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扩展查和简短干预 (X-SBI) 对药物滥用和相关结果在惩戒机构中的有效性

Abhishek Ghosh¹, Renjith R Pillai¹, Jatina Vij¹

¹Dept. of Psychiatry, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

Indian journal of psychological medicine

|February 6, 2025

概括

扩展查和简短干预 (X-SBI) 有效地减少了在惩戒机构中的物质滥用. 这种适应的方法提高了动机,减少了风险行为,并降低了被监禁人员的心理痛苦和耻辱感.

科学领域:

公共卫生公共卫生
成药物药物药物药物
校正医疗保健校正医疗保健校正医疗保健

背景情况:

查和简短干预 (SBI) 在社区环境中是有效的,但在惩教环境 (CS) 中显示不一致的结果.
假设SBI的调整对于被监禁的人口是必要的.
这项研究评估了在CS中滥用物质的扩展SBI (X-SBI).

研究的目的:

评估扩展SBI (X-SBI) 对在惩戒机构中滥用物质的有效性.
评估X-SBI对物质使用,风险行为,精神困扰和耻辱感的影响.
为了比较X-SBI与标准查和短期干预在一个受控试验.

主要方法:

一项受控试验在印度的两个联邦CS中进行.
X-SBI包括应对技能的培训,风险行为咨询和耻辱减少.
具有中度SUD风险的参与者 (n=376) 接受了三次会议;在3个月和6个月后进行了随访.

主要成果:

对于初级和非法物质,X-SBI显著降低了ASSIST分数 (η2 = .06-.10).
与对照组相比,X-SBI显示非法药物使用,过量服用风险,艾滋病毒风险行为,精神困扰和耻辱感的减少更大.
X-SBI增加了过渡率到"行动"的动机阶段.

结论:

将三次X-SBI整合到惩戒环境中,可以有效地解决物质滥用问题.
X-SBI为有毒物质使用障碍的监禁人口提供了一个有希望的适应干预措施.
这些发现支持针对特定人群在惩戒医疗保健中的基于证据的干预措施的调整.

关键词:

一个简短的干预.印度印度印度这是一项受控研究.监狱监狱监狱监狱使用物质使用物质.

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