More is better: Counseling participation and the effectiveness of outpatient drug treatment
More is better: Counseling participation and the effectiveness of outpatient drug treatment
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DOI：
10.1016/s0740-5472(96)00109-2
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发表时间：
1996-07-01
影响因子：
3.9
通讯作者：
Anglin, MD
中科院分区：
文献类型：
--
作者：
Fiorentine, R;Anglin, MD
咨询几乎是所有药物治疗方式的基石，但检验咨询有效性的研究相对较少。本文讨论了一个有关咨询的简单问题：更频繁地参与咨询是否与更好的治疗结果相关？洛杉矶目标城市项目的评估结果表明，门诊项目参与者的每月咨询频率差异很大，而且更频繁的咨询与较低的吸毒复发率相关，即使对于成功完成治疗项目的个人也是如此。然而，咨询频率与复发之间的关联并不涉及所有类型的咨询，而主要涉及团体和个人咨询。在门诊治疗阶段更频繁地参加家庭咨询和12步会议并没有显着降低复发的可能性。经常参加团体和个人咨询的人在治疗后继续经常参加 12 步骤会议的复发概率最低。讨论了研究结果的政策影响和进一步研究的方向。版权所有 (C) 1996 爱思唯尔科学公司。
Counseling is a cornerstone of virtually all drug treatment modalities, yet there is relatively little research examining counseling effectiveness. This article addresses a simple question concerning counseling: Is more frequent participation in counseling associated with better treatment outcome? Findings from an evaluation of the Los Angeles Target Cities Project indicate that monthly counseling frequency varied substantially for participants of outpatient programs, and more frequent counseling was associated with lower levels of relapse to drug use, even for individuals who successfully completed the treatment program. The association between counseling frequency and relapse did not attend to all types of counseling, however, but mainly to group and individual counseling. More frequent attendance of family counseling and 12-step meetings during the outpatient treatment phase did not significantly lower the probability of relapse. Frequent participants of group and individual counseling who continued to be frequent participants of 12-step meetings during the posttreatment period had the lowest probability of relapse. The policy implications of the findings and directions for further research are discussed. Copyright (C) 1996 Elsevier Science Inc.