综合心理干预对美沙酮维持治疗患者的临床疗效研究

目的 研究综合心理干预对美沙酮维持治疗患者的疗效.方法 69例海洛因依赖患者作为观察组予美沙酮治疗治疗的同时予心理干预治疗3个月,与其人口学资料相匹配的60例海洛因依赖患者作为对照组仅予以美沙酮维持治疗,治疗时及治疗结束后分别采用焦虑自评量表(SAS)、抑郁自评量表(SDS)对两组患者进行评定,治疗过程中及治疗结束后3个月跟踪检查海洛因使用情况.结果 两组治疗后在SAS、SDS量表得分差异有统计学意义(t=-2.858、-2.465,均P＜0.05),在治疗2个月后及治疗结束后3个月内,给予心理干预的观察组偷吸人数显著低于对照组(x2 =6.906、5.054、5.100、4.247,均P＜0.05).结论 对美沙酮维持治疗的海洛因依赖患者给予综合心理干预治疗,在改善患者心理健康状况及减少偷吸方面的短期疗效显著.

The study on the effect of psychotherapy in patients with methadone maintenance treatment

Objective To explore the effect of psychotherapy in patients with methadone maintenance treatment. Methods 60 patients accepted drug and 69 patients accepted drug with psychotherapy treatment were evaluated with Self-Rating Anxiety Scale （SAS） and Self-rating Depression Scale （SDS） in the beginning of psychotherapy therapy and 3 months later. All of them were assessed for heroin use at 3 months after the end of a 3-month treatment period. Results SAS,SDS did not show any significant differences between the two groups in the beginning（ P 〉 0. 05 ）. After 3 months of psychotherapy,the differences in SDS and SAS between the two groups showed statistically significant（ t = - 2. 858, - 2. 465, all P 〈 0.05 ）. After 2 months of psychotherapy ,the number of relapsing again patients of group psychotherapy treatment was significantly lower than control group（ χ2 = 6. 906,5. 054,5. 100,4. 247, all P 〈 0. 05 ）. Conclusion The mental healthy status of patients with heroin dependence is poor. Psychological treatment plays an important role in short-term prevent heroin addicts from relapse again.