对物质使用,成和康复的积极心理干预:更新的系统审查和元分析
Hannah A Carlon1,2, Margo C Hurlocker1,2, Bettina B Hoeppner3
1Center on Alcohol, Substance use and Addictions (CASAA), Albuquerque, NM, USA.
Addiction (Abingdon, England)
|March 5, 2025
概括
积极心理干预 (PPI) 对物质使用恢复有希望,证明了可行性和参与度. 然而,目前的证据表明,它在改善心理健康和减少物质使用方面具有混合的有效性.
科学领域:
- 心理学 心理学 心理学
- 成 药物 药物 药物 药物
- 心理健康 心理健康
背景情况:
- 积极心理干预 (PPI) 越来越多地被探索为有物质使用障碍的人.
- 了解PPI在成恢复中的有效性和特征对于基于证据的实践至关重要.
研究的目的:
- 从2010年到2023年,系统地审查和元分析关于药物使用和成恢复的个人消毒剂的文献.
- 检查干预特征,结果测量,研究PPI的严格性,可行性,可接受性和有效性.
主要方法:
- 在PubMed,PsycInfo和Web of Science进行了全面的文献搜索,并补充了手动搜索.
- 混合方法评估工具评估了研究质量和偏差风险.
- 对心理和物质使用结果的全规模随机临床试验 (RCT) 数据进行了元分析.
主要成果:
- 确定了30个符合条件的出版物,评估了36个PPI,其中大多数研究来自美国.
- 在各个研究中,PPI的可行性和可接受性得到了积极的评价.
- 分析显示,PPI对积极心理结果 (d=0.23) 和物质使用结果 (d=0.11) 的影响很小,不显著.
结论:
- 积极的心理干预是可行的,并参与个人在物质使用恢复.
- 目前的证据表明,PPI在改善心理结果和减少物质使用方面具有混合的有效性.
- 需要使用严格的方法进行进一步的研究,以澄清 PPI 在这个人群中的有效性.
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