关键词: Acceptance and commitment therapy alcohol use disorder psychological flexibility telepsychiatry

来  源:   DOI:10.4103/indianjpsychiatry.indianjpsychiatry_820_23   PDF(Pubmed)

Abstract:
UNASSIGNED: Psychosocial interventions help maintain alcohol abstinence. Third-wave psychotherapies have emerged as an alternative to cognitive behavioral therapies for Alcohol Use Disorder (AUD) treatment. However, third-wave therapies have not been tested in non-western settings or via telehealth.
UNASSIGNED: We assessed the acceptability and feasibility of Acceptance and Commitment Therapy (ACT) in moderate/severe AUD.
UNASSIGNED: This was a pre- and post-study design. All those who met the eligibility (n = 40) criteria consented to participate. A trained nurse delivered four sessions of ACT, either in-person or via video-conferencing, per participants\' preference. Alcohol use, craving, relapse signs, and psychological flexibility were assessed three months post-intervention.
UNASSIGNED: Twenty-eight participants (70%) attended all four sessions. There was a significant increase in abstinence and a decrease in alcohol use, frequency of drinking/heavy drinking, craving, relapse signs, and improved psychological flexibility. Outcomes were positive for either mode of delivery.
UNASSIGNED: ACT is feasible, acceptable, and probably effective in AUD.
摘要:
心理社会干预有助于保持戒酒。第三波心理治疗已成为酒精使用障碍(AUD)治疗的认知行为疗法的替代方法。然而,第三波疗法尚未在非西方环境或通过远程医疗进行测试.
我们评估了接受和承诺疗法(ACT)在中度/重度AUD中的可接受性和可行性。
这是研究前和研究后的设计。所有符合资格(n=40)标准的人都同意参加。一位训练有素的护士进行了四次ACT课程,亲自或通过视频会议,根据参与者的偏好。酒精使用,渴望,复发迹象,心理灵活性在干预后3个月进行评估.
28名参与者(70%)参加了所有四个会议。禁欲显著增加,饮酒减少,饮酒/大量饮酒的频率,渴望,复发迹象,提高心理灵活性。两种交付方式的结果都是积极的。
ACT是可行的,可接受,并且可能在AUD中有效。
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