A randomized controlled trial of goal choice interventions for alcohol use disorders among men who have sex with men
A randomized controlled trial of goal choice interventions for alcohol use disorders among men who have sex with men
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DOI：
10.1037/0022-006x.75.1.72
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发表时间：
2007-02-01
影响因子：
5.9
通讯作者：
Schulz-Heik, Jay
中科院分区：
文献类型：
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作者：
Morgenstern, Jon;Irwin, Thomas W.;Schulz-Heik, Jay
这项研究测试了对男男性行为者(MSM)和有艾滋病毒传播风险的男性酒精使用障碍(AUD)的行为治疗效果。纳入198名目前患有AUD的HIV阴性男男性行为者，给予以减少饮酒和HIV风险为重点的治疗，并在治疗期间和治疗后12个月进行随访。受试者(n=)接受治疗，并被随机分为4次动机访谈(MI)或12次动机访谈与应对技能综合训练(MI+CBT)。其他参与者(n=109)拒绝治疗，但被跟踪，形成了一个非求助小组(NHS)。在12周的治疗期间，MI的饮酒结果明显好于MI+CBT，但治疗后的结果相同。NHS的参与者也显著减少了饮酒。对服务提供和治疗研究的意义进行了讨论。
This study tested the efficacy of behavioral treatments for alcohol use disorders (AUD) among men who have sex with men (MSM) and who are at risk for HIV transmission. HIV-negative MSM with current AUD (N = 198) were recruited, offered treatment focused on reducing drinking and HIV risk, and followed during treatment and 12 months posttreatment. Participants (n = 89) accepted treatment and were randomized to either 4 sessions of motivational interviewing (MI) or 12 sessions of combined MI and coping skills training (MI + CBT). Other participants (n = 109) declined treatment but were followed, forming a non-help-seeking group (NHS). MI yielded significantly better drinking outcomes during the 12-week treatment period than MI + CBT, but posttreatment outcomes were equivalent. NHS participants significantly reduced their drinking as well. Service delivery and treatment research implications are discussed.