行为干预对成年人有物质使用障碍的压力反应性的影响
R Kathryn McHugh1, Megan D McCarthy1, Juliette A Bichon1
1Division of Alcohol, Drugs and Addiction, McLean Hospital.
概括
在认知重新评估或影响标签方面的简短培训并没有显著降低物质使用障碍 (SUD) 患者的压力反应能力. 需要进一步的研究,以确定最佳的训练方法来管理SUD人口的压力.
科学领域:
- 精神病学是一个精神病学.
- 心理学 心理学 心理学
- 神经科学是一个神经科学.
背景情况:
- 增加压力反应性与物质使用障碍 (SUDs) 治疗结果较差有关.
- 行为策略可以减轻压力反应,但在SUD人群中尚未研究.
研究的目的:
- 评估认知重新评估的影响,并影响标签对SUDs的成年人的压力反应性.
- 为了比较这些行为策略与心理教育对照组的有效性.
主要方法:
- 119名寻求治疗的SUD成年人被随机分为三个组:认知重新评估,影响标签或精神教育控制.
- 参与者接受了他们分配的策略的简短培训,随后进行了标准化的压力诱导.
- 用自我报告的负面影响和渴望,唾液皮质醇和皮肤导电性反应来测量压力反应.
主要成果:
- 在负面影响的条件,皮质醇水平或皮肤导电性反应之间没有发现显著差异.
- 与认知重新评估相比,影响标签导致物质渴望增加.
- 与对照组相比,这两种行为策略都没有显著地影响压力反应性标志物.
结论:
- 在认知重新评估或影响标签方面的简短培训没有显著改变SUD患者的压力反应性.
- 未来的研究应该探讨个体差异以及对更密集或更长时间的技能培训的潜在需求.
- 在SUD中优化压力管理的行为干预措施需要进一步调查剂量和个体反应.
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