Developing an Educational Package Based on Third Wave Treatments and Evaluating Its Effectiveness on Craving and the Severity of Addiction on Methadone Treatment Patients

Document Type : Research Paper

Authors

1 PhD student in Psychology, Department of Psychology, Faculty of Psychology, Islamic Azad University, Zarand Branch, Zarand, Iran

2 Associate Professor, Department of Psychology, Faculty of Psychology, Islamic Azad University, Kerman Branch, Kerman, Iran

3 Assistant Professor, Department Of Psychiatry, Sadougi University of Yazd, Yazd, Iran

4 Assistant Professor, Department of Psychology, Faculty of Psychology, Islamic Azad University, Ashkezar Branch, Ashkezar, Iran

Abstract

The aim of present research was to Developing an Educational Package Based on Third Wave Treatments and Evaluating Its Effectiveness on Craving and the Severity of Addictionon Methadone Treatment Patients. The research method was a semi-experimental pre-test-post-test type with a control group. The statistical population of the research included people undergoing addiction treatment working in Chadormello Ardakan mine in 2022. The research sample consisted of 60 of these people who were selected by purposeful sampling and were randomly divided into two experimental and control groups. The tools of this research included McLellan et al Addiction Severity Index (ASI) and Folstein, Luria‎Visual Temptation Scale for Substances (VAS). The experimental group received 10 sessions of a training based on third wave treatments. The data were analyzed by covariance analysis. The results of the analysis of covariance showed that the prepared educational package reduced Craving and the severity of addiction in the patients of the experimental group compared to the control group. Therefore, these treatments can be used as a complementary program along with drug treatments in order to reduce withdrawal symptoms, prevent relapse and increase the quality of life of patients in addiction treatment centers.

