A longitudinal model of intake symptomatology, AA participation and outcome: Retrospective study of the Project MATCH outpatient and aftercare samples
A longitudinal model of intake symptomatology, AA participation and outcome: Retrospective study of the Project MATCH outpatient and aftercare samples
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DOI：
10.15288/jsa.2001.62.817
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发表时间：
2001-11-01
期刊：
影响因子：
--
通讯作者：
Miller, WR
中科院分区：
文献类型：
--
作者：
Connors, GJ;Tonigan, JS;Miller, WR
目的：本研究使用MATCH项目收集的数据来纵向评估摄入症状、匿名戒酒会（AA）的参与和结果。三个主要结构被考虑：摄入症状，参与规定的aa相关活动和参与aa相关行为后的功能。方法：参与者为参与MATCH项目的480名门诊病人和434名术后病人。结果：各样本结果相似。在治疗后的前6个月，摄入症状正向预测AA参与。尽管饮酒网络支持与AA参与呈负相关，但这种支持并未介导摄入症状与随后的AA参与之间的关系。AA参与，反过来，正向预测戒毒后7-12个月的戒断天数频率。后一种关系由避免饮酒的自我效能感介导（第6个月）。参加嗜酒者互戒会与戒酒的自我效能感呈正相关，而自我效能感又预示着戒酒的天数更长。门诊和护理样本之间的一个差异出现，涉及潜在的构造摄入症状学。门诊患者的摄入症状不能预测戒断天数的百分比（7-12个月），而摄入症状对术后护理样本中戒断天数的百分比具有负向预测作用。结论：摄入症状正向预测AA的参与，从而预测随后的戒断天数。参加嗜酒者互诫会和自我效能之间的积极关系可以部分解释为什么参加嗜酒者互诫会预示着随后戒酒的增加。
Objective: The present study used data gathered in Project MATCH to longitudinally assess intake symptomatology, Alcoholics Anonymous (AA) participation, and outcome. Three primary constructs were considered: intake symptomatology, engagement in prescribed AA-related activities and functioning after engagement in AA-related behaviors. Method: The participants were 480 outpatient and 434 aftercare clients who participated in Project MATCH. Results: Similar findings were found for each sample. Intake symptomatology positively predicted AA participation during the first 6 months following treatment. Although network support for drinking was negatively related to AA participation, such support did not mediate the relationship between intake symptomatology and subsequent AA participation. AA participation, in turn, positively predicted frequency of abstinent days in Months 7-12 post-treatment. This latter relationship was mediated by perceived self-efficacy to avoid drinking (Month 6). AA participation was positively related to self-efficacy to avoid drinking, which, in turn, predicted more days abstinent. One difference between the outpatient and aftercare samples emerged, involving the latent construct intake symptomatology. Intake symptomatology among outpatients was not predictive of percentage of abstinent days (Months 7-12), whereas intake symptomatology was negatively predictive of percentage of abstinent days in the aftercare sample. Conclusions: Intake symptomatology positively predicted participation in AA, which predicted subsequent abstinent days. The positive relationship between AA participation and self-efficacy to avoid drinking may explain in part why AA engagement predicts subsequent increases in abstinence.