Swipe om te navigeren naar een ander artikel
The present study is designed to evaluate the efficacy of acceptance–commitment therapy (ACT) on craving beliefs in opioid dependent patients on methadone maintenance treatment (MMT). Twenty-eight opioid dependent participants, aged 18–50 years, who were on MMT based on Iran’s Ministry of Health and Medical Education published protocol, were evaluated in Mashhad during 2011–2012. The treatment group comprised fourteen participants, who received eight sessions of individual ACT alongside MMT while fourteen participants of the control group received just MMT. The effectiveness of the intervention was assessed by the craving beliefs questionnaire (CBQ), the action and acceptance questionnaire (AAQ-I) and the mean dosage of methadone the participants consumed in the last 3 days. Assessment was performed three times; the first was before the initiation of ACT (as pretest), the second was 2 weeks after ACT was terminated (as posttest), and the third one was 12 weeks after the termination of ACT (as follow-up). The extracted data were analyzed by two way ANOVA and ANCOVA using SPSS-20. While there was no significant difference in the mean methadone dosage between the treatment and the control group at pretest (p = 0.067), patients in the treatment group had a significantly lower methadone dosage at posttest (p < 0.001) and follow-up (p < 0.001) compared to the control group. There was a significant reduction in the CBQ scores between treatment and control groups at posttest (p = 0.047) and follow-up (p = 0.014). There was also a significant difference in AAQ-I score between treatment and control at posttest (p < 0.001) and follow-up (p < 0.001). It seems that short-term individual ACT is associated with a significant decline in craving beliefs in substance-dependent patients, which lasts for at least 12 weeks after the termination of ACT.
Log in om toegang te krijgen
Met onderstaand(e) abonnement(en) heeft u direct toegang:
Altınöz, A. E., Aslan, S., Uğurlu, M., Özdel, K., Sargın, A. E., & Türkçapar, M. H. (2016). Measuring the beliefs on alcohol craving by using craving beliefs questionnaire: preliminary results of its psychometric properties in a Turkish sample. Journal of Substance Use, 21(5), 455–459. CrossRef
Association, A. P. (2013). Highlights of changes from DSM-IV-TR to DSM-5. http://www.dsm5.org/Documents/changes%20from%20dsm-ivtr%20to%20dsm-5.pdf.
Drummond, D. C. (2000). What does cue-reactivity have to offer clinical research? Addiction, 95(8s2), 129–144. CrossRef
Gifford, E. V., Kohlenberg, B. S., Hayes, S. C., Antonuccio, D. O., Piasecki, M. M., Rasmussen-Hall, M. L., et al. (2004). Acceptance-based treatment for smoking cessation. Behavior Therapy, 35(4), 689–705. CrossRef
Hayes, S. C. (2004). Acceptance and commitment therapy, relational frame theory, and the third wave of behavioral and cognitive therapies. Behavior Therapy, 35(4), 639–665. https://doi.org/10.1016/S0005-7894(04)80013-3. CrossRef
Hayes, S. C., & Strosahl, K. D. (2004). A practical guide to acceptance and commitment therapy. Washington: Springer. CrossRef
Hayes, S. C., Strosahl, K., Wilson, K. G., & Bissett, R. T. (2004). Measuring experiential avoidance: A preliminary test of a working model. The Psychological Record, 54(4), 553–578. CrossRef
Heffner, M., Eifert, G. H., Parker, B. T., Hernandez, D. H., & Sperry, J. A. (2003). Valued directions: Acceptance and commitment therapy in the treatment of alcohol dependence. Cognitive and behavioral practice, 10(4), 378–383. CrossRef
Khakbaz, H., Farhoudian, A., Azkhosh, M., Dolatshahi, B., Karami, H., & Massah, O. (2016). The effectiveness of group acceptance and commitment therapy on emotion regulation in methamphetamine-dependent individuals undergoing rehabilitation. International Journal of High Risk Behaviors and Addiction. https://doi.org/10.5812/ijhrba.28329.
Khalatbari, J., & Bazarganiyan, N. (2011). Comparison the depression, anxiety and stress in intravenous drug abusers, with and without HIV/AIDS. Journal of Guilan University of Medical Sciences, 20(78), 76–83.
Kiani, A., Ghasemi, N., & Pourabbas, A. (2013). The comparsion of the efficacy of group psychotherapy based on acceptance and commitment therapy, and mindfulness on craving and cognitive emotion regulation in methamphetamine addicts. Research on Addiction, 6(24), 27–36.
Mohammadi, M., Khakbaz, H., Farhoudian, A., & Younesi, S. J. (2013). The effectiveness of acceptance and commitment group therapy on the improvement of coping skills and relapse prevention in opioid dependent males. Paper presented at the The 9th International Addiction Science Congress (poster), Tehran, Iran,
Otto, M. W., O’cleirigh, C. M., & Pollack, M. H. (2007). Attending to emotional cues for drug abuse: Bridging the gap between clinic and home behaviors. Science & Practice Perspectives, 3(2), 48–55. CrossRef
Rahmanian, M., Mirjafari, A., & Hasani, J. (2006). The relationship between craving and attentional bias in opioid dependent, relapsed and abstinent individuals. Iranian Journal of Psychiatry and Clinical Psychology, 12(3), 216–222.
Saedy, M., Kooshki, S., Firouzabadi, M. J., Emamipour, S., & Ardani, A. R. (2015). Effectiveness of acceptance–commitment therapy on anxiety and depression among patients on methadone treatment: A pilot study. Iranian Journal of Psychiatry and Behavioral Sciences, 9(1). https://doi.org/10.17795/ijpbs222.
Strain, E. C., Lofwall, M. R., & Jaffe, J. H. (2009). Opioid-related disorders. In B. J. Sadock, V. A. Sadock, P. Ruiz, & H. I. Kaplan (Eds.), Kaplan & Sadock’s comprehensive textbook of psychiatry (9th ed., Vol. 1, pp. 1360–1386). Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins.
Vuković, O., Cvetić, T., Zebić, M., Marić, N., Britvić, D., Damjanović, A., et al. (2008). Contemporary framework for alcohol craving. Psychiatria Danubina, 20(4), 500–507. PubMed
Woo, S. M., & Keatinge, C. (2008). Diagnosis and treatment of mental disorders across the lifespan. New Jersey: Wiley.
- Effectiveness of Acceptance–Commitment Therapy on Craving Beliefs in Patients on Methadone Maintenance Therapy: A Pilot Study
Amir Rezaei Ardani
Mahmoud Jamali Firouzabadi
Leila Darabi Mahboub
- Springer US
Journal of Rational-Emotive & Cognitive-Behavior Therapy
Print ISSN: 0894-9085
Elektronisch ISSN: 1573-6563