关键词: Laps Methamphetamine Narcotics Anonymous Relapse

Mesh : Humans Methamphetamine / adverse effects Reproducibility of Results Amphetamine-Related Disorders / epidemiology Qualitative Research Recurrence

来  源:   DOI:10.1186/s13011-023-00548-9   PDF(Pubmed)

Abstract:
The high rate of treatment failure is a common problem in the treatment of methamphetamine use. Therefore, the aim of this research is to identify the most common causes of relapse in methamphetamine users.
This is a qualitative study and of content analysis type. Information was collected using purposeful sampling and through semi-structured interviews and focus group discussions. The statistical population consisted of all people with the methamphetamine-use disorder in 2022 who were in the abstinence phase and participated in the meetings of the Narcotics Anonymous (NA) Center of Bojnord. Theoretical sampling continued until data saturation. A total of 10 one-on-one interviews were conducted, each lasting between 45 to 80 min. Additionally, two focus group interviews were conducted with six members in each group, lasting between 95 to 110 min and data saturation was achieved through these interviews. Data analysis was done using the content analysis method (Sterling). Recoding and Holsti\'s method were used to measure reliability; validity was then calculated through content validity assessment.
The results of the thematic analysis showed that laps and relapse factors were identified and categorized into 5 organizing themes, including negative emotional states, positive emotional states, negative physical states, interpersonal factors, and environmental factors, consisting of 39 basic themes.
Identifying the risk factors leading to laps and relapse in methamphetamine users and increasing the knowledge in this field can lay the groundwork for preventive therapeutic interventions in this community.
摘要:
目的:治疗失败率高是甲基苯丙胺使用治疗中的常见问题。因此,这项研究的目的是确定甲基苯丙胺使用者复发的最常见原因。
方法:这是一项定性研究,属于内容分析类型。信息是通过有目的的抽样以及半结构化访谈和焦点小组讨论收集的。统计人群包括2022年所有患有甲基苯丙胺使用障碍的人,他们处于禁欲阶段,并参加了Bojnord毒品匿名(NA)中心的会议。理论采样持续到数据饱和。共进行了10次一对一的访谈,每次持续45至80分钟。此外,进行了两次焦点小组访谈,每组有六名成员,持续95至110分钟,通过这些访谈实现了数据饱和。使用含量分析方法(Sterling)进行数据分析。使用重新编码和Holsti方法来测量信度;然后通过内容效度评估来计算效度。
结果:主题分析的结果表明,圈数和复发因素被确定并分为5个组织主题,包括消极的情绪状态,积极的情绪状态,消极的物理状态,人际关系因素,和环境因素,由39个基本主题组成。
结果:确定导致甲基苯丙胺使用者循环和复发的危险因素并增加该领域的知识可以为该社区的预防性治疗干预奠定基础。
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