Group therapy for women with substance use disorders: Results from the Women's Recovery Group Study
Group therapy for women with substance use disorders: Results from the Women's Recovery Group Study
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DOI：
10.1016/j.drugalcdep.2014.06.035
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发表时间：
2014-09-01
影响因子：
4.2
通讯作者：
Fitzmaurice, Garrett M.
中科院分区：
文献类型：
--
作者：
Greenfield, Shelly F.;Sugarman, Dawn E.;Fitzmaurice, Garrett M.
背景：这项第二阶段试验建立在第一阶段试验的基础上，该试验将单性别女性康复小组 (WRG) 与混合性别小组药物咨询 (GDC) 进行比较，该试验证明了 WRG 在治疗患有药物滥用障碍的女性方面的初步支持。第二阶段试验的目的是 (1) 在滥用物质和同时发生精神疾病方面具有异质性的女性样本中调查 WRG 相对于 GDC 的有效性，以及 (2) 证明在两个地点以开放招募小组的形式实施 WRG 的可行性。 方法：在这项随机临床试验中，如果参与者有物质依赖且在过去 60 天内使用过物质，则纳入其中 (n = 158)。女性被随机分配至 WRG (n = 52) 或 GDC (n = 48)；男性被分配到 GDC（n = 58）。在第 1-6 个月和第 9 个月评估药物使用结果。结果：WRG 和 GDC 的女性在治疗期间（WRG 和 GDC 分别减少 12.7 天和 13.7 天）和治疗后 6 个月（分别减少 10.3 天和 12.7 天）平均药物使用天数均减少；结论：WRG 表现出与标准混合性别治疗（即 GDC）相当的有效性，并且可以以社区治疗典型的开放小组形式进行。它提供了一种基于手册的团体治疗，其中包含以女性为中心的内容，可以在各种临床环境中为那些在滥用物质、其他同时发生的精神疾病和生命阶段方面具有异质性的女性实施。 (C) 2014 Elsevier Ireland Ltd. 保留所有权利。
Background: This Stage II trial builds on a Stage I trial comparing the single-gender Women's Recovery Group (WRG) to mixed-gender Group Drug Counseling (GDC) that demonstrated preliminary support for the WRG in treating women with substance use disorders. The Stage II trial aims were to (1) investigate effectiveness of the WRG relative to GDC in a sample of women heterogeneous with respect to substance of abuse and co-occurring psychiatric disorders, and (2) demonstrate the feasibility of implementing WRG in an open-enrollment group format at two sites.Method: In this randomized clinical trial, participants were included if they were substance dependent and had used substances within the past 60 days (n = 158). Women were randomized to WRG (n = 52) or GDC (n = 48); men were assigned to GDC (n = 58). Substance use outcomes were assessed at months 1-6 and 9.Results: Women in both the WRG and GDC had reductions in mean number of substance use days during treatment (12.7 vs 13.7 day reductions for WRG and GDC, respectively) and 6 months post-treatment (10.3 vs 12.7 day reductions); however, there were no significant differences between groups.Conclusions: The WRG demonstrated comparable effectiveness to standard mixed-gender treatment (i.e., GDC) and is feasibly delivered in an open-group format typical of community treatment. It provides a manual-based group therapy with women-focused content that can be implemented in a variety of clinical settings for women who are heterogeneous with respect to their substance of abuse, other co-occurring psychiatric disorders, and life-stage. (C) 2014 Elsevier Ireland Ltd. All rights reserved.