Relapse prevention in alcohol aftercare: effects on drinking outcome, change process, and aftercare attendance.
Relapse prevention in alcohol aftercare: effects on drinking outcome, change process, and aftercare attendance.
复制标题
酒精善后护理中的复发预防：对饮酒结果、改变过程和善后护理出席率的影响。
DOI：
10.1111/j.1360-0443.1988.tb03978.x
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发表时间：
1988
期刊：
影响因子：
--
通讯作者：
Hall,JJ
中科院分区：
文献类型：
--
作者：
Ito,JR;Donovan,DM;Hall,JJ
善后工作有助于改善饮酒的结果，但维护一直被忽视的干预点。该项目评估了认知行为复发预防（RP）和人际过程（IP）善后小组对最近住院的酗酒者的影响，包括由三个联合治疗小组在每种情况下进行一组的八个每周90分钟的会议。将6个队列的患者分配至各种疾病（N=39），并在治疗前、治疗后和6个月随访时进行评估。RP和IP在饮酒、酒精相关损害、认知应对、饮酒天数、至首次饮酒时间、戒酒和术后护理出勤方面的改善/结局相当。在次要分析中，诱惑的改善归因于RP，行为应对归因于IP，对自我效能的影响似乎与RP的更大短期改善略微相关。在把握度不足、结局可能的上限效应、随访期的短暂性以及治疗在实施中可能比预期更相似的可能性方面讨论了缺乏差异结局。提出了改善善后和复发预防研究的建议。
Aftercare contributes to improved drinking outcome, yet maintenance has been overlooked as a point for intervention. This project evaluated the effect of cognitive‐behavioural relapse prevention (RP) and interpersonal process (IP) aftercare groups for recently hospitalized alcoholics, consisting of eight weekly 90 min sessions delivered by three co‐therapy teams conducting one group in each condition. Six cohorts of patients were assigned to conditions (N=39) and assessed at pretreatment, post‐treatment, and 6 month follow‐up. RP and IP resulted in comparable improvement/outcome on alcohol consumption, alcohol‐related impairment, cognitive coping, drinking days, time to first drink, abstinence, and aftercare attendance. In secondary analyses, improvement on temptation was attributed to RP, on behavioural coping to IP, and effects on self‐efficacy appeared marginally related to greater short term improvement for RP. The lack of differential outcome is discussed with respect to inadequate power, possible ceiling effects in outcome, the brevity of the follow‐up period, and the possibility that treatments may have been more similar in implementation than intended. Suggestions for improving aftercare and relapse prevention research are presented.