| Objective:This study used Naikan-cognitive therapy to psychotherapy alcoholic dependence patients on the one hand,and at the same time,was used to Naikan-cognitive therapy psychotherapy family members closely related to their lives on the other hand.Psychological intervention:To observe the effects of alcohol craving,social support and family environment on patients with alcohol dependence,and to follow up the rate of re-drinking for half a year,in order to explore a psychotherapeutic method that can simultaneously intervene patients and their families,so as to prevent patients from re-drinking from both the patients themselves and their families.Methods:1.Selection of research subjects:Selected patients with alcohol dependence who were hospitalized in our hospital from 2016.1 to 2017.7.A total of 63 patients were selected according to the admission criteria.The subjects were divided into study group and control group by random number method(odd and even number method)according to the admission time sequence.2.Intervention procedures:(1)The two groups of patients continued to maintain drug treatment:compound vitaminB 3capsules each time,three times a day,clonazepam tablets 2-4 mg,once a night.(2)The two groups were assessed with compulsory alcohol consumption questionnair,perceived social support scale and family environment scale.(3)Explain the purpose of the study to the two groups of patients,and obtain informed consent;Explain the intervention methods and requirements of cognitive therapy in detail to the study group and its family members,and specify the family member(1-3)who need to intervene.(4)In the study group,the patients and their family members were intervened by Naikan-cognitive therapy.The intervention methods of patients were:7 days of centralized Naikan therapy combined with 3 weeks of decentralized daily Naikan-cognitive therapy.Family members were intervened by 4 weeks of decentralized daily Naikan-cognitive therapy.During this period,therapists will combine patients and their family members to share insight,encourage patients and members to express their feelings,and give family collective cognitive therapy.(5)At the end of 4 weeks,the two groups were assessed with the scale again.(6)The rate of re-drinking for half a year was followed up by telephone or clinic.Results:1.A total of 63 subjects were included in the study.Sixty cases were completed due to the shedding of three persons.30 persons in the study group and 30persons in the control group were included in the analysis.2.Comparison of OCDS score between two groups before and after treatment Before treatment,there was no significant difference in OCDS score between the two groups(P>0.05);after treatment,OCDS score of the two groups decreased significantly compared with that before treatment(P<0.05 or P<0.01),and OCDS score of the study group was significantly lower than that of the control group(P<0.01),with significant difference.3.Comparison of PSSS score between two groups before and after treatment Before treatment,there was no significant difference in PSSS score between the two groups(P>0.05);after treatment,there was no significant difference in PSSS score be tween the control group and before treatment,and the PSSS score of the study group was significantly higher than before treatment(P<0.01),while the PSSS score of the study group was significantly higher than that of the control group(P<0.01),with significant difference.4.Comparison of FES score between two groups before and after treatment Before treatment,there was no significant difference in the scores of FES between the two groups(P>0.05);after treatment,the intimacy and contradiction of the control group were better than those before treatment(P<0.05 or P<0.01),while the other scores had no significant difference(P>0.05),the FES scores of the study group were significantly better than those before treatment(P<0.05 or P<0.01),and the FES scores of the study group were significantly better than those of the control group(P<0.05 or P<0.01).5.Comparison of the rate of re-drinking after half a year between the two groups Six months later,10 cases in the study group were re-drinking,the re-drinking rate was33.3%,22 cases in the control group were re-drinking,the re-drinking rate was 73.3%.The re-drinking rate in the study group was significantly lower than that in the control group(?~2=9.64,P<0.01).Conclusions:1.Naikan-cognitive Therapy can improve the success rate of abstinence and effectively prevent patients from drinking again.2.Naikan-cognitive therapy can reduce the thirst for alcohol in patients with alcohol dependence and improve their initiative to abstain from alcohol.3.Naikan-cognitive therapy can make alcoholic dependence patients feel more support and care,and improve the ability of alcoholic dependence patients to perceive social support.4.Naikan-cognitive therapy can improve the family environment,reduce family conflicts and promote family harmony of patients with alcohol dependence.5.Naikan-cognitive therapy intervention for alcoholic dependence patients and their family members is operable and effective,which deserves further study with expanded samples. |
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