Combining psychosocial treatment with pharmacotherapy for alcohol dependence.

Combining psychosocial treatment with pharmacotherapy for alcohol dependence.
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将心理社会治疗与药物治疗相结合来治疗酒精依赖。

DOI:
10.1097/01.jcp.0000248604.58305.b3
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发表时间:
2006
影响因子:
2.9
通讯作者:
Kueppenbender,KarstenD
Kueppenbender,KarstenD
中科院分区:
医学4区
文献类型:
--
作者:
Weiss,RogerD;Kueppenbender,KarstenD

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酒精依赖的药物治疗总是在可能影响治疗结果的社会心理背景下进行。对酒精依赖的不同心理治疗方法的严格研究表明,几种不同的方法是有效的。本文综述了酒精依赖药物治疗的组合,包括双硫仑,纳曲酮和阿坎酸,与不同的心理社会干预。许多针对酒精依赖的心理社会干预措施,包括匿名戒酒会,可以成功地与药物治疗相结合。心理社会干预,从简单的医疗管理到更密集的手动心理治疗,都已被证明在某些研究中产生积极的结果,这取决于具体的药物和研究背景。特别成功的组合可能包括使用行为婚姻治疗加上双硫仑合同的患者服用该药物,以及纳洛酮或阿坎酸与认知行为治疗或心理社会支持的组合。正在进行的研究检查药物与不同的心理社会治疗酒精依赖的最佳组合可能会进一步告知该领域。
Pharmacotherapy for alcohol dependence is always delivered in a psychosocial context that may affect the outcome of the treatment. The rigorous study of different psychotherapeutic treatments for alcohol dependence has shown several distinct approaches to be effective. This article reviews the combination of alcohol dependence pharmacotherapies, including disulfiram, naltrexone, and acamprosate, with different psychosocial interventions. Many psychosocial interventions for alcohol dependence, including Alcoholics Anonymous, can be integrated successfully with pharmacotherapy. Psychosocial interventions, ranging from brief medical management to more intensive manualized psychotherapies, have all been shown to produce positive outcomes in certain studies, depending on the specific medication and the study context. Particularly successful combinations may include the use of behavioral marital therapy plus a disulfiram contract for patients taking that medication, and the combination of naltrexone or acamprosate with cognitive-behavioral therapy or psychosocial support. Ongoing research examining the optimal combinations of medications with different psychosocial treatments for alcohol dependence may further inform the field.
DOI: 10.1001/archpsyc.1997.01830200071010
发表时间: 1997
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Volpicelli,JR;Rhines,KC;Rhines,JS;Volpicelli,LA;Alterman,AI;O'Brien,CP
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期刊: Journal of studies on alcohol
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DOI: --
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