Acceptance and Commitment Therapy for drug abuse in incarcerated women

  1. Villagrá Lanza, Patricia 1
  2. González Menéndez, Ana 1
  1. 1 Universidad de Oviedo
    info

    Universidad de Oviedo

    Oviedo, España

    ROR https://ror.org/006gksa02

Revue:
Psicothema

ISSN: 0214-9915

Année de publication: 2013

Volumen: 25

Número: 3

Pages: 307-312

Type: Article

D'autres publications dans: Psicothema

Résumé

Antecedentes: la Terapia de Aceptación y Compromiso (ACT) es una de las terapias de tercera generación que cuenta con mayor evidencia empírica en el tratamiento del abuso de sustancias (TUS). Método: treinta y un mujeres con TUS fueron asignadas al azar a dos condiciones: un tratamiento de 16 sesiones con base en ACT y un grupo de control en lista de espera. Todas fueron evaluadas en 3 momentos (pre, post y al cabo de seis meses de recibir el tratamiento) mediante analíticas de orina, la Mini International Neuropsychiatric Interview (MINI), el Addiction Severity Index (ASI-6), el Índice de sensibilidad a la Ansiedad y el Cuestionario de Aceptación y Acción (AAQ-II). Resultados: tras la intervención, se observó un porcentaje de abstinencia del 27,8% y del 43,8% al cabo de seis meses. La intervención también provocó mejorías en otras áreas, como reducciones en los porcentajes de psicopatología asociada y de sensibilidad a la ansiedad, así como aumento de la flexibilidad psicológica, que, en general, no se documentaron en el grupo de comparación. Conclusiones: se discuten estas ganancias clínicas y se ofrece ACT como un tratamiento apropiado para ser dispensado en mujeres reclusas con trastorno por abuso de sustancias.

