可卡因使用障碍治疗结果的预测因素:系统性审查
Alba Palazón-Llecha1,2,3, Beatriz Caparrós3, Joan Trujols1,2,4
1Department of Psychiatry, Addictive Behaviours Unit, Hospital de La Santa Creu I Sant Pau, Sant Antoni Maria Claret 167, Pavelló 20, Planta 2, 08025, Barcelona, Spain.
Systematic reviews
|May 9, 2024
概括
可卡因使用障碍治疗成功的预测因素包括年龄,使用时间,渴望,戒断症状和自我有效性. 了解这些因素可以提高治疗持续率和戒断率.
科学领域:
- 成 药物 药物 药物 药物
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
背景情况:
- 心理社会干预是可卡因依赖的标准,但有很高的戒断和复发率.
- 确定影响治疗结果的因素对于改善干预和预防复发至关重要.
- 这项研究系统地审查了可卡因使用障碍 (CUD) 中治疗保留和戒断的预测因素.
研究的目的:
- 探索可卡因使用障碍患者治疗保留和戒断的预测因素.
- 综合来自随机临床试验的关于影响CUD治疗结果的因素的证据.
- 确定可以为开发更有效的CUD治疗提供信息的关键变量.
主要方法:
- 根据PRISMA指南进行了系统审查.
- 在PubMed,PsychINFO和Web of Science中搜索到2023年4月1日之前发表的RCT.
- 包括的研究集中在成人 (≥18) 在门诊治疗CUD没有严重的精神疾病,评估禁欲和保留.
主要成果:
- 年轻的年龄,较长的可卡因使用史,以及更高的渴望预测了复发和学.
- 更少的戒断症状,更高的基线戒断,更大的治疗参与度和更高的自我有效性预测了更长的戒断.
- 冲动性的作用尚不清楚,但较高的得分可能表明更严重的成和更早的治疗中止.
结论:
- 几种与可卡因使用相关的变量直接影响治疗结果.
- 其他因素,如遗传标记,可能会显著影响治疗的成功,需要进一步的研究.
- 了解这些预测因素可以帮助量身定制治疗,以便在CUD中更好地保持和戒断.
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