A pilot assessment of relapse prevention for heroin addicts in a Chinese rehabilitation center

作者：Min, Zhao^*; Xu, Li; Chen, Hanhui; Ding, Xu; Yi, Zhang; Zhang Mingyuang

来源：American Journal of Drug and Alcohol Abuse, 2011, 37(3): 141-147.

DOI：10.3109/00952990.2010.538943

• heroin dependence
• relapse prevention
• effectiveness
• addiction

Objectives: To conduct a pilot assessment of relapse prevention (RP) group therapy for heroin-dependent patients in a drug rehabilitation center in China. Methods: A randomized case-control study was conducted to assess the efficacy of RP delivered over a 2-month period to male heroin addicts (n = 50, RP group) in the Shanghai Labor Drug Rehabilitation Center (LDRC) compared with an equal number of participants (n = 50, labor rehabilitation (LR) group) in the LDRC program receiving standard-of-care treatment. Outcomes were assessed by the Beck Depression Inventory (BDI), the Self-Rating Anxiety Scale (SAS), the Self-Efficacy Scale (SE), and the Self-Esteem Scale (SES) after completion of RP, and by the Addiction Severity Index (ASI) and abstinence rates of heroin use at 3-month follow-up post release from the LDRC for both groups. Results: Significant improvements in scores on SAS, SE, and SES were found in the RP group after completion of the 2-month RP group therapy compared with the LR group (SAS 7.85 +/- 6.20 vs 1.07 +/- 5.42, SE 3.88 +/- 3.60 vs.08 +/- 2.89, and SES 3.83 +/- 3.31 vs.78 +/- 2.55). At 3-month follow-up, the RP group participants had more improvements on ASI scores in most domains and had higher abstinence rates than that in the LR group (37.2% vs 16.7%). Conclusions: An RP component can be effective in increasing abstinence rates among post-program heroin-dependent individuals and may help reduce anxiety and improve self-esteem and self-efficacy during and following treatment. Scientific Significance: This study suggests RP as a potentially effective component of treatment for heroin addicts.

• 出版日期2011-5
• 单位上海市精神卫生中心; 上海交通大学