| ObjectiveTo explore the effects of social psychological intervention to improve the psychological status, coping style, self-esteem levels and psychological craving in the inpatients with alcohol dependence. To explore the effects of social psychological intervention to improve the psychological status, coping style, self-esteem levels and psychological craving in the outpatients with alcohol dependence on rehabilitation. To explore the effects of social psychological intervention to improve the status of re-drinking in the outpatients with alcohol dependence on rehabilitation.MethodsA total of 90 inpatients with alcohol dependence were selected from September, 2014 to September,2015 in Shandong Mental Health Center. According to the sequence of treatment, the patients were randomly divided into two groups,45 patients in study group and 45 patients in control group. The patients in two groups were received the normal psychiatric treatment and nurse, that there were study group with social psychological intervention and control group without social psychological intervention for 6 weeks. They were assessed with Simplified Coping Style Questionnaire (SCSQ), Perceived Social Support scale (PSSS), Self-Esteem Scale (SES), Symptom Checklist-90 (SCL-90), Visual Analog Scale (VAS), Self-Rating Depression Scale (SDS) and Self-Rating Anxiety Scale (SAS) before intervention, after intervention and the end of 6 month follow-up. There were percentage, frequency, mean, standard deviation for data and T test, repeated measurements analysis method analysis for statistics ways. It was P<0.05 for statistical test of significant level.Results1. The results before invention in two groups:(1) The scores in two groups were 18.71±5.11 for positive coping factor of SCSQ, 12.68±4.32 for negative coping factor of SCSQ,52.06±9.43 for PSSS,26.57±5.52 for SES,38.29±8.75 for SAS,46.78±7.72 for SDS,7.01±1.61 for VAS and 2.09±0.64 for total average scores of SCL-90.(2) Before invention, There were no differences for the scores of all scales between two groups (P>0.05).2. The status of the participation and loss of the objects: A total of 100 inpatients with alcohol dependence were selected in this study. In study group, there were 45 inpatients to finish the whole study and 5 inpatients to fall off. In control group, there were 45 inpatients to finish the whole study and 5 inpatients to fall off. There was no difference for finishing rate between two groups (P>0.05).3.The efficacy of social psychological intervention:(1) After intervention, the positive factor scores of SCSQ, scores of PSSS and SES in study group were significantly higher than those in control group (P<0.05), however the scores of SDS, SAS and VAS in study group significantly lower than those in control group(P<0.05). After intervention, the factor and total average scores of SCL-90 except phobia factor in study group were significantly lower than those in control group(P<0.05). After invention, there were no differences for the negative factor scores of SCSQ and the phobia factor scores of SCL-90 between two groups (P>0.05).(2) In control group, there were no differences for the positive and negative factor scores of SCSQ, scores of PSSS, SES, SAS, SDS, the factor and total average scores of SCL-90 between before and after the intervention (P> 0.05). In control group, the scores of VAS after intervention were significantly lower than those before intervention (P<0.05).(3) In study group, the positive factor scores of SCSQ, scores of PSSS and SES after intervention were significantly higher than those before intervention(P<0.05), however the negative factor scores of SCSQ, the factor and total average scores of SCL-90 except phobia factor, scores of SDS, SAS and VAS after intervention significantly lower than those before intervention (P<0.05).(4) At the end of 6 month follow-up, the positive factor scores of SCSQ, scores of PSSS and SES in study group were significantly higher than those in control group (P<0.05), however the factor and total average scores of SCL-90, scores of SDS, SAS and VAS in study group significantly lower than those in control group(P<0.05). At the end of 6 month follow-up, there were no differences for the negative factor scores of SCSQ between two groups (P>0.05).(5) In control group, there were no differences for the positive and negative factor scores of SCSQ, scores of PSSS, SES, SAS, SDS, the factor and total average scores of SCL-90 between after intervention and at the end of 6 month follow-up (P> 0.05). In control group, the scores of VAS at the end of 6 month follow-up were significantly higher than those after intervention (P<0.05).(6) In study group, there were no differences for the positive factor scores of SCSQ, scores of SES, SAS, SDS, VAS, the factor and total average scores of SCL-90 between after intervention and at the end of 6 month follow-up (P> 0.05). In study group, the negative factor scores of SCSQ at the end of 6 month follow-up were significantly higher than those after intervention (P<0.05). In study group, the scores of PSSS at the end of 6 month follow-up were significantly lower than those after intervention (P<0.05).(7) At the end of 6 month follow-up, there were 5 patients in study group and 19 patients for re-drinking. The rates of re-drinking in study group were significantly lower than those in control group (P<0.05).Conclusions1. Social psychological intervention could improve the coping style of patients with alcohol dependence, especially the positive attitude of the problem.2. Social psychological intervention could improve the psychological status and social support of patients with alcohol dependence.3. It’s effective for social psychological intervention to improve the mood, identity, self-confidence, identity of self-value and level of self-esteem of patients with alcohol dependence.4. It’s effective for social psychological intervention to reduce the craving level of patients with alcohol dependence.5. The efficacy of social psychological intervention should continue for a short period of time and it’s effective for social psychological intervention to decrease the rate of re-drinking for patients with alcohol dependence. |
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