Irish journal of psychological medicine · 2026
Feasibility and tolerability of group cognitive behavioral therapy on improving functioning and managing craving and psychosocial factors among incarcerated women with methamphetamine use disorder.
СтатьяНазвание и аннотация: Перевод в очереди
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Siste Kristiana, Leung Janni, Murtani Belinda Julivia, Sen Lee Thung, Kusuma Kevin Surya, Hanafi Enjeline, Nainggolan Fitri Dona, Aryani Astria, Tan Christopher, Lubis Adhayani, Murni Astia
Аннотация
INTRODUCTION: Methamphetamine use disorder (MUD) has risen among women globally and is disproportionately higher in prisons. In Indonesia, correctional facilities still lack any structured and evidence-based psychological therapy. To address this gap, we developed the Indonesia Substance Use Reduction for Female Therapy (Indo-SURFT).
METHODS: A single-arm unblinded design with a 3-month follow-up was conducted among incarcerated women with MUD. Participants completed 12 sessions over six weeks. Assessments included user perception ratings, Addiction Severity Index (ASI), Visual Analog Scale for craving, University of Rhode Island Change Assessment Scale, Self-Reporting Questionnaire-20 (SRQ-20), and WHO Quality-of-Life Brief (WHOQOL-BREF).
RESULTS: A total of 33 incarcerated women with MUD participated and the median age was 35 (21-57). All of the participants had complete attendance during the 6-week program. By week 12, participants rated the Indo-SURFT module as useful (Mdiff = 0.484, 95%CI [0.235, 0.732], p < 0.001, d = 0.482). Employment-related ASI scores improved post-intervention (B = -0.076, p = 0.002) and at follow-up (B = -0.106, p = 0.004). Psychiatric domain of ASI remained stable post-intervention but increased after follow-up (B = 0.200, p ≤ 0.001). Craving declined post-treatment but rose at follow-up (B = 1.247, p = 0.036). SRQ-20 increased over time, while WHOQOL-BREF declined.
CONCLUSIONS: Indo-SURFT is tolerable and feasible for women with MUD in incarceration. Participants highly rated the module and delivery. The module demonstrates initial improvement in functional domain and curbs craving level during treatment. Maintenance sessions may be required to fully maintain and enhance improvements. These findings support Indo-SURFT's as a potential intervention but requires further multisite investigation to enhance generalizability.
METHODS: A single-arm unblinded design with a 3-month follow-up was conducted among incarcerated women with MUD. Participants completed 12 sessions over six weeks. Assessments included user perception ratings, Addiction Severity Index (ASI), Visual Analog Scale for craving, University of Rhode Island Change Assessment Scale, Self-Reporting Questionnaire-20 (SRQ-20), and WHO Quality-of-Life Brief (WHOQOL-BREF).
RESULTS: A total of 33 incarcerated women with MUD participated and the median age was 35 (21-57). All of the participants had complete attendance during the 6-week program. By week 12, participants rated the Indo-SURFT module as useful (Mdiff = 0.484, 95%CI [0.235, 0.732], p < 0.001, d = 0.482). Employment-related ASI scores improved post-intervention (B = -0.076, p = 0.002) and at follow-up (B = -0.106, p = 0.004). Psychiatric domain of ASI remained stable post-intervention but increased after follow-up (B = 0.200, p ≤ 0.001). Craving declined post-treatment but rose at follow-up (B = 1.247, p = 0.036). SRQ-20 increased over time, while WHOQOL-BREF declined.
CONCLUSIONS: Indo-SURFT is tolerable and feasible for women with MUD in incarceration. Participants highly rated the module and delivery. The module demonstrates initial improvement in functional domain and curbs craving level during treatment. Maintenance sessions may be required to fully maintain and enhance improvements. These findings support Indo-SURFT's as a potential intervention but requires further multisite investigation to enhance generalizability.