心理干预对美沙酮维持治疗者自尊水平和防御机制的影响

目的：探讨心理干预对美沙酮维持治疗者自尊水平及其防御机制的影响。方法：将116例美沙酮维持治疗者随机分为治疗组和对照组各58例,对照组行常规美沙酮口服液维持治疗,治疗组在此基础上给予为期8周的心理干预。于干预前、干预4、8周末用自尊量表（SES）、自卑感量表（FIS）及防御方式问卷（DSQ）进行评估。结果：与干预前比较,治疗组在干预第4、8周末的SES、成熟防御机制评分显著增加,FIS、不成熟防御机制评分明显降低,对照组无显著性改变。组间比较,两组SES、FIS及DSQ评分在干预前无显著性差异,治疗组病人在第4、8周末的SES、成熟防御机制评分显著高于对照组,在第8周末的FIS、不成熟防御机制评分显著低于对照组。结论：心理干预,有助于提高美沙酮维持治疗者的自尊水平,改善其防御机制。

EFFECT OF PSYCHOLOGICAL INTERVENTION MEASURES ON LEVELS OF SELF -ESTEEM AND PSYCHOLOGICAL DEFENSE MECHANISM AMONG DRUG USERS IN METHADONE MAINTENANCE TREATMENT

Objective： To explore the effect of psychological intervention measures on levels of self- esteem and psychological defense mechanism among drug users receiving methadone maintenance treatment. Methods： One hundred and sixteen patients were randomly divided into experimental group and control group. The experimental group was given MMT and combined psychological intervention, and control group was given MMT only. The efficacy of two groups were contrasted before treatment and on 4, 8 weeks after treatment respectively with SES, FIS and DSQ. Results： Between two groups, before psychological intervention has been carried out there was no significant difference in SES, FIS and DSQ （P 〉 0. 05）, hut significant differences appeared after 4, 8 weeks in SES and immature defense mechanism （P 〈 0. 01 ）, after 8 weeks in FIS and mature defense mechanism （P 〈 0. 01 ）. In the experimental group there were significant differences in SES and DSQ after 4, 8 weeks （ P 〈 0. 01 ）, and FIS after 8 weeks （ P 〈 0.01 ） ; The control group has no significant differences during 8 weeks （P 〉 0. 05 ）. Conclusion： Psychological intervention played a positive result on levels of the self - esteem and the psychological defense mechanism among patients receiving methadone maintenance treatment.