The search for mechanisms of behavior change in evidence-based behavioral treatments for alcohol use disorders: Overview
The search for mechanisms of behavior change in evidence-based behavioral treatments for alcohol use disorders: Overview
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DOI：
10.1111/j.1530-0277.2007.00487.x
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发表时间：
2007-10-01
影响因子：
3.2
通讯作者：
Tonigan, Jeffery Scott
中科院分区：
文献类型：
--
作者：
Huebner, Robert B.;Tonigan, Jeffery Scott
背景：在过去的三十年里，酒精治疗研究人员感兴趣的主要问题是特定行为干预的主要效果或什么有效。越来越多的酒精治疗研究人员将注意力转向潜在的心理、社会甚至神经生理过程或推动治疗变化的“活性成分”。方法：本《酒精中毒：临床和实验研究》增刊中所载的文章是在酒精中毒研究学会（RSA）第28届年会之前举行的为期一天的卫星会议上应邀发表的演讲。这次会议是新墨西哥大学酒精中毒、药物滥用和成瘾中心、哥伦比亚大学、布朗大学成瘾和药物滥用中心以及国家卫生研究院国家酒精滥用和酒精中毒研究所共同努力的结果。结果：会议的特点是对概念和方法问题的全面介绍，原始研究结果的报告，以及演讲者和与会者之间的热烈讨论。了解行为改变的机制将有利于该领域，因为它可以确定治疗的关键方面，无论采用何种具体技术，都必须呈现出最大的效果；提供一种新的方法来处理患者与治疗的相互作用；并为理解变化如何受到社会和其他外部因素的影响奠定基础。结论：虽然对该领域来说不是一个新话题，但理解行为改变的机制已经开始引起越来越多的酒精治疗研究人员的兴趣。理解行为改变是一项极其复杂的事业，需要创新思维和创造性的研究设计来推进这一领域。
Background: Over the past three decades, the main question of interest to alcohol treatment researchers has concerned the main effects of a particular behavioral intervention or what works. Increasingly, alcohol treatment researchers are turning their attention to the underlying psychological, social, and even neurophysiologic processes or "active ingredients" that are driving therapeutic change.Method: The articles contained in this supplement to Alcoholism: Clinical and Experimental Research grew out of invited presentations given at a one-day satellite session immediately preceding the 28th Annual Meeting of the Research Society on Alcoholism (RSA). The conference was a collaborative effort of the Center on Alcoholism, Substance Abuse, and Addiction at the University of New Mexico, the Center on Addiction and Substance Abuse at Columbia University, Brown University, and the National Institute on Alcohol Abuse and Alcoholism, National Institutes of Health.Results: The conference featured a mix of full-length presentations on conceptual and methodological issues, reports of original research findings, and lively discussion among speakers and conference participants. Understanding mechanisms of behavior change will benefit the field by identifying the key aspects of therapy that must be present for maximum effect, irrespective of the specific technique being applied; provide a new way to approach patient-treatment interactions; and lay the groundwork for understanding how change is affected by social and other extratreatment factors.Conclusion: Although not a new topic to the field, understanding mechanisms of behavior change has begun to capture the interest of an increasing number of alcohol treatment researchers. Understanding behavior change is an exceedingly complex enterprise and innovative thinking and creative research designs will be required to advance the field.