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1- azad university
2- science and art
Abstract:   (3162 Views)
Background and purpose: Substance abuse (drug abuse ) refers to the use of narcotics in a manner in which the consumer consumes the substance in a manner or manner harmful to himself or others, which is a form of substance-related disorder. Different definitions of drug abuse are used in public health, medicine, and justice and criminal justice. In some cases, when a person is affected by drugs, he or she faces offense or antisocial behavior, and it may be that a long-term personality change occurs. In addition to physical, social and psychological harm, the use of some substances may lead to criminal penalties, although this discussion depends on the judicial rules of that location. n 2013, substance use disorders caused deaths of 127,000 people, compared with 1990, which was 51,000. Drug disorder caused the death of 4300 people and amphetamine disorder caused the deaths of 3800 people, and alcohol related disorders caused the death of 139,000 people. the purpose of this study is Comparison of the Effectiveness combination of of Cognitive – behavior Therapy and Methadone Therapy with methadone therapy on anxiety and craving believes in adolescent with substance abuse
Methods: This research was a  semi-experimental design with pretest-posttest, The statistical population of the study consisted of all opioid addicted patients in Isfahan who referred to addiction treatment centers in Isfahan during the winter of 1396 in order to withdrawal the drug. The sample was selected as available. In this regard, 30 male addicts who were referred to the addiction treatment center for opioid withdrawal and treatment were selected. Subjects were randomly divided into experimental and control groups, each group containing 15 subjects, that one group received methadone therapy and other group received methadone therapy and cognitive behavior therapy. the data was collected by beck anxiety inventory(BAI) and craving believes inventory of Right and Beck inventory. The Beck Anxiety Inventory (BAI), created by Aaron T. Beck and other colleagues, is a 21-question multiple-choice self-report inventory that is used for measuring the severity of anxiety in children and adults The questions used in this measure ask about common symptoms of anxiety that the subject has had during the past week (including the day you take it) (such as numbness and tingling, sweating not due to heat, and fear of the worst happening). It is designed for individuals who are of 17 years of age or older and takes 5 to 10 minutes to complete. Several studies have found the Beck Anxiety Inventory to be an accurate measure of anxiety symptoms in children and adults.  The BAI contains 21 questions, each answer being scored on a scale value of 0 (not at all) to 3 (severely). Higher total scores indicate more severe anxiety symptoms. The standardized cutoffs. are0–9: normal to minimal anxiety, 10–18: mild to moderate anxiety, 19–29: moderate to severe anxiety, 30–63: severe anxiety. Although drug craving has been defined in numerous ways, it has generally been regarded as a desire to use a drug. Craving is usually considered to be a subjective experience, in the sense that one must be aware of a desire in order to crave with few exceptions craving has been conceptualized as reflecting a drug-acquisitive state which motivates drug use. Despite the popular appeal of craving as a construct, there are a number of definitional issues that remain unresolved.To analyze the data at the descriptive level, the mean and standard deviation and the inferential level were used to analyze the covariance with spss21
Results: the result show that Combination of Cognitive – Behavior Therapy and Methadone Therapy Was more influence than methadone therapy. Anxiety and craving believes reduce after combination
Conclusion: regarding to influence of combination method of cognitive behaviore therapy and methadone therapy use of this treatment were recommend to all of professionals in this field

 
     
Type of Study: Original Research Article | Subject: Psychology

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