The Study Of Effect Across The Group Therapy Orientate The Trans-theoretical Model Of Change Point To Substance Abusers

ObjectiveTo make a psychological intervention based on the trans-theoretical model groups treatment for substance abuse was the purpose of this study, and analysis the effect through the trans-theoretical model form of group psychotherapy on improving the substance abusers, to provide the promotion in the field of the therapy.MethodsRandomly selected 39 substance abusers from one voluntary detoxification hospital in Guangzhou, as treatment group, implement the trans-theoretical model groups treatment combined drug therapy; Randomly selected 37 substance abusers as the control group, with drug therapy. Using the’symptom self-assessment scale (SCL-90)’,’drug craving scale’,’relapsing orientation scale’to questionnaire before and after the treatment, and then interview the treatment members. When the members leave the hospital after 1 month or 2 months, follow them by telephone, get the object of study of relapsing and other issues appearing. To analysis the treatment of the two groups, to find the curative effect of drug treatment and group treatment.ResultsReduction rates of four factors of SCL-90, which include interpersonal sensitivity, depression, anxiety and hostility for experimental group is more than 25% and the reduction rate of negative coping style on drug group is less than-25%. Total scores between experimental group and control group are significantly different (p<0.05). The experimental group’s reduction rate is significantly lower than the control group’s in interpersonal sensitivity, depression, anxiety and hostility, (p< 0.05), while no significant differences on the other factors (p> 0.05). The reduction rates of total scores on Drug craving beliefs scale are significantly different (p< 0.05). In relapsing tendency scale, the reduction rates of total score and situation to drugs that cause, contact, emotional elicitation factor are significantly different (p< 0.05); In the simplified coping style questionnaire, the reduction rates of two factors have no significant difference (p> 0.05). Furthermore, occurrence rates of relapse and other problems to experiment group are much lower than control group significantly a month after discharge (p< 0.001), however, it has no significant difference of rate of relapse two months after (p> 0.05), but occurrence rates of other problems by experimental group are significantly lower than that of control group (p< 0.001).ConclusionGroup therapy improves interpersonal sensitivity, hostility, depression and anxiety level of the substance abuser. After group treatment, changes of mental health, interpersonal sensitivity, hostility, depression and anxiety factor of the substance abuser are more significantly than that of drug therapy only. After group treatment, the experimental group of drug craving degree change more obvious than the drug therapy group and the experimental drug craving degree change more obvious than the drug therapy group. In a certain period, group therapy effectively reduce the relapse rate of substance abusers and other problems occur rate.