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“五步脱敏疗法”在甲基苯丙胺成瘾患者中的应用效果初探

Effects of Five-Step Desensitization Therapy in methamphetamine addicts: a pilot study

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【作者】 陈家言王云翠李帅奇王增珍

【Author】 CHEN Jiayan;WANG Yuncui;LI Shuaiqi;WANG Zengzhen;School of Public Health,Tongji Medical College,Huazhong University of Science and Technology;School of Public Health,Nanchang University;Jiangxi Province Key Laboratory of Preventive Medicine;School of Nursing,Hubei University of Chinese Medicine;Department of Children Hygiene,Third Affiliated Hospital of Zhengzhou University;Tongji Research Center of Mental Health,Tongji Medical College,Huazhong University of Science and Technology;

【通讯作者】 王增珍;

【机构】 华中科技大学同济医学院公共卫生学院南昌大学公共卫生学院江西省预防医学重点实验室湖北中医药大学护理学院郑州大学第三附属医院儿童保健科华中科技大学同济医学院心理卫生研究中心

【摘要】 目的:探讨"五步脱敏疗法"对成瘾患者渴求、线索敏感及成瘾记忆的影响。方法:在湖北省武汉市3所自愿戒毒医院中招募39名甲基苯丙胺依赖患者,随机分配入干预组和对照组。干预组接受连续5天,每天90分钟的"五步脱敏"治疗,在此期间对照组不干预。分别采用"渴求视觉模拟标尺"(VAS)、"线索敏感问卷"(CSQ)和"成瘾记忆强度量表"(AMIS)对患者的渴求、毒品相关线索敏感性及成瘾记忆强度进行测试。结果:研究对象的VAS得分变化存在组别和时间的交互效应(P=0.005),CSQ和AMIS得分变化均存在组别效应(P<0.05)。接受干预后,干预组各测量指标得分均低于对照组。结论:"五步脱敏"治疗可有效降低成瘾患者的渴求水平、对毒品相关线索的敏感程度及其成瘾记忆强度。

【Abstract】 Objective:To explore the effects of Five-Step Desensitization Therapy(FSDT) on craving, drug-related cue sensitization, and addiction memory among methamphetamine addicts. Methods:A total of 39 methamphetamine addicts were recruited from three hospitals in Wuhan, Hubei Province, and were randomly assigned to be as an intervention group or a control group. Participants in the intervention group received a 5-day(90 min per day) FSDT intervention, while those in the control group waited during this period without intervention. Respectively, the Visual Analogue Scale(VAS), Cue-Sensitization Questionnaire(CSQ), and Addiction Memory Intensity Scale(AMIS) were used to measure the participants′ craving, cue reactivity to drug-related stimuli, and their intensity of addiction memory. Results:Interaction effects of intervention and time were found significantly on the VAS scores(P = 0.005). Intervention effects were found significantly on scores of the CSQ and AMIS(P<0.05). For participants in the intervention group, scores of the VAS, CSQ, and AMIS were significantly less than those in the control group after treatment. Conclusion:The FSDT intervention can decrease the methamphetamine addicts′ craving and reduce their cue reactivity to drug-related stimuli as well as the intensity of addiction memory.

【基金】 国家自然科学基金面上项目(81573236)
  • 【文献出处】 中国药物依赖性杂志 ,Chinese Journal of Drug Dependence , 编辑部邮箱 ,2020年02期
  • 【分类号】R749.64
  • 【下载频次】110
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