对物质使用障碍的认知行为治疗对退伍军人的人际关系困难的影响
Jerika C Norona1,2, Brian Borsari1,2, Matthew M Yalch3
1Mental Health Service (116B), San Francisco Virginia Medical Center, San Francisco, California, USA.
Substance use & misuse
|December 1, 2023
概括
对物质使用障碍的认知行为疗法 (CBT-SUD) 减少了退伍军人的酒精和毒品使用,以及人际关系困难. 然而,该研究发现很少有证据表明,减少物质使用直接改善了人际关系.
科学领域:
- 心理学 心理学 心理学
- 公共卫生 公共卫生
- 退伍军人事务 退伍军人事务
背景情况:
- 药物使用障碍 (SUDs) 对退伍军人来说构成重大挑战.
- 现有的SUD症状治疗方法是有效的,但它们对人际关系的影响需要进一步研究.
- 退伍军人经常因为SUD而在关系中遇到困难.
研究的目的:
- 检查退伍军人人口中SUD症状和人际关系困难之间的关系.
- 评估物质使用障碍认知行为治疗 (CBT-SUD) 对SUD症状和关系质量的影响.
- 为了确定物质使用的减少是否与人际关系功能的改善有关.
主要方法:
- 通过退伍军人卫生管理局 (VHA) 分析了458名接受CBT-SUD治疗的退伍军人的全国样本.
- 运用并行潜伏生长曲线建模 (LGCM) 来追踪大约12个治疗疗程的变化.
- 收集和分析了有关酒精使用,药物使用和人际关系困难的自我报告数据.
主要成果:
- 在CBT-SUD治疗期间,自我报告的酒精使用,药物使用和人际关系困难的显著下降.
- 酒精和药物使用在所有测量点都与彼此以及人际关系困难有正相关.
- 基线物质使用水平与随着时间的推移而减少的使用率有负相关性.
结论:
- 虽然CBT-SUD似乎减少了物质使用和人际关系困难,但这些减少之间的直接因果关系没有得到强烈支持.
- 需要进一步的研究来阐明CBT-SUD可以同时改善物质使用和人际关系的机制.
- 调查结果表明,增强CBT-SUD的潜在途径可以更好地解决退伍军人的症状减少和关系改善问题.
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