Testing the effectiveness of cognitive-behavioral treatment for substance abuse in a community setting: within treatment and posttreatment findings.
Testing the effectiveness of cognitive-behavioral treatment for substance abuse in a community setting: within treatment and posttreatment findings.
复制标题
测试社区环境中药物滥用认知行为治疗的有效性：治疗内和治疗后结果。
DOI：
10.1037//0022-006x.69.6.1007
复制
发表时间：
2001
影响因子：
5.9
通讯作者：
Hayaki,J
中科院分区：
文献类型：
--
作者：
Morgenstern,J;Blanchard,KA;Morgan,TJ;Labouvie,E;Hayaki,J
本研究评估了在社区环境中对药物滥用进行认知行为治疗（CBT）的短期效果。在进入门诊社区药物滥用治疗时，参与者（N= 252）被随机分配到3个条件：高标准化CBT、低标准化CBT和常规治疗。治疗包括每周12次的单独治疗。与基线相比，药物使用显著减少，参与者报告在治疗期间90%的天数和治疗后6个月内85%的天数是戒断的。然而，不同条件下的结果没有显著差异。研究结果不支持将CBT传播到社区环境将改善结果的假设，并表明标准药物滥用咨询可能比以前认为的更有效。
This study evaluated the short-term effectiveness of cognitive–behavioral treatment (CBT) for substance abuse delivered in a community setting. At entry into outpatient community substance abuse treatment, participants (N= 252) were randomly assigned to 3 conditions: high-standardization CBT, low-standardization CBT, and treatment as usual. Treatment consisted of 12 weekly individual therapy sessions. There was a significant decrease in substance use from baseline, with participants reporting being abstinent on 90% of within-treatment days and 85% of days during the 6 months posttreatment. However, there were no significant differences in outcomes across conditions. Findings do not support the hypothesis that disseminating CBT to community settings will improve outcomes and suggest that standard substance abuse counseling may be more effective than previously thought.