海洛因依賴者復(fù)吸的預(yù)防及病因?qū)W研究.pdf

1、上海第二醫(yī)科大學(xué)博士學(xué)位論文海洛因依賴者復(fù)吸的預(yù)防及病因?qū)W研究姓名：李旭申請學(xué)位級別：博士專業(yè)：精神病學(xué)與精神衛(wèi)生指導(dǎo)教師：王祖承2002.4.19PreventionandEtiologyStudyofRelapseinHeroinAddictsAbstractObjectives:(1)Toevaluatetheshorttermeffectivenessofrelapsepreventiontrainingforheroinadd

2、ictsandtoexploretheefectivesocialandpsychologicalinterventionmodel(2)Toexplorethesocialandpsychologicalreasonsofheroinaddictsrelapse.Methods:(1)100maleheroinaddictswererandomlydividedintotraininggrottp(n=50)whichwereprov

3、ided2monthrelapsepreventiontrainingandaftercareprogramandcontrolgroup(n=50)whichacceptlaborcorrectionduringthesameperiods.ThetrainingcoursewasdesignedaccordingtoMarlattscognitivebehaviorapproachandemphasizedonidentifying

4、highrisksituationsandlearningtocopywiththemAllparticipantsfinishedAddictionSeverityIndexinterviewsSymptomCheckList90DefenseStyleQuestionnaireandpreandposttrainingSelfefficacytestsSelfesteemScaleBeckDepressionInventoryand

5、SelfRatingAnxietyScaleA3monthsfollowerupASIinterviewandurinetestweremadetoaccesstheshorttermoutcome.(2)199maleheroinaddictswereinterviewedtoinvestigaterelapsereasonsandevaluatetheirdruguse.Thedataoftheirbackgroundincludi

6、nghistoryofdrugabusehistoryofabstinencewascomparedaccordingtodiferentrelapsereasonAexploratoryfactoranalysiswasconductedtoresearchthestructureofrelapsereasonsandaconfirmatoryfactorwasusedtoresearchthefitnessofthestructur

7、e87maleheroinaddictswereexposedtoheroinrelatedstimuliand25addictswereinducedsuccessfullywhile62failed.Demographiccharacteristicsdruguserelatedfeaturesabstinentfeaturesandrelapsereasonsarecomparedbetweenaddictsbeinginduce

8、danothosefailed.Results:(1)The3monthfollowupresultsshowthat65.1%patientsintraininggrouprelapsedwhile83.3%incontrolgroup.Therehadsignificantdifferencebetweengroups.Meanwhilethetraininggroupshowedmoreimprovementsindrugabus

9、e.medicalseveritySucm1functionandpsychiatriccompositethancontrolgroup(2)Psychologicaltrainingcansignificantreducinganxietyleverandimprovingtheirselfefficacy(3)Significantdifferencewasfoundbetweenabstinenceandrelapsesinth