Psychosocial processes of recovery among alcoholics and their families: implications for clinicians and program evaluators.
Psychosocial processes of recovery among alcoholics and their families: implications for clinicians and program evaluators.
复制标题
酗酒者及其家人康复的心理社会过程：对临床医生和项目评估者的影响。
DOI：
10.1016/0306-4603(83)90016-3
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发表时间：
1983
影响因子：
4.4
通讯作者：
Moos,RH
中科院分区：
文献类型：
--
作者：
Billings,AG;Moos,RH
本文概述了一项研究计划，该计划的重点是治疗后的酒精患者及其家属在康复和复发过程中治疗外因素的作用。与系统观点一致，控制饮酒的患者在非饮酒方面表现出改善，其家庭成员也表现出改善的适应能力。此外，这些康复家庭的治疗后功能与匹配的非酒精社区群体相当。相反，复发的酗酒者和他们的家庭成员遭受多方面的损害。治疗外因素如环境压力源、应对反应和社会资源对康复过程的影响与患者的治疗经历一样大。描述了评估这些外治疗因素的新程序，并讨论了临床医生和研究人员可以使用结果信息来改善治疗结果和项目评估特异性的方法。
This paper provides an overview of a program of research that has focused on the role of extratreatment factors in the process of recovery and relapse among treated alcoholic patients and their families. Consistent with a systems perspective, patients who controlled their drinking showed improvements in nondrinking aspects of their functioning and members of their families showed improved adjustment as well. Moreover, the posttreatment functioning of these recovered families was comparable to that of a matched nonalcoholic community group. In contrast, relapsed alcoholics and their family members suffered from multidimensional impairments. Extratreatment factors such as environmental stressors, coping responses, and social resources had as much influence on the recovery process as did patients' treatment experiences. New procedures to assess these extratreatment factors are described and methods by which clinicians and researchers can use the resulting information to improve treatment outcome and the specificity of program evaluations are discussed.