Network Support treatment for alcohol dependence: Gender differences in treatment mechanisms and outcomes
Network Support treatment for alcohol dependence: Gender differences in treatment mechanisms and outcomes
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DOI：
10.1016/j.addbeh.2015.01.005
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发表时间：
2015-06-01
影响因子：
4.4
通讯作者：
Tennen, Howard
中科院分区：
文献类型：
--
作者：
Litt, Mark D.;Kadden, Ronald M.;Tennen, Howard
目的：网络支持治疗旨在帮助酒精依赖患者改变其密切的社会支持网络，使其更支持清醒，更不支持饮酒。本研究的目的是探讨网络支持治疗对男性和女性的不同影响。方法：从社区招募的酒精依赖男性（n = 122）和女性（n = 88）被随机分配到3个12周的门诊治疗条件之一：网络支持（NS），网络支持+应急管理（NS + CM），或个案管理（情况M;对照条件）。然后对患者进行为期27个月的随访。使用多水平建模评价性别x治疗相互作用随时间对结局变量的影响。调解的测试被用来确定什么因素可能会占不同的有效性为男性或女性在NS conditions.Results：分析饮酒相关的结果措施在27个月内表明，女性表现不佳的整体，特别是在网络支持条件差，相对于男性。调解测试表明，自我效能的变化和变化的非饮酒密切联系人的数量部分介导NS治疗对outcome.Conclusions的影响：可以得出结论，NS条件未能改变妇女的社交网络，并可能有破坏妇女的自我效能的影响。网络支持治疗可能适用于妇女，如果特别注意了解预先存在的社会支持网络，一般会更有效。(C)2015爱思唯尔有限公司版权所有。
Objective: Network Support treatment was intended to help alcohol dependent patients alter their close social support networks to be more supportive of sobriety and less supportive of drinking. The purpose of the present study was to examine the differential influences of Network Support treatment on men and women.Methods: Alcohol dependent men (n = 122) and women (n = 88) recruited from the community were randomly assigned to 1 of 3 12-week outpatient treatment conditions: Network Support (NS), Network Support + Contingency Management (NS + CM), or Case Management (CaseM; a control condition). Patients were then followed for a period of 27 months. Multilevel modeling was used to evaluate Sex x Treatment interaction effects on outcome variables over time. Tests of mediation were used to determine what factors might account for differential effectiveness for men or women in the NS conditions.Results: Analyses of drinking-related outcome measures over the 27 months indicated that women fared less well overall, and particularly poorly in the Network Support conditions, relative to men. Tests of mediation indicated that self-efficacy change and change in the number of non-drinking close associates partially mediated the effect of NS treatments on outcome.Conclusions: It was concluded that the NS conditions failed to alter women's social networks, and may have had the effect of undermining women's self-efficacy. Network Support treatment might be applicable for women and more effective generally if particular attention is paid to understanding preexisting social support networks. (C) 2015 Elsevier Ltd. All rights reserved.