正念防复吸疗法对女性戒毒人员稽延性戒断症状的干预研究  

Mindfulness-based relapse prevention for female incarcerated substance abusers with protracted withdrawal syndromes

作　　者：田唤[1] 范存欣 罗春花[1] 曾红[1] 武晓艳[1] 马绍斌[1] 

机构地区：[1]暨南大学医学院医学心理学与行为科学教研室,广州510632 [2]公共卫生教研室

出　　处：《中华行为医学与脑科学杂志》2011年第9期806-808,共3页Chinese Journal of Behavioral Medicine and Brain Science

基　　金：2010年度教育部人文社会科学研究规划基金项目（10YJAXLX001）

摘　　要：目的探讨正念防复吸疗法对女性劳教人员稽延性戒断症状的改善效果。方法选取劳动教养管理所4个大队的戒毒人员120名，每队30人。以大队为单位，采用掷硬币法将4个大队分配到干预组和对照组，干预组成员接受正念防复吸疗法，对照组不参加。用五因素正念量表和阿片类稽延性戒断症状评定量表测量正念水平和稽延性戒断症状，用t检验、x2检验、重复测量资料的方差分析来处理数据。结果方差分析结果显示：正念在观察（F=27．87，P=0．000）、描述（F=15．10，P=0．000）维度以及正念总分（F=12．05，P=0．001）上，组间和时间有交互作用，干预组的效果好于对照组。稽延性戒断症状在渴求症状（F=7．53，P=0．007）和睡眠症状（F=4．40，P=0．038）两个维度上，组间和时问有交互作用。干预组的睡眠症状改善好于对照组，干预组干预前（5．7±4．0）分，干预后（3．5±3．1）分；对照组前测（4．3±3．6）分，后测（3．7±3．5）分。躯体症状（F=14．89，P=0．000）在干预前后有所改善。各个指标的组问主效应没有统计学差异。结论正念防复吸疗法能够提高正念水平、改善戒毒者的睡眠症状。隔离戒毒可以改善戒毒者的症状。Objective To evaluate effects of mindfulness-based relapse prevention treatment in female incarcerated substance abusers with protracted withdrawal syndromes. Methods 120 female incarcerated substance abusers were selected from compulsory rehabilitation/treatment center, they were randomly assigned by throwing coin to either treatment group or control group. All participants in treatment group got mindfulness-based relapse prevention treatment. At pre- and post-session assessment points,all participants completed the Five Factor Mindfulness Questionnaire and Opiate Protracted Abstinent Symptoms Scale. Two sample t-test and chi-square were used to examine the baselines,repeated measures ANOVA for assessing changes of mindfulness and protracted abstinent syndromes between and within groups. Results No differences between-group were found on mindfulness and protracted abstinent syndromes. Group × Time effects emerged for observe facet （F= 27.87, P= 0. 000） ,describe iaeet （F = 15. 10, P = 0. 000） and total scores of mindfulness （F = 12.05, P = 0. 001 ） , the same as craving symptoms （F-- 7.53, P = 0.007 ） and sleeping symptoms （F = 4, 40, P = 0. 038 ） of protracted abstinent symptoms. On sleep symptoms ,participants in treatment group got（5.7±4.0） score before treatment points,got （3.5 ±3.1 ） after treatment points. Participants in control group got （4.3 ± 3.6） at pre-session assessment,got （3.7 ±3.5 ） at post-session assessment, participants in treatment group got better improvement in sleeping symptoms. Physical symptom score of protracted abstinent symptoms among treatment group participants showed a downward trend over time（F = 14.89, P=0. 000）. Conclusion Mindfulness-based relapse prevention treatment can increase mindfulness scores,and improve physical and sleeping problems. Compulsory rehabilitation center is helpful for substance abusers.

关 键 词：正念 正念防复吸疗法 女性 物质滥用者 物质戒断综合征 治疗 

分 类 号：R749.64[医药卫生—神经病学与精神病学]