Evaluation of a motivational interview for substance use within psychiatric in-patient services
Evaluation of a motivational interview for substance use within psychiatric in-patient services
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DOI：
10.1046/j.1360-0443.2002.00178.x
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发表时间：
2002-10-01
期刊：
影响因子：
6
通讯作者：
Terry, M
中科院分区：
文献类型：
--
作者：
Baker, A;Lewin, T;Terry, M
目的评价动机性访谈在住院精神科共病性物质使用障碍患者中减少酒精和其他药物使用的有效性。设计受试者被随机分配接受个人动机访谈（n = 79）或自助手册（n = 81）。实验对象是从一家大型公立精神病院招募的志愿者。受试者在酒精、大麻或安非他明的结构化临床诊断面谈（SCID）中符合滥用或依赖标准，或者在阿片类药物治疗指数（OTI）中报告在最后一个月危险使用一种或多种此类药物。干预：30-45分钟的励志访谈或简短的建议。主要测量指标为SCID和OTI。动机访谈对酒精和其他药物使用的综合指数（OTI上的多种药物使用）有适度的短期影响。在12个月的随访期间，样本中的大麻使用率仍然很高。结论：虽然动机性访谈在精神病院共病性物质使用障碍的住院患者中似乎可行，但建议在门诊基础上继续进行更广泛的干预，特别是对大麻使用的干预。
Aims To assess the effectiveness of a motivational interview among hospitalized psychiatric patients with comorbid substance use disorder in reducing alcohol and other drug (Ail use.Design Subjects were assigned randomly to receive an individual motivational interview (n = 79) or a self-help booklet (control condition; n = 81).Setting Subjects were volunteers recruited from a major public psychiatric hospital.Participants Subjects met abuse or dependence criteria on the structured clinical interview for diagnosis (SCID) for alcohol, cannabis or amphetamine or they reported hazardous use during the last month of one or more of these drug types on the opiate treatment index (OTI).Intervention Either one 30-45-minute motivational interview or brief advice. Measurements The SCID and OTI were the main measures. Findings There was a modest short-term effect of the motivational interview on an aggregate index of alcohol and other drug use (polydrug use on the OTI). Cannabis use remained high among the sample over the 12-month follow-up period.Conclusion Although motivational interviewing appears feasible among in-patients in psychiatric hospital with comorbid substance use disorders, more extensive interventions are recommended, continuing on an outpatient basis, particularly for cannabis use.