在2019冠状病毒病大流行期间,将马的相互作用作为一种补充治疗干预措施纳入住院治疗计划中的年轻人的心理治疗

COVID Pub Date : 2023-10-04 DOI:10.3390/covid3100107
Katie Holtcamp, Molly C. Nicodemus, Tommy Phillips, David Christiansen, Brian J. Rude, Peter L. Ryan, Karen Galarneau
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引用次数: 1

摘要

物质使用障碍已成为美国年轻人中的一种流行病,在COVID-19大流行期间,这些数字有所上升。结合马的相互作用的心理治疗已经出现,在精神卫生界显示出希望,作为对这一年龄组的补充治疗形式,并且由于治疗环境的户外性质,在大流行期间提供了一种可行的治疗选择。然而,关于其在住宅治疗方案中的应用的研究是缺乏的。本研究的目的是评估在2019冠状病毒病大流行期间,将马互动纳入住院治疗项目的心理治疗效果,为年轻人创造一个情感安全的学习环境。参与者(年龄在18-25岁)是在COVID-19大流行期间使用包含马互动的心理治疗的药物滥用住院治疗项目中的参与者。参与者每周接受马术治疗2-7周。参与者根据在住宅设施的停留时间和参与马互动活动的程度进行划分。在治疗方案开始和结束时进行情绪安全和长期记忆发展评估。记忆的发展以马的信息为中心,在治疗计划中被覆盖。语义记忆采用自我报告知识测验评估,程序记忆采用技能测验评估。使用自我报告调查工具确定情绪安全。配对t检验表明,到项目结束时,所有参与者的情绪安全(p = 0.02)、语义记忆(p = 0.01)和程序记忆(p = 0.00)都有了显著改善。单因素方差分析显示,留院时间和参与水平对情绪安全(留院时间:p = 0.91,参与水平:p = 0.98)、语义记忆(留院时间:p = 0.09,参与水平:p = 0.60)和程序记忆(留院时间:p = 0.25,参与水平:p = 0.09)发展无显著影响。这些结果表明,在2019冠状病毒病大流行期间,纳入马互动的心理治疗是一种有效的补充治疗干预措施,可用于培养年轻人的情绪安全和鼓励学习。
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Psychotherapy Incorporating Equine Interaction as a Complementary Therapeutic Intervention for Young Adults in a Residential Treatment Program during the COVID-19 Pandemic
Substance use disorder has become an epidemic in the young adult population across the United States, and these numbers rose during the COVID-19 pandemic. Psychotherapy incorporating equine interaction has emerged to show promise in the mental health community as a complementary form of therapy for this age group and offered a viable treatment option during the pandemic due to the outdoor nature of the treatment environment. However, research concerning its use within a residential treatment program was lacking. The objective of this study was to evaluate the efficacy of psychotherapy incorporating equine interaction in a residential treatment program during the COVID-19 pandemic for developing an emotionally safe environment for learning for young adults. Participants (ages 18–25 years) were those in a substance abuse residential treatment program utilizing psychotherapy incorporating equine interaction during the COVID-19 pandemic. Participants were involved in weekly equine therapy for 2–7 weeks. Participants were divided according to length of stay at the residential facility and participation level with equine interactive activities. Assessment of emotional safety and long-term memory development was performed at the beginning and end of the treatment program. The development of memories centered around equine information that was covered during the treatment program. Semantic memory was assessed using a self-reporting knowledge exam and procedural memory was assessed using a skill evaluation. Emotional safety was determined using a self-reporting survey instrument. Paired t-tests determined significant improvement in emotional safety (p = 0.02) and semantic (p = 0.01) and procedural (p = 0.00) memory for all participants by the end of the program. The one-way analysis of variance indicated length of stay and participation level were not significant indicators of emotional safety (length of stay: p = 0.91, participation level: p = 0.98) and semantic (length of stay: p = 0.09, participation level: p = 0.60) and procedural (length of stay: p = 0.25, participation level: p = 0.09) memory development. These results suggest psychotherapy incorporating equine interaction was an efficient complementary therapeutic intervention for developing emotional safety and encouraging learning in a young-adult residential addiction treatment program during the COVID-19 pandemic.
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