A randomized trial of individual and couple behavioral alcohol treatment for women.
A randomized trial of individual and couple behavioral alcohol treatment for women.
复制标题
DOI：
10.1037/a0014686
复制
发表时间：
2009-04
影响因子：
5.9
通讯作者：
Hildebrandt, Thomas
中科院分区：
文献类型：
--
作者：
McCrady, Barbara S.;Epstein, Elizabeth E.;Cook, Sharon;Jensen, Noelle;Hildebrandt, Thomas
尽管酒精使用障碍（AUD）对女性产生不利影响，但针对女性有效治疗的研究仍然有限。在这项对 102 名患有 AUD 的异性恋女性进行的随机疗效试验中，作者比较了酒精行为夫妻疗法 (ABCT) 和酒精行为个体疗法 (ABIT) 在 6 个月的治疗和 12 个月的治疗后随访中的戒酒天数百分比 (PDA) 和酗酒天数百分比 (PDH)。基线关系功能和共病障碍作为结果的调节因素进行了测试。使用分段线性增长模型来模拟结果。治疗期间，女性的 PDA 增加，PDH 减少，ABCT 的改善显着大于 ABIT（PDA d = 0.59；PDH d = 0.79）。随访期间维持了有利于 ABCT 的差异。基线关系功能较差的女性在 ABCT 治疗期间的 PDA 改善程度高于 ABIT 治疗期间。对于 PDH，治疗和随访期间的结果有利于基线关系功能更好的女性进行 ABCT。对于在随访结束时 (PDA) 患有轴 I 疾病的女性以及在治疗结束时 (PDA) 和随访结束时 (PDH) 患有轴 II 疾病的女性，ABCT 比 ABIT 产生更好的结果。
Although alcohol use disorders (AUDs) adversely affect women, research on efficacious treatments for women is limited. In this randomized efficacy trial of 102 heterosexual women with AUDs, the authors compared alcohol behavioral couple therapy (ABCT) and alcohol behavioral individual therapy (ABIT) on percentage of days abstinent (PDA) and percentage of days of heavy drinking (PDH) over 6 months of treatment and 12 months of posttreatment follow-up. Baseline relationship functioning and comorbid disorders were tested as moderators of outcome. Piecewise linear growth models were used to model outcomes. During treatment, women increased their PDA and decreased their PDH, with significantly greater improvements in ABCT than in ABIT (d = 0.59 for PDA; d = 0.79 for PDH). Differences favoring ABCT were maintained during follow-up. Women with poorer baseline relationship functioning improved more on PDA during treatment with ABCT than with ABIT. For PDH, results during treatment and follow-up favored ABCT for women with better baseline relationship functioning. ABCT resulted in better outcomes than ABIT for women with Axis I disorders at the end of follow-up (PDA), and for women with Axis II disorders at the end of treatment (PDA) and at the end of follow-up (PDH).
登录
查看更多内容
DOI：
10.1080/10705519909540118
发表时间：
1999-01-01
影响因子：
6
作者：
Hu, Li-tze;Bentler, Peter M.
通讯作者：
Bentler, Peter M.
DOI：
10.1111/j.1530-0277.1989.tb00366.x
发表时间：
1989-08-01
期刊：
ALCOHOL-CLINICAL AND EXPERIMENTAL RESEARCH
影响因子：
--
作者：
DAHLGREN, L;WILLANDER, A
通讯作者：
WILLANDER, A
DOI：
10.1016/0899-3289(93)90122-r
发表时间：
1993-01-01
期刊：
Journal of substance abuse
影响因子：
--
作者：
McKay, J R;Longabaugh, R;Noel, N E
通讯作者：
Noel, N E
影响因子：
5.9
作者：
Fals-Stewart, William;Birchler, Gary R.;Kelley, Michelle L.
通讯作者：
Kelley, Michelle L.
影响因子：
5.9
作者：
Carroll, KM;Connors, GJ;Zweben, A
通讯作者：
Zweben, A