团体心理干预对美沙酮维持治疗患者的干预效果  

Group psychotherapy for opiate addicts with methadone maintenance treatment and its intervention effect

作　　者：杨冰声 戴春燕[1] 曹承建[1] YANG Bingsheng;DAI Chunyan;CAO Chengjian(Methadone Outpatient Department,Hangzhou Occupational Diseease Prevention and Control Hospital,Hangzhou 310014,China)

机构地区：[1]杭州市职业病防治院美沙酮门诊部,浙江杭州310014

出　　处：《温州医科大学学报》2022年第6期490-493,共4页Journal of Wenzhou Medical University

摘　　要：目的:探讨团体心理干预对美沙酮维持治疗(MTT)患者的干预效果。方法:选择2018年3月至2019年3月在杭州市职业病防治院进行MTT患者203例,随机分为干预组(103例)和对照组(100例),干预组在常规治疗基础上增加团体心理干预,对照组仅接受常规治疗。比较两组干预前后SCL-90心理健康水平及复吸率、脱失率。结果:两组患者干预前SCL-90总分及各因子评分差异均无统计学意义(均P>0.05);干预后,除精神病性因子(P=0.42)外,干预组SCL-90总分及其他因子评分均显著低于对照组(均P<0.05);完成干预后,干预组患者复吸率和脱失率均显著低于对照组(均P<0.05)。结论:团体心理干预可以有效改善MTT患者的心理健康水平,同时减少患者复吸率及脱失率,进一步提升MTT疗效。Objective:To explore the intervention effect of group psychotherapy for opiate addicts with methadone maintenance treatment(MMT).Methods:A total of 203 patients from MMT clinic from March 2018to March 2019 were randomly assigned to either local routine MMT(control group,n=100)or routine MMT plus group psychotherapy(intervention group,n=103).The scores of SCL-90,opiate-positive urine test results and treatment retention were compared between the two groups before and after intervention.Results:No significant difference was found in the total and each factor score of SCL-90 between the two groups before intervention(all P>0.05).After intervention,except for psychosis factor score(P=0.42),the total and other factor scores of SCL-90 in the intervention group were significantly lower than those in the control group(all P<0.05).Compared to the control group,the intervention group had lower proportion of opiate-negative urine tests and treatment retention after the intervention(all P<0.05).Conclusion:Group psychotherapy could effectively improve MMT patients’mental health while reducing the relapse rate and retention rate,thus further improving the efficacy of methadone maintenance treatment.

关 键 词：美沙酮维持治疗 团体治疗 心理干预 心理健康 复吸率 脱失率 

分 类 号：R749.059[医药卫生—神经病学与精神病学]