EFFICACY OF GROUP PSYCHOTHERAPY IN CO-DEPENDENT RELATIVES OF DRUG- DEPENDENT PATIENTS OF INPATIENT REHABILITATION DEPARTMENT.
Medical Center Bechterev, Psychiatry, Sain-Peterburg, Russia.
Background and Aims:
The behavior of co-dependent relatives affects the effectiveness of treatment of drug addicts. Psychotherapeutic interventions for relatives of opioid addicted patients seems challenging owing to such factors as: lacks consensus about a definition, phenomenology and an etiologyof this phenomenon; underestimation of influenceof «burden» of an illness.
The research is devoted to the study of the phenomenon of codependence in the families of drug addicts and the influence of psychotherapeutic correction of co-dependence on the stability of participation of addicts in the program of complex medical rehabilitation.
61 co-dependent mothers of 61 opiod addicted patients admitted for inpatient rehabilitation treatment, were examined. They were divided into two groups: I- subjects who attended group and individual sessions (n=37) II- subjects who refused to attend sessions (n=24).
Clinico-anamnestic,clinical-psychopathological methods (MАDRS, SCL-90), 6 month follow-up data.
Changes in psychological and clinical and psychopathological parameters in mothers of both groups indicate an improvement in most of the measured variables estimated on the basis of Wilcoxon criterion. Kaplan-Meier survival function confirms the significant differences in the duration of participation in the rehabilitation program of the drug addicted patients of two groups.
Participation of co- dependent relatives in the program of psychotherapeutic support had a positive effect on the treatment and rehabilitation program of opiod addicted patients. The in- patient rehabilitation program for drug addicts has a positive impact on the dynamics of the psychological characteristics of their mothers, regardless of the participation or non-participation of them in the program of psychotherapeutic support for co-dependent relatives.
complex medical rehabilitation of drug addicts
psychotherapy of co-dependent relatives
in-patient rehabilitation of drug addicted patients