Journal of psychiatry spectrum最新文献

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Outcome of Camp Approach in Treatment of Alcohol Use Disorder: A Non-randomized Controlled Study. 营地疗法在酒精使用障碍治疗中的效果：非随机对照研究

Journal of psychiatry spectrum

Pub Date : 2024-07-01 Epub Date: 2024-06-20 DOI: 10.4103/jopsys.jopsys_48_23

Sinu Ezhumalai

Background: Studies examining the outcome of the camp approach in the treatment of alcohol dependence are limited in India.

Aim: The aim of the study was to compare the outcomes of the community-based camp (CBC) approach and the hospital-based camp (HBC) approach in the treatment of persons with alcohol dependence.

Methods: The study used a non-randomized controlled study design (quasi-experimental research design before and after with a control group). In total, 60 respondents were selected through the census method (30 in the study group and 30 in the control group). Thirty respondents from the CBC formed the experimental group, and another 30 from the HBC formed the control group. The CBC was held for 7 days, and the HBC was held for 10 days. The tools used are the Alcohol Use Disorders Identification Test and the World Health Organization quality of life (QoL)-BREF.

Statistical analysis: Independent t-test and effect size analysis were used. Kasturba Hospital Institute Ethics Committee, Manipal, had given the ethical clearance.

Results: The majority (73%) of the respondents in the CBC and 57% of the HBC participants maintained complete abstinence during the post-test. The relapse rate was lower in the CBC (27%) than in the HBC (43%). CBC is effective at increasing the number of follow-ups and decreasing alcohol intake during relapse. The effect of the camp intervention on increasing the number of follow-ups was medium (d = 0.36). The CBC had a small effect on enhancing the QoL of treated individuals with alcohol dependence syndrome during the post-test (d = 0.27).

Conclusion: The CBC approach is more effective than the hospital one at increasing follow-up and QoL and reducing the relapse rate.

背景：目的：本研究旨在比较以社区为基础的营地（CBC）和以医院为基础的营地（HBC）对酒精依赖者的治疗效果：研究采用非随机对照研究设计（前后对照组的准实验研究设计）。通过普查方法共选出 60 名受访者（研究组和对照组各 30 人）。30 名来自 CBC 的受访者组成实验组，另外 30 名来自 HBC 的受访者组成对照组。CBC 为期 7 天，HBC 为期 10 天。使用的工具是酒精使用障碍鉴定测试和世界卫生组织生活质量（QoL）-BREF：统计分析：采用独立 t 检验和效应大小分析。马尼帕尔的卡斯特尔巴医院研究所伦理委员会已通过伦理审查：大多数（73%）CBC 受试者和 57% HBC 受试者在测试后保持完全戒断。CBC的复吸率（27%）低于HBC（43%）。CBC 能有效增加复试次数，减少复发期间的酒精摄入量。营地干预对增加随访次数的效果为中等（d = 0.36）。在后测期间，CBC 对提高酒精依赖综合症患者的 QoL 有微小影响（d = 0.27）：结论：在提高随访率和生活质量以及降低复发率方面，CBC 方法比医院方法更有效。

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引用次数: 0

Mental Health Professionals' Perspectives on Group Intervention for Women Survivors of Intimate Partner Violence: A Qualitative Study. 心理健康专业人员对亲密伴侣暴力女性幸存者小组干预的看法：定性研究。

Journal of psychiatry spectrum

Pub Date : 2024-07-01 Epub Date: 2024-06-20 DOI: 10.4103/jopsys.jopsys_47_23

Chinnadurai Periyasamy, Gitanjali Narayanan, Arun Kandasamy, Sinu Ezhumalai

Background: To examine the perspectives of mental health professionals on providing group intervention for female spouses of men with alcohol dependence who experienced intimate partner violence (IPV).

Methods: A qualitative research design was used, and a purposive sample technique was used to select the participants. Nine experts with more than five years of experience in handling partner violence cases provided insights through in-depth interviews. The transcripts were carefully examined several times, coded and re-coded. The codes were subsequently organized into thematic categories.

Results: Most of the experts were between the age of 35-45 years (66.7%), females (77.8%) and had more than five years of experience in mental health and IPV (55.6%). Most of the experts (66.7%) were working in teaching institutions related to mental health and IPV. The remaining one-third (33.3%) of the experts were legal and women empowerment practitioners. The thematic analysis generated six main themes and 19 subthemes, with 189 codes. The six mean themes were: psychosocial needs and concerns, psychosocial interventions, enhancing psychological well-being, enhancing the social support systems, challenges, and therapeutic strategies.

Conclusion: Experts emphasized the importance of a holistic approach to IPV intervention. Group intervention addresses multiple issues that contribute to violence. Survivors need safe housing, counseling, legal help, and financial assistance.

背景：研究心理健康专业人员在为遭受亲密伴侣暴力（IPV）的酒精依赖男性的女性配偶提供小组干预时的观点：目的：研究心理健康专业人员在为曾遭受亲密伴侣暴力（IPV）的男性酒精依赖者的女性配偶提供小组干预时的观点：方法：采用定性研究设计，并使用目的性抽样技术选择参与者。九位在处理伴侣暴力案件方面拥有五年以上经验的专家通过深入访谈提供了真知灼见。访谈记录经过多次仔细检查、编码和重新编码。随后，对编码进行了主题分类：大多数专家的年龄在 35-45 岁之间（66.7%），女性（77.8%），在心理健康和 IPV 方面有五年以上的工作经验（55.6%）。大多数专家（66.7%）在与心理健康和 IPV 相关的教学机构工作。其余三分之一的专家（33.3%）是法律和妇女赋权方面的从业人员。主题分析产生了六个主主题和 19 个次主题，共 189 个代码。六个平均主题是：社会心理需求和关注、社会心理干预、提高心理健康水平、加强社会支持系统、挑战和治疗策略：专家们强调了采取综合方法干预 IPV 的重要性。集体干预可以解决导致暴力的多种问题。幸存者需要安全的住房、咨询、法律帮助和经济援助。

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