可卡因使用障碍中的强迫性行为:治疗结果和临床挑战
Alba Palazón-Llecha1, Joan Trujols2, Mercè Madre3
1Department of Psychology, Universitat de Girona (UdG), Edifici Seminari, Pl. Sant Domènec 9, Campus Barri Vell, 17004, Girona, Spain; Mental Health, Institut de Recerca Sant Pau (IR Sant Pau), Sant Quintí 77-79, 08041, Barcelona, Spain.
Acta psychologica
|March 11, 2026
概括
情绪调节困难预测可卡因使用障碍 (CUD) 患者的强迫性行为 (CSB). 早期查CSB和情绪调节缺陷可以改善CUD的治疗结果.
科学领域:
- 精神病学是一个精神病学.
- 成 药物 药物 药物 药物
- 临床心理学 临床心理学
背景情况:
- 强迫性行为 (CSB) 和可卡因使用障碍 (CUD) 之间的并发症与情绪调节 (ER) 困难,精神病理负担和冲动控制不良有关.
- 关于CSB在CUD患者中患病率和影响的数据有限.
- 了解ER,CSB和CUD治疗结果之间的关系至关重要.
研究的目的:
- 调查CUD治疗入门时的ER困难是否预测CSB治疗后.
- 探索CSB,精神病理负担和CUD患者在住院和门诊护理中的治疗结果之间的关联.
主要方法:
- 70名患有CUD的参与者接受了为期14天的住院解毒,随后进行了为期8周的门诊治疗.
- 评估包括可卡因使用,精神病理学,CSB,ER以及在基线和治疗后的人格特征.
主要成果:
- 在基线时患有CSB的参与者表现出更高的精神病理学,抑郁症状,冲动性,奖励敏感性和ER困难.
- 不良的冲动控制,有限的急救策略和低情绪意识预测了门诊治疗后的CSB.
- 在住院治疗后,CSB预测了退学,但在门诊治疗后没有;精神病理负担没有预测结果.
结论:
- 伴随性CUD和CSB与住院解毒后的较差结果有关.
- 在CUD治疗入门时对CSB和ER缺陷的查可以防止CSB的发展并改善心理治疗管理.
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