使用基于正念的认知治疗来预防高自杀风险患者的自杀,这些患者也滥用阿片类药物:可行性和有效性的初步测试
Megan S Chesin1, Chintan Dave2,3, Catherine Myers3,4
1Department of Psychology, William Paterson University.
International journal of mental health and addiction
|March 25, 2025
概括
基于正念的自杀认知疗法 (MBCT-S) 可能会减少高风险退伍军人滥用阿片类药物的自杀企图和住院治疗. 在这个人群中,MBCT-S还降低了阿片类药物滥用率.
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
- 成 药物 药物 药物 药物
背景情况:
- 自杀企图 (SA) 和阿片类药物滥用在高风险人群中构成重大挑战.
- 有限的证据表明,对于同时存在高自杀风险和阿片类药物滥用的人来说,有效的干预措施是有限的.
研究的目的:
- 评估基于正念的自杀认知治疗 (MBCT-S) 在预防阿片类药物滥用高风险退伍军人中SA的疗效.
- 评估MBCT-S对急性精神病医院住院和阿片类药物滥用率的影响.
主要方法:
- 一个随机临床试验子集分析了来自36名退伍军人的数据,这些退伍军人在基线上滥用了阿片类药物.
- 参与者接受了MBCT-S作为通常 (eTAU) 增强治疗的辅助或单独的eTAU.
- 随访延长至12个月,评估SA,住院和阿片类药物滥用.
主要成果:
- 在阿片类药物滥用退伍军人中,MBCT-S显著减少了急性精神病医院住院 (RR 42%,p=.02) 和近一半的阿片类药物滥用率 (p=.08).
- 虽然SA可能性在MBCT-S下降 (RR 17%,p=.09),但这并没有达到统计学意义.
- 相比之下,MBCT-S在没有滥用阿片类药物的参与者中没有显著减少SA或住院治疗.
结论:
- 辅助MBCT-S在高风险退伍军人中减少精神病医院住院和滥用阿片类药物的潜力,同时使用阿片类药物.
- 需要进一步进行强化试验,以确认MBCT-S在此特定人群中预防自杀企图的有效性.
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