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| 題 名 | 神經回饋訓練對興奮劑使用障礙症患者之療效:個案報告=Effects of Neurofeedback Training for a Patient with Stimulant Use Disorder |
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| 作 者 | 蔣馨怡; 鍾素英; 蔡萱燁; | 書刊名 | 臨床心理學刊 |
| 卷 期 | 18:2 2024.12[民113.12] |
| 頁 次 | 頁97-108 |
| 分類號 | 415.9824 |
| 關鍵詞 | 安非他命使用者; 戒癮治療; 預防復發; 物質渴求; 腦波訓練; Amphetamine users; Addiction treatment; Relapse prevention; Drug craving; EEG training; |
| 語 文 | 中文(Chinese) |
| DOI | 10.6550/ACP.202412_18(2).0003 |
| 中文摘要 | 目的:過去研究指出物質濫用者的認知功能缺損與高復發率的關係,顯示針對物質濫用者的認知功能進行訓練有其重要性且神經回饋訓練為有效介入的方式之一。本文探討神經回饋訓練對興奮劑使用障礙症患者之療效。方法:個案為23歲女性,診斷為興奮劑使用障礙症,過去持續使用安非他命約兩年,因經濟、工作與家人相處壓力,出現情緒低落、焦慮、失眠、注意力不佳等情形。個案進行每週一次、每次約一小時,共12次的beta-sensorimotor rhythm(beta-SMR)神經回饋訓練,並進行前後測以檢視神經回饋訓練對認知功能、情緒狀態、物質渴求與衝動行為之影響效果。結果:經訓練後,個案的beta波、SMR波活動提升且theta波活動下降,注意力監控與情緒調節力提升,對物質依賴程度與日常的衝動行為表現有改善。結論:beta-SMR神經回饋訓練方案能有效運用於興奮劑使用障礙症患者,本文也提供對藥癮個案執行神經回饋訓練之經驗分享與建議。建議未來可增加樣本數以驗證此訓練方案對物質濫用者之療效。 |
| 英文摘要 | Objectives: Research has indicated a relationship between cognition deficits and relapse rates among substance addicts. Neurofeedback is thus important for enhancing cognitive function, and it has been used as a therapeutic method in the treatment of substance abuse disorders. Neurofeedback training was used with a patient who suffered from stimulant use disorder in this case study. Methods: A 23-year-old female was diagnosed with stimulant use disorder, and she used amphetamine for two years. She had been suffering from depression, anxiety, insomnia and inattention as a result of economic, work and family pressures. The client underwent 12 neurofeedback training sessions (60 minutes each), once a week for three months. As part of neurofeedback training, beta, and sensorimotor rhythm (SMR) were augmented to address attentional variables. An examination was conducted of the effects of neurofeedback training on the cognitive function, emotion regulation ability, drug craving, and impulse control of the client. Results: The client demonstrated variations in beta, SMR, and theta amplitudes and improved attentional measures following the neurofeedback training. Furthermore, this client reported reduced levels of depression and anxiety, as well as reduced levels of self-reported craving and impulsivity. Conclusions: This case report demonstrated the beneficial effects of beta-SMR training on cognition function, emotion regulation, and reducing the craving and self-control ability of a patient with stimulant use disorder. Moreover, we provided suggestions and experiences related to conducting neurofeedback training for substance addicts. It is essential to conduct further empirical studies with large sample size to confirm the effectiveness of beta-SMR training for substance addicts. |
本系統中英文摘要資訊取自各篇刊載內容。