Efficacy of relapse prevention: A meta-analytic review
Efficacy of relapse prevention: A meta-analytic review
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DOI：
10.1037/0022-006x.67.4.563
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发表时间：
1999-08-01
影响因子：
5.9
通讯作者：
Wang, MC
中科院分区：
文献类型：
--
作者：
Irvin, JE;Bowers, CA;Wang, MC
尽管复发预防（RP）已成为针对酒精、吸烟及其他物质使用的一种被广泛采用的认知行为治疗干预措施，但结果研究对这种方法的有效性或达到最大效果的条件呈现出不一致的情况。进行了一项荟萃分析以评估复发预防的总体有效性以及某些变量与治疗结果的相关程度。分析纳入了26项已发表和未发表的研究，其中有70项假设检验，代表了9504名参与者的样本。结果表明，复发预防通常是有效的，尤其是对酒精问题。此外，结果受到几个变量的调节。具体而言，当应用于酒精或多种物质使用障碍，结合辅助用药，以及在治疗后立即使用无对照的前后测进行评估时，复发预防最为有效。
Although relapse prevention (RP) has become a widely adopted cognitive-behavioral treatment intervention for alcohol, smoking, and other substance use, outcome studies have yielded an inconsistent picture of the efficacy of this approach or conditions for maximal effectiveness. A meta-analysis was performed to evaluate the overall effectiveness of RP and the extent to which certain variables may relate to treatment outcome. Twenty-six published and unpublished studies with 70 hypothesis tests representing a sample of 9,504 participants were included in the analysis. Results indicated that RP was generally effective, particularly for alcohol problems. Additionally, outcome was moderated by several variables. Specifically, RP was most effective when applied to alcohol or polysubstance use disorders, combined with the adjunctive use of medication, and when evaluated immediately following treatment using uncontrolled pre-post tests.