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首页> 外文期刊>The journal of clinical psychiatry >Group therapy for patients with bipolar disorder and substance dependence: results of a pilot study.
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Group therapy for patients with bipolar disorder and substance dependence: results of a pilot study.

机译:双相情感障碍和物质依赖患者的团体治疗:一项初步研究的结果。

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BACKGROUND: The authors' goal was to pilot test a newly developed manual-based group psychotherapy, called Integrated Group Therapy (IGT), for patients with bipolar disorder and substance dependence. METHOD: In this open trial, patients with DSM-IV bipolar disorder and substance dependence (N = 45) were recruited in sequential blocks to receive either group therapy (N = 21) or 6 monthly assessments, but no experimental treatment (N = 24). RESULTS: When compared with patients who did not receive group therapy, patients who received IGT had significantly better outcomes on the Addiction Severity Index drug composite score (p < .03), percentage of months abstinent (p < .01), and likelihood of achieving 2 (p < .002) or 3 (p < .004) consecutive abstinent months. CONCLUSION: IGT is a promising treatment for patients with bipolar disorder and substance dependence, who have traditionally had poor outcomes. It is unclear, however, how much of the improvement among the group therapy patients is attributable to the specific content of the treatment. A study comparing this treatment with another active psychotherapy treatment is warranted.
机译:背景:作者的目标是为患有双相情感障碍和物质依赖的患者试点测试一种新开发的基于手动的团体心理疗法,称为综合团体疗法(IGT)。方法:在这项开放试验中,按顺序招募患有DSM-IV双相情感障碍和物质依赖性(N = 45)的患者,以接受分组治疗(N = 21)或6个月评估,但不进行实验性治疗(N = 24 )。结果:与未接受小组治疗的患者相比,接受IGT的患者在成瘾严重性指数药物综合评分(p <.03),戒断月数(p <.01)和发生药物的可能性方面具有显着更好的结果连续2个月(p <.002)或3(p <.004)。结论:IGT是双相情感障碍和物质依赖患者的一种有前途的治疗方法,这些患者传统上疗效较差。但是,尚不清楚组治疗患者中的多少改善可归因于治疗的具体内容。有必要将这种治疗方法与另一种积极的心理治疗方法进行比较。

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