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IRCT20170108031818N4 IRCT 2023-05-20 Gorgan University of Medical Sciences The effect of cognitive hypnotherapy in preventing the relapse of opium use in men treated with methadone Investigating the effect of cognitive hypnotherapy (COGNITIVE HYPNOTHERAPY) in preventing the relapse of opium use in men treated with methadone compared to the control group in the addiction treatment center. 2023-06-10 anticipated 38 Complete https://irct.ir/trial/69818 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Prevention, Randomization description: The samples are placed in one of the treatment groups including only methadone treatment or in the treatment group with methadone and cognitive hypnotherapy as a simple randomization and by lottery. 2 Men treated with methadone. Intervention 1: Intervention group: For the cognitive hypnotherapy intervention group, including 8 sessions of 60 minutes (the number of people in each session is maximum 8 people), it will be held once a week by a psychiatric specialist, and relaxation will be conducted by a psychiatric assistant. Cognitive hypnotherapy will consist of 8 sessions of 60 minutes that will be held once a week.In the first session, along with getting to know the patient and the current life situation of the patient and his family, as well as explaining the hypnosis treatment program and examining the patients' views on hypnosis, the progressive muscle relaxation method will be taught to the patients. At the end of the session, they are asked to do this exercise for 20 minutes every day until the next week, when it is time for the second session.In the second session, the patient will be explained about the unconscious and the effect of insinuations on it, hypnotherapy, insinuations related to relaxation and reducing mental pressure, and teaching exercises will be done.The purpose of the third session is to increase self-confidence and calmness in the patient. They will be familiar with the reminders of drug addiction such as time, place, friends, music, etc.The fourth session: While deepening the trance, they will learn about the harms of drug use and its negative effects.5th and 6th session: While taking the patients to the deepest depth of trance, insinuations of aversion to substances will be done.Seventh session: In deep ecstasy, the positive effects of staying in the desert, such as taking care of personal and family matters, deepening family relationships, work progress and prevention of damages, increasing self-confidence and morale of oneself and family members, educational progress of children, etc. will be suggested.The eighth session: The exercises that are done in the previous sessions will be reviewed and conditional suggestions will be made to make it easier to induce trance in the patient at home, and the patient will be told about self-hypnosis to eliminate the problems that arise as a result. Quitting occurs for him to use (such as insomnia, restlessness, pain, depression and temptation).The follow-up of patients after the completion of cognitive hypnotherapy sessions will be 3 months later and 6 months later. In this way, during a phone call with the participants, they are requested to come for a morphine urine test. The positive result indicates the existence of drug use during the last three days and is considered as a relapse of drug abuse. Intervention 2: Control group: Methadone only. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is "There is no further information".
public Mohammad Zaman Kamkar
Golestan University of Medical Sciences, Shast kola St.
Gorgan Iran (Islamic Republic of) 455435552 0173215846 kamkar۷۲@yahoo.com Gorgan University of Medical Sciences scientific Mohammad Zaman Kamkar
Golestan University of Medical Sciences, Shast kola St.
Gorgan Iran (Islamic Republic of) 4652865253 +98 17 3566 5254 kamkar۷۲@yahoo.com Gorgan University of Medical Sciences Iran (Islamic Republic of) All opium consuming men who have completed a one-month detoxification course and are undergoing maintenance treatment with methadone and have a file in the addiction treatment center affiliated to 5 Azar Hospital in Gorgan. Age 18–55 years Not using other drugs and narcotic drugs for a month before At least elementary education No history of stimulant drug use 18 years 55 years Male Absence of more than 2 sessions of cognitive hypnotherapy Non-cooperation of the patient to monitor the urine test before intervention, after cognitive hypnotherapy and 3 months and 6 months after treatment sessions. Serious medical illness or major psychiatric disorder (depression, psychosis, etc.) based on a clinical interview by a psychiatric assistant Prevention Prevention Intervention group: For the cognitive hypnotherapy intervention group, including 8 sessions of 60 minutes (the number of people in each session is maximum 8 people), it will be held once a week by a psychiatric specialist, and relaxation will be conducted by a psychiatric assistant. Cognitive hypnotherapy will consist of 8 sessions of 60 minutes that will be held once a week.In the first session, along with getting to know the patient and the current life situation of the patient and his family, as well as explaining the hypnosis treatment program and examining the patients' views on hypnosis, the progressive muscle relaxation method will be taught to the patients. At the end of the session, they are asked to do this exercise for 20 minutes every day until the next week, when it is time for the second session.In the second session, the patient will be explained about the unconscious and the effect of insinuations on it, hypnotherapy, insinuations related to relaxation and reducing mental pressure, and teaching exercises will be done.The purpose of the third session is to increase self-confidence and calmness in the patient. They will be familiar with the reminders of drug addiction such as time, place, friends, music, etc.The fourth session: While deepening the trance, they will learn about the harms of drug use and its negative effects.5th and 6th session: While taking the patients to the deepest depth of trance, insinuations of aversion to substances will be done.Seventh session: In deep ecstasy, the positive effects of staying in the desert, such as taking care of personal and family matters, deepening family relationships, work progress and prevention of damages, increasing self-confidence and morale of oneself and family members, educational progress of children, etc. will be suggested.The eighth session: The exercises that are done in the previous sessions will be reviewed and conditional suggestions will be made to make it easier to induce trance in the patient at home, and the patient will be told about self-hypnosis to eliminate the problems that arise as a result. Quitting occurs for him to use (such as insomnia, restlessness, pain, depression and temptation).The follow-up of patients after the completion of cognitive hypnotherapy sessions will be 3 months later and 6 months later. In this way, during a phone call with the participants, they are requested to come for a morphine urine test. The positive result indicates the existence of drug use during the last three days and is considered as a relapse of drug abuse. Control group: Methadone only Opium relapse. Timepoint: 3 months later and 6 months later. Method of measurement: The morphine urine test is a multi-drug test, and if morphine is positive in this test, it is considered as a relapse of drug abuse. Impulsiveness. Timepoint: 3 months later and 6 months later. Method of measurement: Ernst Barratt Impulsivity Questionnaire. Reduced drug cravings. Timepoint: 3 months later and 6 months later. Method of measurement: with the Abbreviated Substance Craving Scale. Gorgan University of Medical Sciences Approved 2023-03-05 Ethics committee of Golestan University of Medical Sciences Golestan University of Medical Sciences, shast kola St., Gorgan Golestan Iran (Islamic Republic of)