Urge-specific and lifestyle coping strategies of alcoholics: relationships of specific strategies to treatment outcome.
Urge-specific and lifestyle coping strategies of alcoholics: relationships of specific strategies to treatment outcome.
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DOI：
10.1016/j.drugalcdep.2012.07.010
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发表时间：
2013-02-01
影响因子：
4.2
通讯作者：
Monti, Peter M.
中科院分区：
文献类型：
--
作者：
Dolan, Sara L.;Rohsenow, Damaris J.;Martin, Rosemarie A.;Monti, Peter M.
本研究通过确定每种策略与饮酒结果的关系，检验了各种特定生活方式和特定情况应对技能的功效。接受强化日间治疗的酒精依赖患者正在参加一项随机试验，纳曲酮与安慰剂以及辅助沟通和应对技能培训或对照治疗。在治疗早期实施了酒精版的“迫切具体策略”(USS) 问卷和“酗酒者一般策略”(GSA)。 USS 评估了在提示暴露治疗、沟通技巧训练或放松/冥想训练中教授的 16 种针对具体情况的策略，以应对饮酒的冲动（例如，思考饮酒的积极和消极后果、使用掌握信息、采取替代行为）； 21 项 GSA 评估沟通技巧培训和一般治疗计划中教授的生活方式改变策略（例如，保持忙碌、定期锻炼、参加 12 步骤会议、避免高风险情况）。治疗后 6 个月和 12 个月评估饮酒情况和技能使用频率。许多特定的行为和认知应对策略与饮酒结果显着相关，包括 13 种特定冲动策略和 18 种一般生活方式策略，而其他策略则无关。由于治疗中教授的一些策略比其他策略更有效地预防复发，因此可以通过关注这些特定策略来改善治疗。由于结果可能仅限于该人群，因此需要在更多样化的环境中且无需药物的情况下进行复制。
The present study examined the efficacy of various specific lifestyle and situation-specific coping skills by determining the relationship of each of these strategies to drinking outcomes. Patients with alcohol dependence in intensive day treatment were participating in a randomized trial naltrexone versus placebo and adjunctive communication and coping skills training or a control treatment. The alcohol version of the Urge-Specific Strategies (USS) questionnaire and the General Strategies for Alcoholics (GSA) were administered early in treatment. The USS assesses 16 situation-specific strategies taught in cue exposure treatment, communication skills training, or relaxation/meditation training to cope with experiencing an urge to drink (e.g., think of positive and negative consequences of drinking, use mastery messages, engage in an alternative behavior); the 21-item GSA assesses lifestyle change strategies taught in communication skills training and in the general treatment program (e.g., keep busy, exercise regularly, attend 12-Step meetings, avoid high-risk situations). Alcohol use and frequency of use of the skills were assessed 6 and 12 months following treatment. Many specific behavioral and cognitive coping strategies were significantly related to drinking outcomes, including 13 urge-specific and 18 general lifestyle strategies, while other strategies were unrelated. Since some strategies taught in treatment are more effective in preventing relapse than others, treatment may be improved by focusing on these specific strategies. Since results may be limited to this population, replication is needed in more diverse settings and without medication.
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影响因子：
3.3
作者：
Lee, Christina S.;Lopez, Steven R.;Rohsenow, Damaris
通讯作者：
Rohsenow, Damaris
影响因子：
5.9
作者：
MONTI, PM;ROHSENOW, DJ;ABRAMS, DB
通讯作者：
ABRAMS, DB
影响因子：
5.9
作者：
Rohsenow, DJ;Monti, PM;Abrams, DB
通讯作者：
Abrams, DB
影响因子：
5.9
作者：
Chung, T;Langenbucher, J;Moos, RH
通讯作者：
Moos, RH
影响因子：
3.4
作者：
Maisto, SA;Connors, GJ;Zywiak, WH
通讯作者：
Zywiak, WH