对患有阿片类药物使用障碍的围产期妇女进行行为激活干预的效果。

IF 1.6 3区 心理学 Q3 PSYCHOLOGY, CLINICAL Journal of Clinical Psychology in Medical Settings Pub Date : 2024-05-16 DOI:10.1007/s10880-023-09984-y
Michael R Vilensky, Nicole A Arrato, Kristen M Carpenter
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引用次数: 0

摘要

患有阿片类药物使用障碍的孕妇合并精神健康问题的比例较高,而这两种问题都与母亲和孩子的不良健康后果相关。有大量证据支持围产期阿片类药物使用障碍以及围产期抑郁症和焦虑症的治疗效果,但对于并发药物使用障碍情况下围产期行为健康干预措施的有效性还缺乏了解。本研究试图通过对一组患有阿片类药物使用障碍的围产期妇女(N = 68)进行行为激活治疗的结果研究来弥补这一空白。行为激活疗法在治疗同时存在的抑郁和药物使用问题方面大有可为。该干预是综合护理治疗模式的一部分,患者在医院诊所接受产科、药物使用和精神健康护理。采用层次线性模型评估症状随时间的变化。结果表明,小组行为激活干预与抑郁和焦虑症状的减少有关,在治疗过程中,PHQ-9 和 GAD-7 分数的显著降低证明了这一点。此外,有迹象表明,参加人数的增加与抑郁症状的进一步减轻有关。研究结果有助于了解行为激活在围产期阿片类药物使用障碍中的有效性。研究结果还增加了支持综合护理模式的证据,并为改善该人群的治疗效果和减少治疗障碍提供了潜在的蓝图。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Effectiveness of a Behavioral Activation Intervention for Peripartum Women with Opioid Use Disorder.

Pregnant women with opioid use disorder show elevated rates of comorbid mental health problems, both of which are associated with negative health outcomes for mothers and children. There is substantial evidence supporting the benefits of treatment of perinatal opioid use disorder, as well as perinatal depression and anxiety, but there are gaps in knowledge about the effectiveness of perinatal behavioral health interventions in the context of co-occurring substance use disorder. The current study seeks to address this gap by examining outcomes of a behavioral activation treatment in a group of peripartum women with opioid use disorder (N = 68). Behavioral activation has shown promise in treating co-occurring depression and substance use problems. The intervention was delivered as part of an integrated care treatment model, in which patients received co-located obstetric, substance use, and mental health care in a hospital-based clinic. Hierarchical linear modeling was used to assess change in symptoms over time. Results suggest that the group behavioral activation intervention was associated with reduced depression and anxiety symptoms, demonstrated by significant reductions in PHQ-9 and GAD-7 scores over the course of treatment. Moreover, there were indications that increased attendance was associated with further reductions in depressive symptoms. Results contribute to understanding the effectiveness of behavioral activation in the context of peripartum opioid use disorder. Findings also add to the evidence supporting integrated care models and offer a potential blueprint for improving outcomes and reducing barriers to care in this population.

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来源期刊
CiteScore
4.00
自引率
4.50%
发文量
93
期刊介绍: Journal of Clinical Psychology in Medical Settings is an international forum for the publication of peer-reviewed original papers related to all areas of the science and practice of psychologists in medical settings. Manuscripts are chosen that have a broad appeal across psychology as well as other health care disciplines, reflecting varying backgrounds, interests, and specializations. The journal publishes original research, treatment outcome trials, meta-analyses, literature reviews, conceptual papers, brief scientific reports, and scholarly case studies. Papers accepted address clinical matters in medical settings; integrated care; health disparities; education and training of the future psychology workforce; interdisciplinary collaboration, training, and professionalism; licensing, credentialing, and privileging in hospital practice; research and practice ethics; professional development of psychologists in academic health centers; professional practice matters in medical settings; and cultural, economic, political, regulatory, and systems factors in health care. In summary, the journal provides a forum for papers predicted to have significant theoretical or practical importance for the application of psychology in medical settings.
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