IMPROVEMENTS IN COMMUNITY-REINFORCEMENT APPROACH TO ALCOHOLISM
IMPROVEMENTS IN COMMUNITY-REINFORCEMENT APPROACH TO ALCOHOLISM
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DOI：
10.1016/0005-7967(76)90021-8
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发表时间：
1976-01-01
影响因子：
4.1
通讯作者：
AZRIN, NH
中科院分区：
文献类型：
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作者：
AZRIN, NH
对一种改良的用于治疗酗酒者的社区强化项目进行了评估。先前经过测试的社区强化项目包含特殊的工作、家庭、社交和娱乐程序，该项目减少了酗酒现象。为了进一步提高该项目的有效性，纳入了伙伴制度、每日报告程序、团体辅导以及一个特殊的社会激励项目，以确保戒酒硫（安塔布司）的自我服用。与接受标准医院治疗（包括常规方式使用戒酒硫）的匹配对照组相比，接受改良社区强化项目的酗酒者饮酒更少，工作更多，在家时间更长，住院时间更短。这些结果在两年期间保持稳定。该项目似乎比之前的项目更有效且耗时更少。这些结果重复验证了社区强化项目在减少酗酒方面的有效性，并表明了项目新增内容的有用性。
A modified Community-Reinforcement program for treating alcoholics was evaluated. The previously tested Community-Reinforcement program which included special job, family, social and recreational procedures reduced alcoholism. To increase the effectiveness of the program further, a Buddy system, a daily report procedure, group counseling, and a special social motivation program to ensure the self-administration of Disulfiram (Antabuse) were incorporated. Alcoholics who received the improved Community-Reinforcement program drank less, worked more, spent more time at home and less time institutionalized than did their matched controls who received the standard hospital treatment including Antabuse in the usual manner. These results were stable over a 2 yr period. The program appeared even more effective and less time-consuming than the previous program. The results replicate the effectiveness of the Community-Reinforcement program for reducing alcoholism and indicate the usefulness of the additions to the program.