A trial of relapse prevention with severely dependent male problem drinkers.

A trial of relapse prevention with severely dependent male problem drinkers.
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对严重依赖的男性问题饮酒者进行预防复发的试验。

DOI:
10.1111/j.1360-0443.1997.tb03638.x
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发表时间:
1997
期刊:
影响因子:
6
通讯作者:
A. Carr
A. Carr
中科院分区:
医学1区
文献类型:
--
作者:
S. Allsop;B. Saunders;M. Phillips;A. Carr

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在过去的二十年里,预防复发已经成为治疗毒品问题的一个主要重点。很少有研究表明对普遍较高的复发率有任何影响。本文报告了一项预防复发计划的对照试验的结果,其中男性问题饮酒者(n=60)参加酒精治疗单元。符合纳入标准的受试者被分配到预防复发(n=20)、讨论(n=20)或不额外治疗(n=20)控制程序。第一作者在6个月和12个月时对受试者进行了随访。与讨论对照组相比,预防复发计划与治疗前和治疗后的自我效能显著增加有关,在前6个月的随访中,与所有对照组相比,完全戒烟的可能性显著更大。此外,与对照组相比,预防复发计划与最初的失误和复发的生存时间显著延长有关。在12个月的随访中,治疗效果已被侵蚀。结论是,预防复发方案在短期内是一种有效的治疗方法,较长期的影响可能需要更多地关注维持因素,如个人的环境。
Over the last two decades, relapse prevention has emerged as a major focus of the treatment of drug problems. Few studies have demonstrated any impact on generally high relapse rates. In this paper the outcome of a controlled trial of a relapse prevention programme with male problem drinkers (n = 60) attending an Alcohol Treatment Unit is reported. Subjects who met the inclusion criteria were allocated to a relapse prevention (n = 20) procedure or a discussion (n = 20) or no-additional treatment (n = 20) control procedure. Subjects were followed-up at 6 and 12 months by the first author. The relapse prevention programme was associated with significantly greater increases in pre- and post-treatment self-efficacy compared to the discussion control group and significantly greater probability of total abstinence than all controls over the first 6-month follow up. In addition, the relapse prevention programme was associated with significantly longer survival time to an initial lapse and relapse than the controls. At 12-month follow-up, treatment effects had been eroded. It was concluded that the relapse prevention programme was an effective treatment in the short term and that longer-term impact may require greater focus on maintenance factors, such as the individual's environment.
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
发表时间: 1983
影响因子: 4.4
作者:
Billings,AG;Moos,RH
通讯作者: Moos,RH