在药物使用障碍的认知行为疗法中探索代理,共融和叙述断绝
Mark de Lange1,2, Job van der Palen3,4, Hein de Haan1
1Tactus Addiction Treatment, Deventer, The Netherlands.
Addictive behaviors reports
|August 4, 2025
概括
药物使用障碍的恢复涉及叙事转变. 以未来为导向的叙事抵押阻碍了这一点,增加了复发风险,而认知行为疗法 (CBT) 对叙事身份的影响有限.
科学领域:
- 心理学 心理学 心理学
- 成 药物 药物 药物 药物
- 神经科学是一个神经科学.
背景情况:
- 药物使用障碍 (SUDs) 显著影响个人的自我价值和人际关系.
- 从SUD中恢复需要个人叙事身份的转变.
- 叙述性抵押 (NF),生活叙述的断开,阻碍了在SUD恢复中重写身份.
研究的目的:
- 调查认知行为疗法 (CBT) 对SUDs对叙事身份转换的影响.
- 探索叙述性抵押 (NF) 作为SUD恢复中治疗后复发的预测因素的作用.
- 检查叙事主题,治疗结果和复发率之间的关系.
主要方法:
- 107名患有SUD的成年患者填写了关于代理,共融,叙事抵押和成严重程度 (包括抑郁,焦虑和压力) 的验证问卷.
- 数据是在基线,治疗后 (3个月) 和随访 (6个月) 收集的.
- 多变量模型分析了基线特征和NF对治疗结果和复发的影响.
主要成果:
- 参与者在CBT期间减少了物质使用和心理痛苦,但叙事主题没有显著变化.
- 基线共融和过去指导的NF预计会减少物质使用;大麻使用,共融和未来指导的NF预计会减少心理痛苦.
- 较高的基线共融与较低的复发风险有关,而面向未来的NF与更高的复发率有关.
结论:
- 对SUDs的认知行为疗法 (CBT) 可能不会显著增强叙事身份转换.
- 面向未来的叙述性抵押是与SUD恢复中复发风险增加相关的重要因素.
- 将以叙事为中心的干预措施整合到现有的成治疗中,可以改善康复结果.
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