Changes in alcoholic patients' coping responses predict 12-month treatment outcomes
Changes in alcoholic patients' coping responses predict 12-month treatment outcomes
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DOI：
10.1037//0022-006x.69.1.92
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发表时间：
2001-02-01
影响因子：
5.9
通讯作者：
Moos, RH
中科院分区：
文献类型：
--
作者：
Chung, T;Langenbucher, J;Moos, RH
研究了133例酒精中毒患者在入院治疗后一年内应对反应变化的患者亚型（A型和B型酒精中毒）、决定因素和结局。总体而言，患者回避应对的使用减少，接近应对的使用增加。B型患者比A型患者使用更多的回避应对方式，但亚型在应对方式的变化率上没有差异。作为应对的决定因素，对威胁的认知评估在6个月和12个月的随访中显示出预测回避应对的趋势。减少认知回避应对（例如，白日梦）预示着较少的酒精、心理和人际关系问题。增加行为方法应对（例如，采取行动）预测酒精问题的严重程度较低。进一步研究应对的认知方面的变化（即，评估和认知回避应对），以确定与治疗结果相关的认知过程的机制。
Patient subtypes (Types A and B alcoholism), determinants, and outcomes associated with changes in coping responses of 133 alcoholic patients in the year following admission to treatment were examined. In general, patients' use of avoidance coping declined and use of approach coping increased. Type B patients used more avoidance coping than did Type A patients, but the subtypes did not differ in rate of change in coping. As a determinant of coping, cognitive appraisal of threat showed a trend toward predicting avoidance coping at 6- and 12-month follow-ups. Decreased cognitive avoidance coping (e.g., daydreaming) predicted fewer alcohol, psychological, and interpersonal problems. Increased behavioral approach coping (e.g,, taking action) predicted lower severity of alcohol problems. Further study of changes in the cognitive aspects of coping (i.e., appraisals and cognitive avoidance coping) is needed to determine mechanisms underlying cognitive processes associated with treatment outcomes.