12-step facilitation for the dually diagnosed: A randomized clinical trial
12-step facilitation for the dually diagnosed: A randomized clinical trial
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DOI：
10.1016/j.jsat.2013.12.009
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发表时间：
2014-04-01
影响因子：
3.9
通讯作者：
Arenella, Pamela B.
中科院分区：
文献类型：
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作者：
Bogenschutz, Michael P.;Rice, Samara L.;Arenella, Pamela B.
对患有严重精神疾病和酒精或药物依赖的人进行12步治疗的临床试验很少。这项随机试验评估了将12期12步促进疗法（TSF）添加到门诊双重诊断项目的常规治疗中的效果，该疗法改编自MATCH项目。参与者是121名同时被诊断为酒精依赖和严重精神障碍的人，在12周的治疗和36周的治疗后被跟踪。接受TSF的参与者更多地参与了12步计划，但在酒精和药物使用方面没有表现出更大的改善。然而，从维度上考虑，更多的参与TSF与更大的物质使用改善有关，更多的12步参与预示着饮酒频率和强度的减少。研究结果表明，在这一人群中进行TSF的未来工作应侧重于最大限度地暴露于TSF，并最大限度地提高TSF对12步参与的影响。(C) 2014爱思唯尔公司版权所有。
There are few clinical trials of 12-step treatments for individuals with serious mental illness and alcohol or drug dependence. This randomized trial assessed the effects of adding a 12-session 12-step facilitation therapy (TSF), adapted from that used in Project MATCH, to treatment as usual in an outpatient dual diagnosis program. Participants were 121 individuals dually diagnosed with alcohol dependence and a serious mental disorder, followed during 12 weeks of treatment and 36 weeks post-treatment. Participants receiving TSF had greater participation in 12-step programs, but did not demonstrate greater improvement in alcohol and drug use. However, considered dimensionally, greater participation in TSF was associated with greater improvement in substance use, and greater 12-step participation predicted decreases in frequency and intensity of drinking. Findings suggest that future work with TSF in this population should focus on maximizing exposure to TSF, and maximizing the effect of TSF on 12-step participation. (C) 2014 Elsevier Inc. All rights reserved.