【摘要】 目的:探索美沙酮维持治疗及心理干预对海洛因依赖者家庭功能的作用。方法:选取96名参加美沙酮维持治疗的海洛因依赖者作为研究组,37名社区海洛因依赖者为对照组,用家庭功能评定(FAD)问卷进行家庭功能评定。结果:经过一年的干预,研究组的问题解决、沟通、角色、情感反应和总的功能评分均明显优于社区对照组(2.2±0.4/2.3±0.4,2.2±0.3/2.6±0.3,2.4±0.3/2.5±0.3,2.4±0.5/2.6±0.3,2.2±0.4/2.5±0.3;t=1.96~6.74,P<0.05~0.01),干预后的沟通、角色、情感反应、情感介入、行为控制和总的功能评分较干预前改善明显(2.2±0.3/2.3±0.3,2.4±0.3/2.6±0.3,2.4±0.5/2.6±0.4,2.3±0.4/2.6±0.4,2.3±0.3/2.6±0.4,2.2±0.4/2.4±0.3;t=11.17~13.07,P<0.01),而问题解决分量表得分较干预前增高(2.2±0.4/2.1±0.4,t=8.59,P<0.01)。结论:海洛因依赖者参加美沙酮维持治疗及相应的心理和行为干预,家庭功能明显改善。更多还原

【Abstract】 Objective:To study the family function of heroin addicts who accept methadone maintenance treatment.Methods:96 heroin addicts who accept methadone maintenance treatment were identified as study group, while the control were 36 heroin addicts in community.Family Assessment Device (FAD) was used to assess the outcome.Results:After 1 year intervention, the study group made much progress in each subscale .The scores of Problem Solving(2.2±0.4), Communication(2.2±0.3), Roles(2.4±0.3), Affective Responsiveness(2.4±0.5) and General Function(2.2±0.4)of the study group were higher than that of control group significantly(PS=2.3±0.4,CM=2.6±0.3,RL=2.5±0.3,AR=2.6±0.3,GF=2.5±0.3,t=1.962～6.744,P<0.05～ or 0.01).The study group made much progress after 1 year intervention on Communication, Roles, Affective Responsiveness, Affective Involvement, Behavior Control and General Function(Before intervention, CM=2.3±0.3,RL=2.6±0.3,AR=2.6±0.4,AI=2.6±0.4,BC=2.6±0.4,GF=2.4±0.3,t=11.167～13.070,P<0.01), while the score of Problem Solving raised after intervention (Before intervention:2.1±0.4,After intervention: 2.2±0.4,t=8.592,P<0.01).Conclusion: The family function of heroin addicts who accept methadone maintenance treatment has made much improvement after the intervention on mental health and behavior.更多还原