Psychotherapy in community methadone programs: a validation study.
Psychotherapy in community methadone programs: a validation study.
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社区美沙酮项目中的心理治疗：一项验证研究。
DOI：
10.1176/ajp.152.9.1302
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发表时间：
1995
期刊：
影响因子：
--
通讯作者：
O'Brien,CP
中科院分区：
文献类型：
--
作者：
Woody,GE;McLellan,AT;Luborsky,L;O'Brien,CP
作者测试了个体心理治疗的有效性，在美沙酮维持治疗社区progress.MethodVolunteers在三个社区项目的精神症状的阿片类药物依赖患者的康复咨询随机分配到24周的咨询加补充药物咨询或咨询加连续表达的心理治疗。治疗结束后1个月和6个月进行随访。共有84名受试者进行了评估，在这两个follow-uppoint.ResultsDuring研究的患者接受连续表达的心理治疗和接受药物咨询有类似的比例阿片阳性尿样，但接受连续表达的心理治疗的患者有较少的可卡因阳性尿样，需要较低剂量的美沙酮。在额外治疗结束后一个月，两组都取得了显著的进步，但两组之间没有显著差异。通过6个月的随访，许多药物咨询患者所取得的收益已经减少，而大多数的收益，由谁收到连续性表达的心理治疗的患者仍然或仍然是明显的，出现了许多显着的差异，都有利于连续性表达psychotherapy.ConclusionsPsychotherapy可以提供给精神障碍患者在社区美沙酮方案。额外的咨询与心理治疗的早期益处相关联，但这些益处并不持久。与心理治疗相关的收益持续存在，在某些情况下，在治疗结束后至少6个月加强。
ObjectiveThe authors tested the efficacy of individual psychotherapy in the rehabilitation counseling of psychiatrically symptomatic opiate-dependent patients during methadone maintenance treatment in community programs.MethodVolunteers in three community programs were randomly assigned to 24 weeks of counseling plus supplemental drug counseling or to counseling plus supportive-expressive psychotherapy. Follow-ups were done 1 and 6 months after treatment ended. A total of 84 subjects were evaluated at both follow-up points.ResultsDuring the study the patients receiving supportive-expressive psychotherapy and those receiving drug counseling had similar proportions of opiate-positive urine samples, but the patients receiving supportive-expressive psychotherapy had fewer cocaine-positive urine samples and required lower doses of methadone. One month after the extra therapy ended both groups had made significant gains, but there were no significant differences between groups. By 6-month follow-up many of the gains made by the drug counseling patients had diminished, whereas most of the gains made by the patients who received supportive-expressive psychotherapy remained or were still evident; many significant differences emerged, all favoring supportive-expressive psychotherapy.ConclusionsPsychotherapy can be delivered to psychiatrically impaired patients in community methadone programs. Additional counseling is associated with early benefits comparable to those from psychotherapy, but these gains are not sustained. The gains associated with psychotherapy persist and in some cases strengthen for at least 6 months after the end of therapy.