Effectiveness of three types of spouse-involved behavioral alcoholism treatment.
Effectiveness of three types of spouse-involved behavioral alcoholism treatment.
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三种涉及配偶的行为酗酒治疗的有效性。
DOI：
10.1111/j.1360-0443.1991.tb01727.x
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发表时间：
1991
期刊：
影响因子：
--
通讯作者：
Hilary Fisher Nelson
中科院分区：
文献类型：
--
作者：
B. McCrady;R. Stout;N. E. Noel;D. Abrams;Hilary Fisher Nelson
对45名酗酒者及其配偶进行了三种门诊行为治疗条件之一的治疗：（1）最小配偶参与（MSI）（n = 14），（2）以酒精为重点的配偶参与（AFSI）（n = 12），或（3）以酒精为重点的配偶参与加行为婚姻治疗（ABMT）（n = 19）。受试者在治疗后随访18个月。所有条件下的受试者报告饮酒频率和大量饮酒频率显着下降，并报告生活满意度增加。这一信息得到了配偶的独立报告的证实。结果模式在三种治疗条件下各不相同，ABMT受试者在最后9个月的随访中禁欲天数和禁欲加轻度饮酒天数的比例逐渐改善。其他两种治疗条件下的受试者在戒酒天数和戒酒加轻度饮酒天数比例方面表现出逐渐恶化。被分配到ABMT条件的受试者不太可能经历婚姻分离，并且报告说婚姻满意度和主观幸福感比其他实验组有更大的改善。这些发现的临床和理论意义进行了讨论。
Treatment was provided to 45 alcoholics and their spouses in one of three out-patient behavioral treatment conditions: (1) minimal spouse involvement (MSI) (n = 14), (2) alcohol-focused spouse involvement (AFSI) (n = 12), or (3) alcohol-focused spouse involvement plus behavioral marital therapy (ABMT) (n = 19). Subjects were followed for 18 months after treatment. Subjects in all conditions reported significant decreases in frequency of drinking and frequency of heavy drinking, and reported increased life satisfaction. This information was corroborated by independent reports of the spouses. Patterns of outcome varied across the three treatment conditions, with ABMT subjects showing gradual improvement in proportions of abstinent days and abstinent plus light drinking days over the last 9 months of follow-up. Subjects in the other two treatment conditions showed gradual deterioration in proportion of abstinent days and abstinent plus light drinking days. Subjects assigned to the ABMT condition were less likely to experience marital separations, and reported greater improvement in marital satisfaction and subjective well-being than the other experimental groups. Clinical and theoretical significance of these findings are discussed.