在基于正念的复发预防后,探索从物质使用障碍中恢复的异质性:隐藏的个人资料分析
David I K Moniz-Lewis1, Katie Witkiewitz1
1Center for Alcohol Substance Use and Addiction, University of New Mexico, USA; Department of Psychology, University of New Mexico, USA.
Journal of substance use and addiction treatment
|October 10, 2024
概括
从物质使用障碍 (SUD) 恢复是多样化的,除了戒断之外还确定了不同的个人资料. 特征正念区分这些恢复途径,突出其在理解各种SUD结果方面的重要性.
科学领域:
- 精神病学和行为科学 精神病学和行为科学
- 成 药物 药物 药物 药物
- 心理学 心理学 心理学
背景情况:
- 药物使用障碍 (SUD) 恢复通常被持续的戒断狭义地定义.
- 非戒酒恢复是一种有效但未经研究的途径,特别是在除酒精使用障碍 (AUD) 之外的其他SUD.
- 驱动非戒断性康复的机制需要进一步研究.
研究的目的:
- 在SUD患者中实证地推导和描述不同的康复概况.
- 检查不同复发预防疗法与这些恢复概况之间的关系.
- 探索影响康复途径的潜在心理和上下文因素.
主要方法:
- 隐形形象分析被用来确定454个人在门诊后SUD治疗后的康复形象.
- 多项逻辑回归分析了治疗分配对个人资料的影响.
- 评估了心理调解者 (正念,渴望,灵活性) 和调节者 (收入).
主要成果:
- 出现了四种不同的恢复配置文件:低功能的频繁使用,低功能的不频繁使用,高功能的频繁使用和高功能的不频繁使用.
- 在预测个人资料中,没有发现种族,种族或按治疗类型的收入有显著的相互作用.
- 与高功能的个人资料相比,低功能的不经常使用个人资料中特征正念显着较低,尽管它没有调解治疗效果.
结论:
- SUD恢复是异质的,基于物质使用和在各种SUD中运行的可识别配置文件.
- 属性正念是这些恢复档案的关键区分因素.
- 需要对影响戒断和非戒断恢复的心理和社会因素进行进一步的研究.
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