家庭干预对酒依赖患者家庭环境亲密度和适应性影响.docVIP

家庭干预对酒依赖患者家庭环境亲密度和适应性影响 　　【摘要】 目的 探讨家庭干预对酒依赖患者的家庭环境、亲密度和适应性的影响 。方法 把符合中国精神障碍分类与诊断标准（CCMD-3）之酒依赖患者 60例随机分为两组，研究组与对照组各30例。对研究组进行2个月的家庭干预和常规戒酒治 疗，对照组进行2个月的常规戒酒治疗，分别在干预前后采用家庭环境量表中文版(FES-CV) 、亲密度和适应性量表（FACESⅡ-CV）对60例酒依赖患者进行问卷调查。结果 与对照组相比，研究组家庭的亲密度、情感表达、组织性、实际亲密度、理想亲密度、 实际适应性和理想适应性的得分增加值较高(P2=8.08，P0.01）。结论 家庭干预能 改善酒依赖患者的家庭环境、亲密度和适应性，可能对酒依赖的戒断治疗、社会康复起着重 要的作用。 　　【关键词】 酒依赖；家庭干预；家庭环境；亲密度；适应性 　　 　　Effect of Family Intervention on Family Environment, Cohesion and Adaptability i n the Patients with Aicohol Dependence. Liu Hua, Zhu Xianghua, Zhang Pen g, et al. Department of Psychotherapy, Dongfang Peoples Hospital of Xuzhou, Xuz hou 221004, P.R.China 　　【Abstract】 Objective To study effect of family intervention on famil y enviro nment, cohesion and adaptability in alcoholism patients. MethodsSixty alcoholi sm patients diagnosed according to CCMD-3 were randomly divided into the observa tion group (n=30) and the control group(n=30). The observation group were receiv ed family intervention and routine temperance therapy for two months while the c ontrol group only received routine temperance therapy. Then they were questionna ired with the family environment scale (FES-CV) and family adaptability and cohe sion scale (FACESⅡ-CV) respectively before and after the intervention.Results In observation group, the family cohesion, emotion expression,success of orga nization, actual and ideal cohesion, actual and ideal adaptability were obviousl y higher than control group (P2=8.08, P0.01). Conclusion Family intervention may be valuabl e to improve family environment, cohesion and adaptability of the patients withalcohol dependence and maybe plays important role in their withdrawl treatment a nd social rehabilitation. 　　【Key Words】 Alcohol dependence; Family intervention; Family environme nt; Cohesion; Adaptability 　　 　　前期研究发现，酒精依赖的发生与个体的家庭环境、亲密度和适应性等家庭因素有关[ 1]。家庭干预可以改善酒精依赖者的生活质量，降低复饮率[2]。家庭干预对酒 精依赖者复饮率 的降低作用是否与家庭环境、亲密度和适应性的改善有关，目前仍缺乏有关的研究。 　　1 对象与方法 　　1.1 对象 选取2005年1月~2006年10