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治疗成人大麻依赖:复发预防模型的一项试验

Treating adult marijuana dependence: a test of the relapse prevention model.

作者信息

Stephens R S, Roffman R A, Simpson E E

机构信息

Department of Psychology, Virginia Polytechnic Institute and State University, Blacksburg 24061-0436.

出版信息

J Consult Clin Psychol. 1994 Feb;62(1):92-9. doi: 10.1037//0022-006x.62.1.92.

DOI:10.1037//0022-006x.62.1.92
PMID:8034835
Abstract

Men (n = 161) and women (n = 51) seeking treatment for marijuana use were randomly assigned to either a relapse prevention (RP; G.A. Marlatt & J.R. Gordon, 1985) or a social support (SSP) group discussion intervention. Data collected for 12 months posttreatment revealed substantial reductions in frequency of marijuana use and associated problems. There were no significant differences between the cognitive-behavioral RP intervention and the SSP group discussion conditions on measures of days of marijuana use, related problems, or abstinence rates. Men in the RP condition were more likely than men in the SSP condition to report reduced use without problems at 3-month follow-up. Posttreatment increases in problems associated with alcohol did not appear to relate to reduced marijuana use. Results are discussed in terms of the need for further research with marijuana-dependent adults and the efficacy of RP.

摘要

寻求大麻使用治疗的男性(n = 161)和女性(n = 51)被随机分配到预防复发(RP;G.A. 马尔拉特和J.R. 戈登,1985)或社会支持(SSP)小组讨论干预中。治疗后12个月收集的数据显示,大麻使用频率和相关问题大幅减少。在大麻使用天数、相关问题或戒断率的测量上,认知行为RP干预和SSP小组讨论条件之间没有显著差异。在3个月的随访中,处于RP条件的男性比处于SSP条件的男性更有可能报告无问题的使用减少情况。与酒精相关问题的治疗后增加似乎与大麻使用减少无关。根据对大麻依赖成年人进行进一步研究的必要性以及RP的疗效对结果进行了讨论。

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