A study to assess the effectiveness of Dialectical Behavior Therapy on treatment motivation, self efficacy and craving among substance abuse patients in the selected OOAT (Outpatient Opioid Assisted Treatment) clinics of Punjab.
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 144
- 试验地点
- 1
- 主要终点
- Hypothesis 1 (H1): There will be significant difference between pre and post-test treatment motivation among substance abuse patients in experimental group.
研究概览
简要总结
Dialectical Behavior Therapy (DBT) is an evidence-based psychotherapy that has been adapted to treat substance use disorders (SUDs), particularly in individuals with co-occurring borderline personality disorder (BPD). DBT combines cognitive-behavioral techniques with mindfulness practices to address emotional dysregulation and impulsivity, which are often underlying factors in addictive behaviors.
A structured four-week DBT intervention program for individuals with SUDs encompasses the following modules:
- Emotional Awareness & Mindfulness (Week 1)
1. Mindful Breathing: Enhances present-moment awareness.
2. Body Scan: Promotes connection between mind and body.
3. Mindfulness of Craving: Develops non-judgmental observation of cravings.
4. Informal Mindfulness: Integrates mindfulness into daily routines.
- Distress Tolerance & Self-Soothing (Week 2)
1. Radical Acceptance: Encourages acceptance of situations beyond control.
2. Self-Soothe with Senses: Utilizes sensory experiences for comfort.
3. Distraction Techniques: Provides alternatives to focus away from distress.
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TIPP (Temperature, Intense Exercise, Paced Breathing, Progressive Muscle Relaxation): Offers immediate strategies to manage acute distress.
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Emotional Regulation & Grounding (Week 3)
1. Mindfulness Meditation: Fosters emotional stability.
2. Grounding Techniques: Anchors individuals to the present moment.
- Interpersonal Effectiveness (Week 4)
1. DEAR MAN: Teaches assertive communication.
2. FAST: Focuses on maintaining self-respect in interactions.
Implementing such a program can enhance treatment motivation, self-efficacy, and coping mechanisms, thereby supporting sustained recovery and improved psychological well-being. Integrating DBT into substance abuse treatment offers a promising pathway for individuals seeking to overcome addiction and achieve long-term sobriety.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 盲法
- None
入排标准
- 年龄范围
- 18.00 Year(s) 至 50.00 Year(s)（—）
- 性别
- Male
入选标准
- •Patients diagnosed with substance use disorder (opioid dependence) receiving treatment at selected OOAT clinics.
- •Patients aged between 18 and 50 years.
- •Patients who have been undergoing opioid-assisted treatment for at least one month.
- •Patients willing to participate in the study and provide informed consent.
- •Patients who can comprehend and communicate in Hindi, Punjabi, or English.
- •6.Patients who have not undergone Dialectical Behavior Therapy (DBT) .
排除标准
- •Patients with severe psychiatric disorders (e.g., schizophrenia, bipolar disorder) that may interfere with therapy participation.
- •Patients with cognitive impairments or neurological disorders affecting comprehension.
- •Patients with co-existing severe medical conditions requiring intensive care.
- •Patients currently enrolled in other behavioral therapy programs.
结局指标
主要结局
Hypothesis 1 (H1): There will be significant difference between pre and post-test treatment motivation among substance abuse patients in experimental group.
时间窗: Week 1: Emotional Awareness & Mindfulness 30-45 mins daily (5 days a week) | Week 2: Distress Tolerance & Self-Soothing. 40-45mins daily (5 days a week) | Week 3: Emotional Regulation & Grounding. 20-30 mins daily (5 days a week) | Week 4: Interpersonal Effectiveness & Self-Respect. 20-30 mins daily (5 days a week)
Hypothesis 2 (H2): There will be significant difference between pre and post-test craving among substance abuse patients in experimental group.
时间窗: Week 1: Emotional Awareness & Mindfulness 30-45 mins daily (5 days a week) | Week 2: Distress Tolerance & Self-Soothing. 40-45mins daily (5 days a week) | Week 3: Emotional Regulation & Grounding. 20-30 mins daily (5 days a week) | Week 4: Interpersonal Effectiveness & Self-Respect. 20-30 mins daily (5 days a week)
Hypothesis 3 (H3): There will be significant difference between pre and post test self efficacy among substance abuse patients in experimental group.
时间窗: Week 1: Emotional Awareness & Mindfulness 30-45 mins daily (5 days a week) | Week 2: Distress Tolerance & Self-Soothing. 40-45mins daily (5 days a week) | Week 3: Emotional Regulation & Grounding. 20-30 mins daily (5 days a week) | Week 4: Interpersonal Effectiveness & Self-Respect. 20-30 mins daily (5 days a week)
次要结局
未报告次要终点
研究者
Ajay Kumar
CHITKARA UNIVERSITY