整合人际互动团体心理治疗对酒依赖患者饮酒模式的影响
The influence of interpersonal group psychotherapy on the re-drinking of the alcohol dependence patients
ES评分 0
| DOI |
| 刊名 |
Journal of International Psychiatry
|
| 年，卷(期) |
2020, 47(5) |
| 作者 |
|
| 作者单位 |
大连市第七人民医院 ;
|
| 摘要 |
摘要 ：目的：探讨整合AA（嗜酒者互诫协会）戒酒十二个步骤的人际互动团体心理治疗（后简称整合人际互动团体心理治疗）是否可以降低酒依赖患者复饮率，延长停酒时间。探索适合中国本土酒依赖患者康复方法。方法：选取符合入组标准的大连市某人民医院慢性酒依赖患者共40人，随机分为治疗组和对照组，各20人并行AUDIT评分。治疗组：给予每周一次整合人际互动团体治疗，每次治疗持续时间约60-90分钟，一名心理治疗师和一名精神科医生带组，持续时间为1年，记录在治疗期间复饮人数复饮时间。对照组：每半个月电话随访1次，确定是否复饮记录复饮人数及复饮时间。12个月后所有患者再次进行AUDIT评分。结果：1、治疗组与对照组相比可有效的降低酒依赖患者复饮率。2、两组复饮的酒依赖患者，进行复饮间隔时间（或称停酒时间）对比，使用COX生存分析，结果提示治疗组酒依赖患者复饮间隔时间长于对照组 。3、12个月后两组AUDIT评分，治疗组评分低于对照组，低于治疗组治疗前评分，且有统计学意义。结论：该整合人际团体心理治疗，持续治疗1年可以降低酒依赖患者酒精使用程度，降低复饮率，延长停酒时间。
|
| Abstract |
Abstract:Objective：Whether the long range interpersonal interaction group can reduce the drinking rate of alcohol dependent patients and prolong the time of alcohol withdrawal. Research methods: The research method: a total of 40 people were randomly divided into two groups of patients were selected from Seventh Peoples Hospital of Dalian City, chronic alcohol dependence, treatment group 20, control group 20, two groups were matched in age and sex, were under 18~65 years of age; composite ICD-10 diagnostic criteria for alcohol dependence, alcohol dependence withdrawal syndrome rating scale table (AWS) score less than 3 points. Exclude the treatment group: one week group treatment, duration of about 90-120 minutes. Interpersonal interaction group psychotherapy was used for 1 years. The control group was followed up 1 times every half month to determine whether or not to drink and resume the time .All patients took the AUDIT evaluation 12 months later.Results: 1) compared to the control group, the treatment group which combines the 12 steps of AA and interpersonal group therapy is a relatively more effective way to reduce therate of relapse among patients with alcohol dependence; 2) the drinking intervalsamong the two groups of relapsed alcohol dependent patients were compared and analyzed by COX survival analysus. The result indicates that patients of the treatment group tended to have a longer drinking interval compared to patinets of the control group; 3) the AUDIT score of the treatment group is significantly lower than the AUDIT scoreof the control group and the AUDIT score of the treatment group after 12 months is significantly lower than the original AUDIT score of the treatment group.Conclusion: Overall, the interpersonal group therapy with the combination of the 12 steps of AA can reduce alcohol dependent patientsusageof alcohol, decrease the rate of relapse, and prolong drinking intervals.
|
| 关键词 |
酒依赖；复饮；人际互动团体心理治疗； AA十二个步骤；
|
| KeyWord |
alcohol dependent;drink again; Interpersonal interaction group psychotherapy ；AATwelve Steps
|
| 基金项目 |
|
| 页码 |
952-954 |
许艳秋*.
整合人际互动团体心理治疗对酒依赖患者饮酒模式的影响 [J].
国际精神病学杂志.
2020; 47; (5).
952 - 954.