VR厌恶疗法联合认知行为治疗对戒毒人员心理健康及预防复吸的效果  

Effectiveness of VR aversion therapy combined with cognitive behavioral therapy on mental health and relapse prevention among drug dependence

作　　者：冯枫 徐杰 孙沛 刘宇 尹露 杜连永 夏继欢 丁慧 毛富强[4] 路艳华 FENG Feng;XU Jie;SUN Pei(Suzhou Second People’s Hospital,Suzhou 234000,China)

机构地区：[1]宿州市第二人民医院,宿州234000 [2]北京高新医院 [3]清华大学心理学系 [4]天津医科大学精神卫生与心理学系 [5]北京市天堂河强制隔离戒毒所

出　　处：《国际精神病学杂志》2022年第4期636-639,共4页Journal Of International Psychiatry

基　　金：中国禁毒基金会资助(中禁基合字[2016]22号)。

摘　　要：目的研究和分析虚拟现实(Virtual Reality,VR)厌恶疗法联合认知疗法对戒毒人员心理健康及预防复吸的干预效果。方法将来自北京高新医院的自愿戒毒人员通过数字表法分组后,最终进入数据分析的共有122例,对照组和观察组各61例,前者采用常规教育手段进行干预,后者在此基础上加入VR厌恶疗法联合认知行为疗法进行干预,采用艾森克情绪稳定性量表对两组人员干预前后的情绪稳定性指标进行比较,采用90项症状清单(Symptom Checklist 90,SCL-90)量表对两组人员干预前后心理健康程度进行比较,同时对比两组戒毒人员的复吸率。结果干预前两组戒毒人员的情绪稳定性及SCL-90各项指标数据无差异(P>0.05);干预后观察组戒毒人员的情绪稳定性各项指标数据评分优于对照组,组间比有显著差异(P<0.05);干预后观察组戒毒人员的SCL-90评分量各项数据均优于对照组,组间比有显著差异(P<0.05)。观察组复吸率低于对照组,组间有显著差异(P<0.05)。结论采用VR厌恶疗法联合认知行为疗法对其进行干预,可使戒毒人员的戒毒期间的情绪更加稳定,有助于心理健康,降低复吸率,值得借鉴与推广。Objective To study and analyze the effect of Virtual Reality(VR)aversion therapy combined with cognitive behavioral therapy on mental health and relapse prevention of drug dependence.Methods According to the method of digital expression,122 drug addicts in the compulsory isolation and rehabilitation center of Beijing Gaoxin Hospital were included,which included 61 cases as a control group and 61 cases as an observation group.The former group was intervened by routine education mean,the latter group was intervened by VR aversion therapy combined with cognitive behavioral therapy.Both groups were assessed by the Eysenck emotional stability scale and by the Symptom Checklist 90(SCL-90)scale that used to measure the mental health before and after the intervention.The relapse rate was also recorded in both groups.Results Before the intervention,there was no difference between the two groups in the index of emotional stability(P>0.05)and SCL-90 scores(P>0.05).After the intervention,the observation group was significantly better than the control group in the index of emotional stability(P<0.05)and SCL-90 scores(P<0.05).Futhermore,the relapse rate of the observation group was significantly lower than that of the control group(P<0.05).Conclusion VR aversion therapy combined with cognitive behavioral therapy can make the mood of drug dependence more stable during the treatment period,help to mental health,reduce relapse rate,which is worthy of reference and promotion.

关 键 词：戒毒人员 心理健康 VR厌恶疗法 认知行为疗法 效果 

分 类 号：R749.055[医药卫生—神经病学与精神病学]