Outcomes for cocaine abusers after once-a-week psychosocial therapy.
Outcomes for cocaine abusers after once-a-week psychosocial therapy.
复制标题
可卡因滥用者每周一次心理社会治疗后的结果。
DOI：
10.1176/ajp.148.5.630
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发表时间：
1991
期刊：
影响因子：
--
通讯作者：
Lipton,DS
中科院分区：
文献类型：
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作者：
Kang,SY;Kleinman,PH;Woody,GE;Millman,RB;Todd,TC;Kemp,J;Lipton,DS
目的研究每周一次的心理治疗、家庭治疗和辅助专业人员带领的团体治疗对可卡因使用障碍患者的疗效。方法在寻求门诊治疗的受试者中，168人同意参加研究，并被随机分配到三种治疗方式中的一种；6-12个月后对122例患者进行了访谈。结果总体上观察到队列有显著的改善，但几乎所有的改善都局限于23名(19%)在随访时没有使用可卡因的受试者。戒除可卡因与无成瘾相关问题密切相关，尤其是精神症状和家庭问题。结论每周一次的门诊治疗对可卡因使用障碍无效。19%的戒毒率可能代表了有足够动力寻求治疗的患者的自发缓解，因为接受治疗的次数与病情改善无关。当患者试图开始并维持戒酒时，可能需要进行密集的门诊接触或住院治疗，然后再进行后续护理，至少在一开始是这样。
ObjectiveThe authors studied the efficacy of once-weekly psychotherapy, family therapy, or group therapy led by paraprofessionals among patients with cocaine use disorders.MethodOf subjects who sought outpatient treatment, 168 consented to participate in the study and were each randomly assigned to one of the three forms of therapy; 122 patients were interviewed 6-12 months later. Their pre-and posttreatment scores on the Addiction Severity Index were compared.ResultsSignificant improvements were observed for the cohort as a whole, but virtually all of the improvement was restricted to the 23 subjects (19%) who were not using cocaine at follow-up. There was a strong relationship between abstinence from cocaine use and absence of addiction-related problems, especially psychiatric symptoms and family problems.ConclusionsThe results of the study indicate that outpatient therapy once a week is ineffective for cocaine use disorder. The 19% abstinence rate probably represents spontaneous remission among patients with enough motivation to seek treatment, as the number of therapy sessions attended was not related to improvement. Either an intense level of outpatient contact or residential treatment followed by aftercare is probably needed, at least initially, while the patient is attempting to initiate and sustain abstinence.