在孕妇和育儿妇女接受甲胺特异性治疗计划后,持续的戒断
Maximilian Pilhatsch1,2,3, Fabienne Körner4, Maik Spreer4
1Department of Psychiatry and Psychotherapy, Carl Gustav Carus University Hospital, Faculty of Medicine, Dresden University of Technology, Dresden, Germany. maximilian.pilhatsch@ukdd.de.
Scientific reports
|September 25, 2025
概括
",想想我" (MAMADAM) 计划在帮助患有甲基胺使用障碍的孕妇和育儿妇女实现持续禁欲方面取得了长期成功. 这表明怀孕和育儿可能是恢复的转折点.
科学领域:
- 成 药物 药物 药物 药物
- 生殖健康 生殖健康
- 精神病学是一个精神病学.
背景情况:
- 甲基胺使用障碍 (MUD) 存在重大治疗挑战,包括高复发率和社会经济逆境.
- ",想想我" (MAMADAM) 计划的目标是孕妇和有物质使用障碍的母亲,初步显示出有效性.
- 对于MUD的MAMADAM干预措施的长期可持续性以前没有被评估.
研究的目的:
- 评估MAMADAM干预措施对患有MUD的孕妇和育儿妇女的长期可持续性和有效性.
- 检查与MAMADAM计划后持续禁欲相关的因素.
- 在入院时识别患者的特征,从而预测长期康复结果.
主要方法:
- 追溯后续研究涉及与前MAMADAM患者的电话采访.
- 分析治疗后平均4.5年内自我报告的戒断率.
- 考克斯回归分析以确定持续戒断的预测因素,控制治疗持续时间.
主要成果:
- 41%的参与者报告在随访时从所有物质 (不包括烟草) 中持续戒断.
- 药物使用复发与有更多的孩子,与孩子分开生活,以及在治疗前使用甲基胺的更长时间有关.
- 在入院时有较长的MUD病史,预测出院后的禁欲期较短.
结论:
- 马马达姆计划在促进MUD的孕妇和育儿妇女长期戒断方面表现出有效性和可持续性.
- 怀孕和成为父母可以作为行为改变和从成中恢复的重要动机.
- 易受伤害的小组需要有针对性的支持和更强大的社区/机构合作,以保持长期的戒断和预防复发.
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