非药物治疗方法用于酒精和物质成瘾及其相关因素

Ç. Turan, E. Yazıcı, A. Yazıcı, Atila Erol
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摘要

目的:由于多种原因,目前酒精和物质使用障碍的治疗方法不能满足患者的需求。这种情况可能会导致上瘾者寻求不同的方法。本研究旨在调查ASUD患者使用的非药物治疗方法以及可能与之相关的因素。材料和方法:该研究对103名自愿患者进行,这些患者在培训研究医院酒精物质治疗中心接受治疗。本研究采用上帝依恋量表、成瘾状况指数从业者表和非药物治疗问卷,对DSM-IV(SCID-1)进行结构化临床访谈,对DSM-IV(SCID-2)进行结构化心理访谈。结果:在成瘾个体中,寻求任何非药物方法的比率为33%。为了戒除毒瘾,求助于宗教是最受欢迎的(24.3%)。在副标题方面,祈祷(17.4%)和参加体育运动(6.7%)等自助方式是最受青睐的。患者对上帝的依恋方式和人格障碍的诊断与寻求非药物方法的频率和非药物方法类型之间没有关系。研究发现,成瘾的严重程度与非药物方法的使用之间存在关系。结论:除了ASUD问题患者的医疗方法外,观察到他们试图使用传统和互补的方法来应对,并且在这些方法中更喜欢自助方法。然而,还需要进一步的研究来调查这些方法对当前治疗方法的贡献。
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Nondrug Treatment Approaches Used in Alcohol and Substance Addictions and Related Factors
Objectives: Current treatment methods in alcohol and substance use disorders (ASUDs) cannot meet the demands of patients for many reasons. This situation may result in individuals with addiction seeking different approaches. This study aims to investigate nondrug methods used by individuals with ASUD to cope with their disorder and the factors that may be associated with it. Materials and Methods: The study was carried out on 103 volunteer patients who presented to a Training and Research Hospital alcohol substance treatment center. In the study, the God Attachment Inventory, the Addiction Profile Index-Practitioner Form, and the Non-Drug Treatment Questionnaire were used, and Structured Clinical Interview for DSM-IV (SCID-1) and Structured Clinical Interview for DSM-IV (SCID-2) psychiatric interviews were conducted. Result: In individuals with addiction, the rate of seeking any nondrug method was found to be 33%. To get rid of addiction, turning to religion was mostly preferred (24.3%). In terms of subheadings, self-help methods such as praying (17.4%) and engaging in sports (6.7%) were the most preferred. No relationship was found between the patients’ attachment style to God and personality disorder diagnoses and the frequency of seeking nondrug methods and the type of nondrug method. It has been found that there is a relationship between the severity of addiction and the use of nondrug methods. Conclusions: In addition to the medical approaches of patients with ASUD problems, it is observed that they attempt to cope using traditional and complementary methods and prefer the self-help methods among these methods. However, further studies are needed to investigate the contribution of these methods to current treatment methods.
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期刊介绍: Addictive Disorders & Their Treatment is a quarterly international journal devoted to practical clinical research and treatment issues related to the misuses of alcohol and licit and illicit drugs and the study and treatment of addictive disorders and their behaviors. The journal publishes broad-spectrum, patient-oriented coverage of all aspects of addiction, directed toward an audience of psychiatrists, clinical psychologists, psychopharmacologists, and primary care practitioners. Original articles help clinicians make more educated, effective decisions regarding optimal patient management and care. In-depth reviews examine current understanding, diagnosis, and treatment of addiction disorders.
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