中国心理卫生杂志
中國心理衛生雜誌
중국심리위생잡지
CHINESE MENTAL HEALTH JOURNAL
2009年
12期
856-860
,共5页
范成路%赵敏%杜江%陈晗晖%孙海明%袁颖%陈莉敏%江海峰%王兆薇
範成路%趙敏%杜江%陳晗暉%孫海明%袁穎%陳莉敏%江海峰%王兆薇
범성로%조민%두강%진함휘%손해명%원영%진리민%강해봉%왕조미
海洛因依赖%线索暴露治疗%生物反馈%渴求%心理生理学%前瞻性队列研究
海洛因依賴%線索暴露治療%生物反饋%渴求%心理生理學%前瞻性隊列研究
해락인의뢰%선색폭로치료%생물반궤%갈구%심리생이학%전첨성대렬연구
heroin dependence%cue-exposure therapy%biofeedback%craving%sychophysiology%prospective cohort study
目的:了解生物反馈结合线索暴露治疗是否降低海洛因依赖者环境线索诱发渴求及心理生理反应.方法:采用前瞻性的队列研究将60例环境线索诱发心理渴求增高的康复期海洛因依赖者分成实验组(n=36)与对照组(n=24),对照组只进行劳教场所的常规帮教,实验组除帮教外进行12次生物反馈结合线索暴露治疗,评估治疗前后环境线索诱发心理渴求与心理生理反应情况.结果:两组治疗结束后,实验组环境诱发前、后的心理渴求,肌电和皮导得分均低于对照组[诱发前:心理渴求(3.06±7.26)mm vs.(22.32±20.26)mm、肌电(8.52±4.23)μV vs.(12.06±5.17)μV、皮导(2.14±1.43)μS vs.(4.61±2.24)μS;诱发后:心理渴求(6.97±10.30)vs.(33.14±25.40)mm、肌电(8.72±4.31)vs.(14.79±5.86)μV、皮导(2.15±1.33)vs.(4.49±2.59)μS,P≤0.01].结论:生物反馈结合线索暴露治疗可降低康复期海洛因依赖者渴求及环境诱发心理生理反应.
目的:瞭解生物反饋結閤線索暴露治療是否降低海洛因依賴者環境線索誘髮渴求及心理生理反應.方法:採用前瞻性的隊列研究將60例環境線索誘髮心理渴求增高的康複期海洛因依賴者分成實驗組(n=36)與對照組(n=24),對照組隻進行勞教場所的常規幫教,實驗組除幫教外進行12次生物反饋結閤線索暴露治療,評估治療前後環境線索誘髮心理渴求與心理生理反應情況.結果:兩組治療結束後,實驗組環境誘髮前、後的心理渴求,肌電和皮導得分均低于對照組[誘髮前:心理渴求(3.06±7.26)mm vs.(22.32±20.26)mm、肌電(8.52±4.23)μV vs.(12.06±5.17)μV、皮導(2.14±1.43)μS vs.(4.61±2.24)μS;誘髮後:心理渴求(6.97±10.30)vs.(33.14±25.40)mm、肌電(8.72±4.31)vs.(14.79±5.86)μV、皮導(2.15±1.33)vs.(4.49±2.59)μS,P≤0.01].結論:生物反饋結閤線索暴露治療可降低康複期海洛因依賴者渴求及環境誘髮心理生理反應.
목적:료해생물반궤결합선색폭로치료시부강저해락인의뢰자배경선색유발갈구급심리생리반응.방법:채용전첨성적대렬연구장60례배경선색유발심리갈구증고적강복기해락인의뢰자분성실험조(n=36)여대조조(n=24),대조조지진행로교장소적상규방교,실험조제방교외진행12차생물반궤결합선색폭로치료,평고치료전후배경선색유발심리갈구여심리생리반응정황.결과:량조치료결속후,실험조배경유발전、후적심리갈구,기전화피도득분균저우대조조[유발전:심리갈구(3.06±7.26)mm vs.(22.32±20.26)mm、기전(8.52±4.23)μV vs.(12.06±5.17)μV、피도(2.14±1.43)μS vs.(4.61±2.24)μS;유발후:심리갈구(6.97±10.30)vs.(33.14±25.40)mm、기전(8.72±4.31)vs.(14.79±5.86)μV、피도(2.15±1.33)vs.(4.49±2.59)μS,P≤0.01].결론:생물반궤결합선색폭로치료가강저강복기해락인의뢰자갈구급배경유발심리생리반응.
Objective:To understand whether or not biofeedback therapy(BT)and cue- exposure therapy(CET)could decrease craving and heroin-related cue reactivity in abstinent heroin dependents.Methods:Adopting stratified sampling means,60 abstinent heroin dependents whose craving increased after cue exposed,were allocated to experiment group(n=36)and control group(n=24).The control group dependents received assistance and education.Beside the assistance and education,the experiment group also received 12 times combination therapies of BT and CET.Results:After therapies,the experiment group dependents' craving,EMG and skin conductance(SC)were all decreased compared with control group before cue exposures and after cue exposures[Before cue exposures,the indexes were:craving(3.06±7.26)mm vs.(22.32±20.26)mm;EMG(8.52±4.23)μV vs.(12.06±5.17)μV,SC(2.14±1.43)μS vs.(4.61±2.24)μS.After cue exposures the indexes were:craving(6.97±10.30)mm vs.(33.14±25.40)mm,MEG(8.72±4.31)μV vs.(14.79±5.86)μV,SC(2.15±1.33)μS vs.(4.49±2.59)μS;Ps≤0.01.Conclusion:The combination of biofeedback therapy and cue-exposure therapy could decrease the dependents' craving and cue reactivity sensitivity.