Keywords

Main Subjects

References

احمدی فراز، محمد مهدی.؛ خانزاده، مصطفی؛ موسوی­زاده، سید عبدالعلی؛ موسوی­زاده، سید روح الله و آقامحمدی، سمیه.(1400). اثربخشی گروه درمانی شناختی_معنوی با رویکرد مراقبت معنوی بر میزان وسوسه، تنظیم هیجان و سلامت روان مراجعان تحت درمان نگهدارندۀ متادون. سبک زندگی اسلامی با محوریت سلامت، (2)5، 31-37. https://islamiclifej.com/article-1-528-fa.html
ارجمند قجور، کیومرث.؛ محمود علیلو، مجید؛ خانجانی، زینب و بخشی پور رودسری، عباس.(1398). اثربخشی درمان مبتنی بر پذیرش و تعهد (ACT) در کاهش ولع‌ مصرف در بیماران وابسته به مت‌آمفتامین: یک مطالعۀ تجربی. مجلۀ مطالعات علوم پزشکی، (3)30، 217-228. http://umj.umsu.ac.ir/article-1-4638-fa.html
پیرنیا، بیژن.؛ چراغی، منیر؛ فراهانی طجر، زینب؛ گرجی کندی، فاطمه و صادقی، پریا. (1398). اعتیاد و روان‌شناسی مثبت‌گرا، بررسی اثربخشی درمان مثبت‌گرا بر شاخص شدت اعتیاد در مردان وابسته به مت‌آمفتامین، یک کارآزمایی بالینی تصادفی. رویش روان­شناسی، (6)8، 183-190. http://frooyesh.ir/article-1-791-fa.html
حاجیپور، حسن.؛ بیاضی، محمد حسن و نجات، حمید. (1399). مقایسۀ اثربخشی طرحواره­درمانی و درمان مبتنی بر پذیرش و تعهد به شیوۀ گروهی بر وسوسه و تکانشگری بیماران سوء مصرف‌کنندۀ مواد. پژوهش­های روان­شناسی بالینی و مشاوره، (1)10، 55-39. 10.22067/TPCCP.2020.39362
ملک زاده، محمد.؛ موحدزاده، بهرام و حقیقی، صادق. (1399). اثربخشی رفتار درمانی دیالکتیک به شیوۀ گروهی بر خودکارآمدی مقابله با مشکلات در افراد سوءمصرف­کنندۀ مواد. ارمغان دانش، (2) 139، 275-286. https://sid.ir/paper/372180/fa
قربانزاده، مجتبی.؛ حافظی، فریبا؛ پاشا، رضا و احتشام­زاده، پروین. (1400). اثربخشی درمان مبتنی بر پذرش و تعهد بر تصمیم­گیری تکانشی و افکار خودکشی در زنان و مردان وابسته به مواد. خانواده­درمانی کاربردی، (2)2، 270-283. 10.22034/AFTJ.2022.265257.1044
کندی، محسن.؛ فرخزاد، پگاه و طاهری، افسانه.(1401). مقایسۀ اثربخشی درمان مبتنی بر پذیرش و تعهد و درمان ذهن‌آگاهی بر پیروی از درمان در افراد مبتلا به سوءمصرف مواد مخدر. رویش روان­شناسی، (12)11، 107-118. http://frooyesh.ir/article-1-4263-fa.html
نهتانی، افسانه.؛ عرب، علی و ثناگوی محرر، غلامرضا.(1400). تعیین اثربخشی آموزش ذهن‌آگاهی بر وسوسۀ مواد و تنظیم هیجان در معتادان تحت درمان نگهدارنده با متادون. مجلۀ مطالعات ناتوانی، (2)11، 145-154. http://jdisabilstud.org/article-۱-۲۳۵۲-fa.html
Ahmadifaraz, M. M., Khanzadeh, M., Moosavizadeh, S. A., roohollah Moosavizadeh, S., Aghamohamadi, S., Ahmadifaraz, M. M., & Khanzadeh, M. (2021). The effectiveness of cognitive-spiritual group therapy with spiritual care approach on temptation, emotion regulation and mental health of clients under methadone maintenance treatment. Islamic Life Style, 5 (2),31-37. (Text in Persian). https://islamiclifej.com/article-1-528-fa.html
Arjmand, G. K. (2019). The effectiveness of acceptance and commitment therapy (act) in reducing craving in methamphetamine addict patients: An experimental study. Studies in Medical Sciences, 30 (3), 217-228. (Text in Persian). http://umj.umsu.ac.ir/article-1-4638-fa.html
Balandeh, E., Omidi, A., & Ghaderi, A. (2021). A narrative review of third-wave cognitive-behavioral therapies in addiction. Addiction & Health, 13(1), 52. 10.22122/ahj.v13i1.298
Boland, R., Verdiun, M., & Ruiz, P. (2021). Kaplan & Sadock’s synopsis of psychiatry. Lippincott Williams & Wilkins. https://www.amazon.com/Kaplan-Sadocks-Synopsis-Psychiatry-Behavioral/dp/1609139712
Bhullar, A. (2022). Effect of adjunctive brief acceptance and commitment therapy on grit, psychological flexibility, negative emotional states and craving among patients with opioid dependence syndrome: a prospective study (doctoral dissertation, central institute of psychiatry (India)). https://www.proquest.com/openview/3f93878fbeb2c0beab4ac0def934fb57/1?pq-origsite=gscholar&cbl=2026366&diss=y
Carona, C. (2023). The philosophical assumptions across the ‘three waves’ of cognitive–behavioural therapy: how compatible are they? BJPsych Advances, 29(3), 213-217. 10.1192/bja.2022.12
Chhetri, B., Goyal, L. M., & Mittal, M. (2023). How machine learning is used to study addiction in digital healthcare: A systematic review. International Journal of Information Management Data Insights, 3(2), 100175. 10.1016/j.jjimei.2023.100175
Dela Cruz, G. A., Johnstone, S., Kim, H. S., & Castle, D. J. (2023). Review of third-wave therapies for substance use disorders in people of color and collectivist cultures: Current evidence and future directions. Psychology of Addictive Behaviors, 37(5), 681. 10.1037/adb0000883
Folstein, M. F., & Luria, R. (1973). Reliability, validity, and clinical application of the visual analogue mood scale1. Psychological Medicine, 3(4), 479-486. https://doi.org/10.1017/S0033291700054283
Garey, L., Zvolensky, M. J., & Spada, M. M. (2020). Third wave cognitive and behavioral processes and therapies for addictive behaviors: An introduction to the Special Issue. Addictive Behaviors, 108, 106465. 10.1016/j.addbeh.2020.106465
Ghorbanzadeh, M., Hafezi, F., Pasha, R., & Ehteshamzadeh, P. (2021). The effectiveness of acceptance and commitment therapy (act) in improving impulsive decision-making and suicide ideation in female and male addicts. Journal of Applied Family Therapy, 2(2), 270-283. (Text in Persian) doi: 10.22034/aftj.2022.265257.1044
