对安非他命使用障碍的认知行为疗法的有效性评估:巴基斯坦社会人口和行为因素的影响
Abrar Hussain Azad1, Ijaz Ali2, Farhan Nazir3
1Health Services Academy Islamabad, Pakistan.
Journal of Ayub Medical College, Abbottabad : JAMC
|March 23, 2025
概括
认知行为疗法 (CBT) 显著减少了安非他林的使用,并改善了巴基斯坦的心理健康. 教育和家庭支持等社会人口因素提高了安非他命使用障碍 (AUD) 治疗结果.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 公共卫生 公共卫生
背景情况:
- 胺使用障碍 (AUD) 是一个日益增长的全球健康挑战,特别是在巴基斯坦.
- 认知行为疗法 (CBT) 是对物质使用障碍的公认治疗方法,但其有效性可能受到社会人口和行为因素的影响.
- 了解这些影响因素对于优化不同人群的AUD治疗至关重要.
研究的目的:
- 在巴基斯坦人口中评估CBT对安非他命使用障碍 (AUD) 的疗效.
- 研究社会人口学变量 (教育,就业,家庭支持) 和行为因素 (成持续时间,物质使用) 对AUD的CBT治疗结果的影响.
主要方法:
- 一个准实验性设计涉及来自巴基斯坦治疗中心的100名参与者.
- 50名参与者接受了文化适应的CBT计划,而50人接受了通常的标准治疗 (TAU).
- 评估包括使用前后测试的成严重性指数 (ASI),焦虑 (GAD-7),抑郁 (BDI),心理健康和生活质量 (WHOQOL-BREF).
主要成果:
- 接受CBT组的安非他胺使用频率 (每周5.8至2.3天) 和ASI得分 (30.2至18.7) 显著降低.
- 在心理指标上观察到显著的改善,包括抑郁症 (BDI:22.4~14.1) 和焦虑症 (GAD-7:18.5~11.3) 的降低,以及生活质量的提高 (WHOQOL-BREF:45.3~62.0).
- 在有利的社会人口因素 (教育,就业,家庭支持) 和治疗结果之间发现了积极的关联,而负面的关联与失业,更长的成持续时间和酒精摄入有关.
结论:
- 在巴基斯坦,CBT是有效的,适合减少安非他命使用,增强心理健康,改善AUD患者的生活质量.
- 该研究强调了将社会人口和行为因素纳入CBT干预措施的重要性,以最大限度地提高治疗效率.
- 根据个体患者特征量身定制CBT可以导致AUD治疗的更好的结果.
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