半结构式团体干预对海洛因戒断者认知重评能力提升的随机对照研究OACHSSCD
A randomized controlled trial of semi-structured group intervention for enhancing cognitive reappraisal ability in heroin abstainers
目的:探索半结构式团体心理咨询对海洛因戒断者认知重评能力的干预效果.方法:从甘肃省某戒毒所招募海洛因戒断者28 名,随机分为团体干预组(n=14)和常规对照组(n=14).团体干预组接受以认知重评能力提升为目标的 10 周半结构式团体心理咨询干预,常规对照组不进行干预,两组均正常参与戒毒所日常活动.采用认知重评任务测量两组的认知重评能力.结果:两组基线认知重评能力得分差异无统计学意义(P>0.05),10 周干预后团体干预组得分高于常规对照组(P<0.05);团体干预组干预后得分高于基线得分(P<0.05),常规对照组干预前后得分差异无统计学意义(P>0.05);团体干预组干预前后认知重评能力得分的差值大于对照组的差值(P<0.05);团体干预组的有效率高于常规对照组(P<0.05).结论:半结构式团体心理咨询干预可有效提升海洛因戒断者的认知重评能力,为降低复吸风险提供了可行的心理治疗路径.
Objective:To examine the effectiveness of semi-structured group counseling on cognitive reap-praisal ability in heroin abstainers.Methods:Twenty-eight heroin abstainers from a drug rehabilitation center in Gansu Province and randomly were randomly assigned to either a group intervention(n=14)or a routine control group(n=14).The intervention group received a 10-week semi-structured group counseling intervention focused on enhancing cognitive reappraisal ability,while the control group received no specific intervention.Both groups participated in the facility's daily activities as usual.Cognitive reappraisal ability was assessed using a standardized task before and after intervention.Results:No significant difference was observed in baseline scores between groups(P>0.05).After the 10-week intervention,the intervention group showed significantly higher scores than the rou-tine control group(P<0.05)and significant improvement compared with baseline scores(P<0.05).whereas the control group showed no change(P>0.05).The score difference and effective rate were significantly greater in the intervention group(P<0.05).Conclusion:Semi-structured group counseling effectively enhance cognitive reap-praisal ability in heroin abstainers,providing a feasible psychotherapeutic pathway to reduce the risk of relapse.
王霞;杨玲;刘文鑫;张更生;王芬芬
西北师范大学心理学院,兰州 730070||成都体育学院,成都 610041西北师范大学心理学院,兰州 730070西北师范大学心理学院,兰州 730070西北师范大学心理学院,兰州 730070西北师范大学心理学院,兰州 730070
医药卫生
团体心理咨询认知重评海洛因戒断者
group psychological counselingcognitive reappraisalheroinabstainers
《中国心理卫生杂志》 2026 (6)
491-496,6
国家自然科学基金(32460210)
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