فصلنامه اعتیاد پژوهی
پیاپی 7 (پاییز 1387)

The general objective of the present research is to examinethe effect of training in communicative skills with a cognitive – behaviorist approach on spouses ’marital adjustment and the prevention of men’s addiction from relapsing. This study is a Quasi – experimental research which is carried on with 2 groups of control and experimental subjects by using an experimental variable (training in relation ship skills for 8 sessions), in this study we have also used a pretest and a post test and follow up was used after 2 months. The samples were selected among addicts ‘wives. The addicts were completing their quitting stages and they had been referring to addiction quitting center in Isfahan for four month And the Wives marital adjustment scores were below average (1 Standard deviation below average). The study tool was marital adjustment measure of Spanier (1979) with 4 factors including marital satisfaction. mutual correlation, mutual agreement and love expression. To measure the possibility addicts ‘relapsing to drug, experimental test for fast recognition (Rapid) was utilized. The selection of samples was done through available sampling and for analysis of data repeated measures of variance analysis and χ2 statistical test were used in this study. The result showed that training in communicative skills with a cognitive-behaviorist approach influences positively general adjustment. No positive effect was noticed in marital satisfaction and mutual correlation factors. There is positive effect of training skills on mutual agreement and love expression factors. Furthermore, the prevention of addicts from relapsing in male addicts, the number of relapse in control group is more than experimental group but this different was not significant. In general, communicative skills training with a cognitive – behaviorist approach effects spouses adjustment of male addicts.

This project was aimed to evaluate the effectiveness of mindfulness-based relapse prevention therapy in opioid dependence treatment and mental health. In this clinical trial study, 90 patients with the diagnosis of opioid dependence (based on DSM-IV criteria) were randomly to assigned three groups following detoxification: 1- mindfulness based relapse prevention plus Naltroxan, 2- cognitive behavior therapy relapse prevention, plus Naltroxan, 3- Naltroxan alone. The Two experimental groups take 12 weekly session two hours group therapy plus Naltroxan group took Naltroxan only. The data were analyzed with using analysis of variance with repeated measures and chi-square tests. therapy compliance, retention in treatment, decrease in somatic symptoms, anxiety, social dysfunction and increase in health was significantly in both combination of psychological intervention method than the Naltroxan group. Mindfulness-based on relapse prevention was more effective than CBT relapse prevention in decreasing of, social dysfunction, relapse prevention, increase of therapy compliance, and health. Mindfulness based relapse prevention was superior to CBT and Naltroxan and considerably increased effectiveness of opioid relapse prevention therapy.

Identifying personality factors of tendency to drugs can be helpful in better recognition and treatment of drug-dependency and also by providing consulting and psychological services can relatively prevents from vulnerable people to be addicted. This research therefore aims to investigate personality profile of substance dependent by using personality models of Cloninger and Eysenck. 100 substance-dependent and 100 normal men selected by available sampling method and completed Temperament and Character Inventory of Cloninger (TCI) and Eysenck Personality Questionnaire _ Revised (EPQ-R). Also, some democratic information regarding substance- dependents collected. Research data were analyzed by inferential and descriptive statistics. This research showed that there are significant differences in temperament dimensions of novelty seeking and harm avoidance and character dimensions of self-direction and cooperativeness of Cloninger model and neuroticism and psychosis dimensions of Eysenck model between substance- dependent men and normal men. Comparing in normal men, substance dependent men gained higher scores at novelty seeking and neuroticism and psychosis, and lower scores at self-direction and cooperativeness.

Current study was conducted to examine relationship between identity status and addiction among women of Tehran province. research method was ex-post facto. Convenient Sampling method was used consisted of 40 addictive women whom referred to addiction rehabilitation centers and 40 Non-addictive women. Second revised version of Extended Objective Measure of Ego Identity Status (Marcia, 1966) was used to explore identity status. Data were analyzed by t-test. Mean scores of identity achievement status in nonaddicting group was higher than addict ones and addict group obtained higher scores in diffusion and moratorium status. The more the individual experienced identity crisis and developed a higher commitment, the less probability that she becomes addict.

Addiction researchers find that addictive processes are influenced by patient beliefs and attitudes. This research was carried out to assess the role of dysfunctional attitudes, outcomes of psychology in substance abuse behaviors of subject were referred to addiction treatment center in the city of Bandar Abbas, and to compare the with the control group. This is a retrospective study in which 100 subject substance abusers were compared with 100 subject s of control group who were selected using convenience sampling and were also demographically matched. Data were gathered using a demographic questionnaire, clinical interview, dysfunctional attitudes scale (DAS), Depression Anxiety Stress Scale (DASS). The data were analyzed via descriptive statistic method, T- Test and chi-square and variance analysis. Findings indicated that in comparison with control group, subject of substance abusers had experienced more stress, anxiety, depression, had shown a cognitively more percent of them dysfunctional attitudes in comparison with control group. The results suggested that the dysfunctional attitudes could be as a Vulnerability Factor that increase abuse of substance; consequently use of cognitive therapy could be helpful and effective in prevention and treatment of the addicts.

The present article has been carried out the relationship between coping strategies and attitude to drug in drug users. The research method is descriptive (causalcomparative).The sample includes 100 men (50 addicted and 50 non addicted mea) Aged 20-34 years old. Tools of research were two questionnears: 1- Coping strategies inventory (Carror, Shirer & Wintrab) containing 72 questions with 0.63 – 0.95 reliability. 2- Other attitudes toward drug measurement contained 20 questions whose reliability is 0.73. The statistical tests used in this research were T- TEST and K-square. Analyzing the data indicated a significant difference between coping strategies and attitude toward drug. Regarding x2=36.2,P<./…, the suggestion of preventive interventions specially teaching coping strategies is appropriate abilities for stressful situations are useful for achieving healthy life style.

Relapse prevention(RP)is an important component of alcoholism treatment. The RP model proposed by Marlatt and Gordon suggests that both immediate determinants (e.g.,high- risk situations, coping skills, outcome expectancies, and the abstinence violation effect) and covert antecedents (e.g., lifestyle factor and urges and cravings) can contribute to relapse.The RP model also incorporates numerous specific and global intervention strategies that allow therapist and client to address each step of the relapse process. Specific interventions include identifying specific high-risk situations for each client and enhancing the client's skills for coping with those situations, increasing the client's self- efficacy, eliminating myths regarding alcohol's effects, managing lapses, and restructuring the client's perceptions of the relapse process. Global strategies comprise balancing the client's lifestyle and helping him or her develop positive addictions, employing stimulus control techniques and urgemanagement techniques, and developing relapse road maps. Several studies have provided theoretical and practical support for the RP model.