Références bibliographiques

  • American Psychiatric Association (2000). Diagnostic and Statistical Manual of Mental Disorders (5th ed.). Washington, DC: American Psychiatric Association.
  • Bohlmeijer, E.T., Fledderus, M., Rokx, T.A., & Pieterse, M.E. (2011). Efficacy of an early intervention based on acceptance and commitment therapy for adults with depressive symptomatology: Evaluation in a randomized controlled trial. Behaviour Research and Therapy, 49, 62-67.
  • Cervelló, V. (2006). Las prisiones de mujeres desde una perspectiva de género. Revista General de Derecho Penal, 5, 1-22.
  • Ciairano, S., Bosma, H.A., Miceli, R., & Settanni, M. (2008). Adolescent substance use in two European countries: Relationship with psychosocial adjustment, peers, and activities. International Journal of Clinical and Health Psychology, 8, 119-138.
  • Clarke, S., Kingston, J., Wilson, K.G., Bolderston, H., & Remington, B. (2012). Acceptance and Commitment Therapy for a heterogeneous group of treatment-resistant clients: A treatment development study. Cognitive and Behavioral Practice, 19, 560-572.
  • Gatz, M., Brown, V., Hennigan, K., Rechberger, E., O'Keefe, M., et al. (2007). Effectiveness of an integrated trauma-informed approach to treating women with co-occurring disorders and histories of trauma: The Los Angeles Site Experience. Journal of Community Psychology, 35, 863-878.
  • Gaudiano, B.A., & Herbet, J.D. (2006). Acute treatment of inpatients with psychotic symptoms using Acceptance and Commitment Therapy: Pilot results. Behaviour Research and Therapy, 44, 415-437.
  • Gifford, E.V., Kohlenberg, B.S., Hayes, S.C., Antonuccio, D.O., Piasecki, M.M., et al. (2004). Acceptance-based treatment for smoking cessation. Behavior Therapy, 35, 689-705.
  • González, A., Fernández, P., & Torres, I. (2010). Aceptación del dolor crónico en pacientes con fibromialgia: adaptación del Chronic Pain Acceptance Questionnaire (CPAQ) a una muestra española. Psicothema, 22, 997-1003.
  • Grella, C., Stein, J., & Greenwell, L. (2005). Associations among childhood trauma, adolescent problem behaviors, and adverse adult outcomes in substance-abusing women offenders. Psychology of Addictive Behaviors, 19, 43-53.
  • Hayes, S.C., Luoma, J.B., Bond, F.W., Masuda, A., & Lillis, J. (2006). Acceptance and commitment Therapy: Model, processes and outcomes. Behavior Research and Therapy, 44, 1-28.
  • Hayes, S.C., Strosahl, K.D., Wilson, K.G., Bissett, R.T., Pistorello, J., et al. (2004b). Measuring experiential avoidance: A preliminary test of a working model. The Psychological Record, 54, 553-578. Spanish adaptation by Luciano, M.C. (2010)
  • Hayes, S.C., Wilson, K.G., Gifford, E.V., Bissett, R., Piasecki, M., et al (2004). A preliminary trial of twelve-step facilitation and acceptance and commitment therapy with polysubstance-abusing methadone-maintained opiate addicts. Behavior Therapy, 35, 667-688.
  • Hernández-López, M., Luciano, M.C., Bricker, J.B., Roales-Nieto, J.G., & Montesinos, F. (2009). Acceptance and Commitment Therapy for smoking cessation: A preliminary study of its effectiveness in comparison with Cognitive Behavioral Therapy. Psychology of Addictive Behaviors, 23, 723-730.
  • Judd, C.M., & Kenny, D.A. (1981). Estimating the effects of social interventions. Cambridge, MA: Cambridge University Press.
  • Juarascio, A.S., Forman, E.M., & Herbert, J.D. (2010). Acceptance and Commitment Therapy versus Cognitive Therapy for the treatment of comorbid eating pathology. Behavior Modifi cation, 34, 175-190.
  • Luciano, M.C., Gómez, S., Hernández, M., & Cabello, F. (2001). Alcoholismo, trastorno de evitación y Terapia de Aceptación y Compromiso. Análisis y Modificación de Conducta, 113, 333-372.
  • Luciano, M.C., Páez-Blarrina, M., & Valdivia-Salas, S. (2010). La terapia de aceptación y compromiso en el consumo de sustancias como estrategia de evitación experiencial. International Journal of Clinical and Health Psychology, 10, 141-165.
  • Lundgren, T., Dahl, J., Melin, L., & Kies, B. (2006). Evaluation of Acceptance and Commitment Therapy for drug refractory epilepsy: A randomized controlled trial in South Africa: A pilot study. Epilepsy, 47, 2173-2179.
  • McCracken, L.M., & Keogh, E. (2009). Acceptance, mindfulness, and valuesbased action may counteract fear and avoidance of emotions in chronic pain: An analysis of anxiety sensitivity. The Journal of Pain, 10, 408-415.
  • McLellan, A.T., Luborsky, L., Woody, C.P., & O'Brien, G.E. (1980). Addiction Severity Index-6 (ASI-6). Spanish version by Bobes, J., Bascarán, M.T., Bobes-Bascarán, M.T., Carballo, J.L., Díaz-Mesa, E.M., et al. (2007). Socidrogalcohol: Oviedo.
  • Messina, N., Burdon, W., & Prendergast, M. (2006). Prison-based treatment for drug-dependent women offenders: Treatment versus no treatment. Journal of Psychoactive Drugs, 3, 333-343.
  • Messina, N., Grella, C., Burdon, W., & Prendergast, M. (2007). Childhood adverse events and current traumatic distress: A comparison of men and women prisoners. Criminal Justice and Behavior, 34, 1385-1401.
  • Messina, N., Grella, C.E., Cartier, J., & Torres, S. (2010). A randomized experimental study of gender-responsive substance abuse treatment for women in prison. Journal of Substance Abuse Treatment, 38, 97-107.
  • Pérez-Álvarez, M. (2008). Hyperrefl exivity as a condition of mental disorder: A clinical and historical perspective. Psicothema, 20, 181-187.
  • Pérez-Álvarez, M. (2012). Third-Generation therapies: Achievements and challenges. International Journal of Clinical and Health Psychology, 12, 291-310.
  • Peterson, R.A., & Reiss, R.J. (1992). Anxiety Sensitivity Index Manual (2nd edition). Worthington, OH: International Diagnostic Systems. Adaptación española por Sandín, B., Chorot, P., Valiente, R.M., Santed, M.A., & Lostao, L. (2004).
  • Peterson, C.L., & Zettle, R.D. (2009). Treating inpatients with comorbid depression and alcohol use disorders: A comparison of Acceptance and Commitment Therapy and treatment as usual. The Psychological Record, 59, 521-536.
  • Roemer, L., & Orsillo, S.M. (2012). Acceptance-based behavior therapy in anxiety disorders. In C. Germer & R.D. Siegel (Eds.), Wisdom in Psychotherapy. New York: Guilford.
  • Sacks, J.Y., McKendrick, K., & Hamilton, Z. (2012). A randomized clinical trial of a therapeutic community treatment for female inmates: Outcomes at 6 and 12 months after prison release. Journal of Addictive Disorders, 31, 258-269.
  • Sheehan, D.V., Janavs, J., Baker, R., Harnett-Sheehan, K., Knapp, E., et al. (1992). Mini International Neuropsychiatric Interview (MINI) Spanish version (5.0) Ferrando, L., Soto, M., Bobes, J., Soto, O., Franco, L., et al. (2000).
  • Smout, M., Longo, M., Harrison, S., Minniti, R., Wickes, W., et al. (2010). Psychosocial treatment for methamphetamine use disorders: Preliminary randomized controlled trial of cognitive therapy and acceptance and commitment therapy. Substance Abuse, 31, 98-107.
  • Stotts, A.L., Green, C., Masuda, A., Grabowski, J., Wilson, K., et al (in press). A Stage I pilot study of Acceptance and Commitment Therapy for methadone detoxification. Drug and Alcohol Dependence.
  • Twohig, M.P., Shoenberger, D., & Hayes, S.C. (2007). A preliminary investigation of Acceptance and Commitment Therapy as a treatment for marijuana dependence in adults. Journal of Applied Behavior Analysis, 40, 619-632.
  • Zlotnick, C., Clarke, J.G., Friedman, P.D., Roberts, M.B., Sacks, S., et al. (2008). Gender differences in comorbid disorders among offenders in prison substance abuse treatment programs. Behavior Science & The Law, 26, 403-412.
  • Zlotnick, C., Johnson, J., & Najavits, L.M. (2009). Randomized controlled pilot study of cognitive-behavioral therapy in a sample of incarcerated women with substance abuse disorder and PTSD. Behavior Therapy, 40, 325-336.
  • Wilson, K., & Luciano, M.C. (2002). Terapia de Aceptación y Compromiso: un tratamiento conductual orientado a valores. Madrid: Pirámide.