Sudden gains among women receiving treatment for alcohol use disorders.

Sudden gains among women receiving treatment for alcohol use disorders.
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DOI:
10.3109/16066359.2014.981809
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发表时间:
2015
影响因子:
2.9
通讯作者:
Eddie D
Eddie D
中科院分区:
医学3区
文献类型:
--
作者:
Drapkin M;Epstein EE;McCrady B;Eddie D

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了解心理健康障碍治疗过程中的变化的时间和类型是阐明治疗干预后行为变化的可能机制的重要一步,但这些问题在酒精依赖治疗文献中尚未得到充分解决。目前的研究应用了突然收益(SGs)方法,这是一种最初在抑郁症治疗研究中开发的方法,用于接受酒精使用障碍治疗的女性样本。SG是在两次心理治疗之间发生的症状的急剧改善,并且被假设是这两次治疗中的第一次发生的结果。SG可以在治疗过程中的任何时间发生,可以发生不止一次,并且是个体化的,而不是针对样本的聚合。在目前的研究中,SGs在三个变量中进行了检查:饮酒天数百分比(PDD),冲动频率(UF)和冲动强度(UI),样本为102名接受酒精使用障碍个体或夫妇认知行为治疗的女性。结果表明存在SG;三分之一的样本在饮酒或饮酒冲动中至少经历了一次SG;最常见的SG是饮酒冲动的频率。治疗期间的冲动频率中的SG预测治疗后饮酒结果更好。
Understanding the timing and types of change during treatment for mental health disorders is an important step toward elucidating possible mechanisms of behaviour change in response to therapeutic interventions, yet these issues have not been adequately addressed in the alcohol dependence treatment literature. The current study applied sudden gains (SGs) methodology, an approach originally developed in depression treatment studies, to a sample of women receiving treatment for alcohol use disorders. SGs are drastic improvements in symptoms that occur between two psychotherapy sessions and are hypothesised to be the result of what occurred in the first of those two sessions. SGs can happen at any time during the course of treatment, can happen more than once, and are individualised, as opposed to aggregated for a sample. For the current study, SGs were examined across three variables: percent drinking days (PDD), urge frequency (UF), and urge intensity (UI) in a sample of 102 women receiving either individual or couple cognitive-behavioural therapy for alcohol use disorders. Results indicated the presence of SGs; one-third of the sample experienced at least one SG in either alcohol use or urges to drink; the most common SGs were in frequency of urges to drink. SGs in urge frequency during treatment predicted better post-treatment drinking outcome.
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