hallucinations, difficulty controlling violence, etc.). The sample consisted of 462 clients in treatment at least 90 days, divided into two groups of no psychological problems reported at intake (no problems group, N = 341) and two or more problems reported (high problems group, N = 121). The high problems group was twice as likely to attend the treatment program's recommended minimum number of individual counseling sessions (two per month) than was the no problems group, and was more likely to discuss psychological issues in their individual counseling sessions. The high problems group showed significant decreases in drug use and illegal activity in the first 3 months after admission and did not differ significantly from the no problems group on drug-positive urines or illicit activity at month 3. Within the high problems group, clients who attended at least two individual sessions per month reported less cocaine and speedball use during treatment than those who attended fewer sessions.
在社区美沙酮治疗项目中，入组时自我报告有心理问题的患者更频繁地参加个体咨询 sessions。这些问题包括焦虑、抑郁、自杀意念以及其他提示精神病理学的症状（幻觉、难以控制暴力等）。样本包括462名接受治疗至少90天的患者，分为两组，一组是入组时未报告心理问题的（无问题组，N = 341），另一组是报告有两个或更多问题的（高问题组，N = 121）。高问题组参加治疗项目推荐的最低个体咨询 sessions 数量（每月两次）的可能性是无问题组的两倍，并且更有可能在个体咨询 sessions 中讨论心理问题。高问题组在入院后的前3个月药物使用和非法活动显著减少，在第3个月时，其药物检测呈阳性的尿液或非法活动情况与无问题组无显著差异。在高问题组中，每月至少参加两次个体 sessions 的患者在治疗期间报告的可卡因和速球使用量比参加次数较少的患者少。
