心理干预对海洛因依赖者的康复效果

目的:探讨心理干预对海洛因依赖者的康复效果。方法:按抛硬币分组法将120例海洛因依赖者分为研究组和对照组,各60例,两组均按常规药物治疗和护理,对照组参加日常的军事训练、学习、劳动卫生、体育锻炼等工疗活动,研究组在此基础上进行为期8周以健康教育、音乐治疗和书画训练为主要内容的心理干预。采用抑郁自评量表(SAS)、焦虑自评量表(SDS)和症状自评定量表(SCL-90)进行效果评定,并且分别于出院后2周、4周和8周后进行随访和尿检,评价复吸情况。结果:干预前,SAS、SDS和SCL-90等量表的评分,两组间比较差异无显著性(均P>0.05)。干预后,SAS、SDS和SCL-90等量表的评分,研究组均明显低于对照组(P<0.05或P<0.01)。复吸率比较,研究组明显好于对照组(P<0.05或P<0.01)。结论:心理干预能够改善海洛因依赖者的不良情绪和心理障碍,提高其心理健康水平,对预防复吸和保持操守有一定的促进作用。

EFFICACY OF PSYCHOTHERAPY INTERVENTIONS ON PATIENTS WITH HEROIN DEPENDENCE

Objective:To explore the efficacy of psychotherapy interventions on patients with heroin dependence.Methods:One hundred and twenty patients with heroin dependence were randomly divided into study group(n=60) and control group(n=60).Both groups had drug treatment,nursing and routine therapy such as daily military training,study,labour,hygiene,sports,while besides these,the study group was given psychotherapy such as health education,music treatment and art treatment for 8 weeks.All subjects were estimated by SDS,SAS,and SCL-90.After they left the hospital,they were visited and had urine tested at the end of two weeks,4 weeks and 8 weeks to evaluate their drug usesituation.Results:Before the intervention,there was no significant difference in the scores of SDS,SAS,and SCL-90 between the two groups(P>0.05 or P<0.01).After 8 week psychotherapy interventions,greater changes were observed in the study group,and the relapse rate was much lower,showing significant difference when compared with the control group(P<0.05 or P<0.01).Conclusion:Psychotherapy intervention can change the negative emotions of drug users,improve their mental health,which is good for keeping drug free and preventing drug relapse.