合併心理社會與教育方案對美沙冬替代療法的影響

The Effects on Combining Psycho-social-educational Program with Methadone Maintenance Therapy

本研究旨在比較美沙冬替代療法合併不同治療方案對於海洛因成癮者之減害效果差異。本案隨機選取70名受試，區分五組，包括美沙冬組（M）、M合併衛教資料組（ME）、ME合併聚焦對策短期模式個別心理治療組（MESFBIT）、團體治療組（MESFBGT），暨家庭治療組（MESFBFT）。本研究檢視6個月後受試者在三個減害指標之表現。研究者以t考驗決定這五種方法是否個別產生顯著改變，再以共變數分析考驗這五組是否有組間之顯著差異。t考驗顯示MESFBIT，MESFBGT與MESFBFT均呈現在指標一「身心健康狀況」前後測之的顯著差異，進一步觀察平均數的差異則顯示家族治療組差異最大；t考驗也顯示家庭治療組在指標二「家庭功能」方面產生顯著差異；至於指標三「身體健康」方面則並無任一組有顯著差異。如果做組間比較，則五組在三個指標均無差異。本研究肯定美沙冬服藥組合併個別、家庭、暨團體心理治療的實驗方案於六個月間均顯著產生改善「身心健康」的效果，合併家庭治療組尚且顯著改善家庭功能，不過本研究不能認定哪一組半年後在三項減害指標上效果優於其他組。

The purpose of this study is to compare the effectiveness on harm reduction among 5 interventions for patients in methadone maintenance therapy (MMT) in six months. The researchers recruited 70 subjects and assigned them to five groups, 14 members each. The five groups were methadone maintenance therapy only (M), M with health education information condition (ME), ME with solution-focused brief group therapy condition (MESFBGT), ME with SFB individual therapy condition (MESFBIT), and ME with SFB family therapy condition (MESFBFT). The index of harm reduction includes mental and physical wellbeing, family function, and physical illness. The researchers applied t-test to compare the differences between pre and posttest and the covariance analysis to compare the differences among these five groups. T-test resulted significant differences in physical and mental wellbeing, whether it was in MESFBIT, MESFBGT, or MESFBFT. It was also found that the family function in MESFBFT improved significantly after treatment. The covariance analysis did not yield any significant differences among 5 treatment groups.