Ghorbanimoghadam, P., Teymori, S., Yazdanpanah, F.(2019). The effectiveness of cognitive therapy based on mindfulness on irrational thoughts, sleep quality and Craving in people with substance abuse. Social Health & Addiction,5(20), 119-132. (Text in Persian). http://ensani.ir/fa/article/389986/
Hajipoor, H., Bayazi, M. H., & Nejat, H. (2020). Comparison of the effectiveness of schema group therapy and acceptance and commitment group therapy on substance abusers’ temptation and impulsivity. Research in Clinical Psychology and Counseling, 10(1), 39-55. (Text in Persian). doi: 10.22067/tpccp.2020.39362
Kandi, M., Farokhzad, P., & Taheri, A. (2023). Comparing the effectiveness of treatment based on acceptance and commitment and mindfulness therapy on adherence to treatment in People with drug addiction. Rooyesh-e-Ravanshenasi Journal (RRJ), 11(12), 107-118. (Text in Persian). http://frooyesh.ir/article-1-4263-fa.html
Karsinti, E., Vorspan, F., Therribout, N., Icick, R., Bloch, V., Fortias, M., ... & Romo, L. (2022). A specific cognitive behavioral group therapy program for stimulant use disorder. Frontiers in Psychiatry, 13, 1031067. 10.3389/fpsyt.2022.1031067/full
Kleykamp, B. A., De Santis, M., Dworkin, R. H., Huhn, A. S., Kampman, K. M., Montoya, I. D., ... & Strain, E. C. (2019). Craving and opioid use disorder: A scoping review. Drug and Alcohol Dependence, 205, 107639. doi.org/10.1016/j.drugalcdep.2019.107639
Lawlor, E. R., Islam, N., Bates, S., Griffin, S. J., Hill, A. J., Hughes, C. A., ... & Ahern, A. L. (2020). Third‐wave cognitive behaviour therapies for weight management: a systematic review and network meta‐analysis. Obesity Reviews, 21(7), e13013. 10.1111/obr.13013
Lüscher, C., Robbins, T. W., & Everitt, B. J. (2020). The transition to compulsion in addiction. Nature Reviews Neuroscience, 21(5), 247-263. https://www.nature.com/articles/s41583-020-0289-z
McLellan, A. T., Kushner, H., Metzger, D., Peters, R., Smith, I., Grissom, G., ... & Argeriou, M. (1992). The fifth edition of the addiction severity index. Journal of Substance Abuse Treatment, 9(3), 199-213. https://doi.org/10.1016/0740-5472(92)90062-S
Moritz, G. R., Pizutti, L. T., Cancian, A. C., Dillenburg, M. S., de Souza, L. A., Lewgoy, L. B., ... & Rohde, L. A. (2021). Feasibility trial of the dialectical behavior therapy skills training group as add‐on treatment for adults with attention‐deficit/hyperactivity disorder. Journal of Clinical Psychology, 77(3), 516-524. 10.1002/jclp.23049
Nicolas, C., Zlebnik, N. E., Farokhnia, M., Leggio, L., Ikemoto, S., & Shaham, Y. (2022). Sex differences in opioid and psychostimulant craving and relapse: a critical review. Pharmacological Reviews, 74(1), 119-140. https://doi.org/10.1124/pharmrev.121.000367
Perkins, A. M., Meiser‐Stedman, R., Spaul, S. W., Bowers, G., Perkins, A. G., & Pass, L. (2023). The effectiveness of third wave cognitive behavioural therapies for children and adolescents: A systematic review and meta‐analysis. British Journal of Clinical Psychology, 62(1), 209-227. 10.1111/bjc.12404
Phiri, P., Clarke, I., Baxter, L., Zeng, Y. T., Shi, J. Q., Tang, X. Y., ... & Naeem, F. (2023). Evaluation of a culturally adapted cognitive behavior therapy-based, third-wave therapy manual. World Journal of Psychiatry, 13(1), 15. 10.5498/wjp.v13.i1.15
Pirnia, B., Cheraghi, M., Tajar, Z. F., Kandi, F. G., & Sadeghi, P. (2019). Addiction and positive psychology, investigating the effectiveness of well-being therapy on the severity of addiction in methamphetamine-dependent male patients, a randomized clinical trial. Rooyesh-e-Ravanshenasi Journal (RRJ), 8(6), 183-190. (Text in Persian). http://frooyesh.ir/article-1-791-fa.html
Rezaei, Z., Rasoli Azad, M., Mehrzad, F., Farhad, M., & Azad-Miveh, Z. (2018). The effect of dialectical behavioral therapy on craving and depression in methadone patients. Feyz Medical Sciences Journal, 22(6), 602-609. (Text in Persian). http://feyz.kaums.ac.ir/article-۱-۳۷۲۳-fa.html
Sharafi, Y.(2021). Investigating third wave psychotherapy (ACT) on addictive behaviors and comparing it with first and second wave therapy (CBT). The 5th International Conference on Advanced Research Achievements in Social Sciences, Psychology and Psychology, Tehran. (Text in Persian). https://civilica.com/doc/952305
Stotts, A. L., Villarreal, Y. R., Spellman, M., & Northrup, T. F. (2022). Third Wave Therapies and Substance Use Disorders: A Case Example. In Behavior Therapy: First, Second, and Third Waves (pp. 583-608). Cham: Springer International Publishing. 10.1007/978-3-031-11677-3_25
Sohrabzadeh, F., & Abbasi, Z. (2023). Predicting the reduction of craving for drug use based on resilience and self-control in men referring to addiction treatment centers in rasht. Journal of Educational Psychology, 13(4), 42-52. (Text in Persian). https://journals.iau.ir/article_701389.html
Wang, Z., Wang, L., Yu, X., Wang, X., Zheng, Y., Hu, X., ... & Li, N. (2023). Effect of polysaccharide addition on food physical properties: A review. Food Chemistry, 137099. 10.1016/j.foodchem.2023.137099
White, W., Galanter, M., Humphreys, K., & Kelly, J. F. (2020). We do recover. Scientific Studies on Narcotics Anonymous. Chestnut Health Systems Inc https://recoveryreview.blog/2020/04/16/we-do-recover-scientific-studies-of-na/

Files

Share

How to cite

Statistics