nazila oliaei

Drug abuse is one of the global problems and despite the effectiveness of treatment methods, it often recurs over time.

The aim of this study was to investigate the effect of motivational interviews on temptation and relapse in patients treated with Buprenorphine referred to addiction treatment clinics.

The research was applied and quasi-experimental with pretest-posttest and control group, the study population was patients treated with Buprenorphine who were referred to addiction treatment clinics in Marivan in 2020. In this study, 42 people were selected by random sampling method and assigned to two groups of 21 intervention and control. Data collection tools included a substance use temptation questionnaire after withdrawal, a return prediction questionnaire along laboratory tests. Data were analyzed using STATA-12 and SPSS-25 using descriptive and inferential statistical tests of Wilcoxon, Man Whitney and Pearson's chi-squared test.

The results showed that intervention and control groups were statistically homogeneous. Before the intervention, the mean score of temptation was 74.42±11.31 and recurrence was 121.80±7.80. After the intervention, the mean score of temptation was reduced to (51.33±9.15) and recurrence of consumption was reduced to (108.76±10.62); therefore, there was a statistically significant difference between intervention and control groups (p<0.001).

The results showed that motivational interview was effective on the rate of temptation and recurrence of patients. Therefore, designing and using motivational interviews is recommended for caregivers in the psychiatric and addiction wards along with other addiction therapies.

High-risk pregnancy is a kind of pregnancy that causes anxiety and compromises the health of the mother and fetus. The current study aimed to compare the effect of lecture and cognitive behavioral methods on the anxiety level in women with high-risk pregnancy in Sanandaj, Iran.

The present interventional study was a randomized clinical trial performed on 144 women with high-risk pregnancy of 24-35 weeks referring to comprehensive health centers in Sanandaj, within 2018. To select samples, the city was divided into five districts and then the subjects were randomly selected from 6 centers with the highest number of women with high-risk pregnancy. In each center, the sampling units were selected by the available sampling method. Before the intervention, the Spielberger questionnaire was completed to assess the anxiety score. Then the samples were divided into three groups of cognitive behavioral (n =48), lecture (n=48), and control (n=48). The cognitive behavioral group was divided into four groups of 12 participants and the lecture group into two groups of 24 people, each. The intervention was performed twice a week in a 90-120 minute sessions for each cognitive behavioral group and once a week for each lecture group for a period of 4 weeks. The control group also received routine pregnancy care. Four weeks after the intervention, the Spielberger questionnaire was completed again by the researcher for all groups. Data analysis was performed using SPSS software (version 21) and the collected data were analyzed by Kruskal-Wallis, Chi-square, paired t-test, Tukey, covariance analysis, and one-way ANOVA. 

The results of the current study showed that before intervention there was no significant difference in the level of anxiety in the three groups of lecture, cognitive behavioral, and control groups (P<0.05). In addition, no significant difference was observed in the anxiety level of the control group (P>0.05). However, there was a significant difference in the lecture group (P<0.05) and the cognitive behavioral group (P<0.05) and the anxiety in the cognitive behavioral group decreased significantly (P<0.05), compared to the control and lecture groups.

The results of the current study showed that educating with the cognitive behavioral approach and lecture style reduced pregnancy anxiety. Moreover, cognitive behavioral training had a more effective impact on reducing anxiety during pregnancy. Therefore, it was concluded that in lecture and cognitive behavioral methods, mothers gain a higher ability to manage their anxiety and avoid thoughts or behaviors that lead to increased anxiety.