社会心理干预在美沙酮维持治疗中的应用
高术宝,庞琳,吴尊友
摘要(Abstract):
从类型和效果两方面系统阐述了国外美沙酮维持治疗中,社会心理干预措施的应用情况。美沙酮维持治疗中社会心理干预的类型包括:咨询(一般咨询和强化咨询)、列联管理、心理治疗、社区强化方法等;社会心理干预的效果包括:减少偷吸现象,改善病人的保持情况,改善病人的毒品依赖程度,改善病人的精神心理状况等。
关键词(KeyWords): 美沙酮;美沙酮维持治疗;社会心理干预;咨询;列联管理
基金项目(Foundation):
作者(Author): 高术宝,庞琳,吴尊友
参考文献(References):
- [1]Dole VP,Nyswander ME,DesJarlais D,et al.Performance based rat-ing of methadone maintenance programs[J].N Engl J Med,1982,306(3):169-171.
- [2]Castellani B,Wedegeworth R,Wooton E.A bidirectional theory ofaddiction:examining coping and the factors related to substance re-lapse[J].Addict Behav,1997,22(1):139-144.
- [3]Farre M,Mas A,Torrens M,et al.Retention rate and illicit opioid useduring methadone maintenance interventions:a meta-analysis[J].Drug Alcohol Depend,2002,65(3):283-290.
- [4]乐国安.咨询心理学[M].天津:南开大学出版社,2002.
- [5]McLellan AT,Arndt IO,Metzger DS.The effects of psychosocialservices in substance abuse treatment[J].JAMA,1993,269(15):1953-1959.
- [6]Kletter E.Counseling as an intervention for the cocaine-abusingmethadone maintenance patient[J].J Psychoactive Drugs,2003,35(2):271-277.
- [7]Stitzer ML,Iguchi MY,Felch LJ.Contingent take-home incentive:effects on drug use of methadone maintenance patients[J].J ConsultClin Psychol,1992,60(6):927-934.
- [8]Preston KL,Umbricht A,Epstein DH.Methadone dose increase andabstinence reinforcement for treatment of continued heroin use duringmethadone maintenance[J].Arch Gen Psychiatry,2000,57(4):395-404.
- [9]Preston KL,Umbricht A,Epstein DH.Abstinence reinforcementmaintenance contingency and one-yearfollow-up[J].Drug AlcoholDepend,2002,67(2):125-137.
- [10]Rhodes GL,Saules KK,Helmus TC,et al.Improving on-time coun-seling attendance in a methadone treatment program:a contingencymanagement approach[J].Am J Drug Alcohol Abuse,2003,29(4):759-773.
- [11]Petry NM.A Clinician’s Guide for Implementing ContingencyManagement Programs[M].Farmington:University of ConnecticutSchool of Medicine,2001.
- [12]Rounsaville BJ,Glazer W,Wilber CH,et al.Short-term interperson-al psychotherapy in methadone-maintained opiate addicts[J].ArchGen Psychiatry,1983,40(6):629-636.
- [13]Woody GE,McLellan AT,Luborsky L,et al.Psychotherapy incommunity methadone programs:a validation study[J].Am J Psychi-atry,1995,152(9):1302-1308.
- [14]Abbott PJ,Weller SB,Delaney HD,et al.Community reinforcementapproach in the treatment of opiate addicts[J].Am J Drug AlcoholAbuse,1998,24(1):17-30.
- [15]McLellan AT,Kushner H,Metzger D,et al.The Fifth Edition ofthe Addiction Severity Index[J].J Subst Abuse Treat,1992,9(3):199-213.