Cognitive-Behavioral Therapy for Methamphetamine Dependence among Methadone-Maintained Patients

被引:14
|
作者
Shakiba, Kiyanoosh [1 ]
Effatpanah, Mohammad [2 ]
Moradi, Afsaneh [3 ]
机构
[1] Shokoufa Methadone Clin, Tehran, Iran
[2] Univ Tehran Med Sci, Ziaeian Hosp, Sch Med, Int Campus, Tehran, Iran
[3] Al Zahra Univ, Sch Psychol & Educ Sci, Dept Psychol, Tehran, Iran
关键词
Cognitive Therapy; Methamphetamine; Randomized Controlled Trial;
D O I
10.5812/ijpbs.63615
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Background: Cognitive-behavioral therapy has been suggested as a treatment program for methamphetamine dependence. Objectives: The current brief report aimed to assess the effectiveness of 16 sessions of this treatment for abstinence from methamphetamine and improvement of psychological well-being among methadone-maintained patients. Methods: Overall, 200 male and female methadone patients who were on stable methadone doses were assigned to either an intervention group (n=100) or a control group (n=100). The study was part of a randomized controlled trial conducted in five methadone services in Shiraz, near the Persian Gulf of Iran. All methamphetamine-dependent participants were assessed using two questionnaires at baseline, post-test (the end of the 16th cognitive-behavioral therapy or control session), and a three-month follow-up that was conducted 90 days after the end of the 16th session. Urinalyses were also conducted to detect methamphetamine use at the same assessment points. The control group was in a wait-list control condition. There was no participant attrition during the assessment procedures. Results: Overall, 30 participants in the treatment group became abstinent at post-test and remained abstinent at follow-up. 16 sessions of cognitive-behavioral therapy led to a significant reduction in methamphetamine use (P < 0.001) and improved psychological well-being (P < 0.001) in the treatment group while there was no significant change in the control group. Conclusions: Cognitive-behavioral therapy can be an efficacious option for methamphetamine problem in methadone treatment although further studies are suggested on long-term abstinence.
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页数:4
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