Cognitive-behavioral treatment for depression in alcoholism
Cognitive-behavioral treatment for depression in alcoholism
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DOI：
10.1037/0022-006x.65.5.715
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发表时间：
1997-10-01
影响因子：
5.9
通讯作者：
Mueller, TI
中科院分区：
文献类型：
--
作者：
Brown, RA;Evans, DM;Mueller, TI
有抑郁症状的酗酒者在贝克抑郁量表上的得分大于或等于10分（A。T.贝克角，澳-地H.沃德，M。Mendelson，J. Mock，& J. Erbaugh，1961）接受了8次单独的抑郁症认知行为治疗（CBT-D，n = 19）或放松训练对照（RTC; n = 16）加标准酒精治疗。CBT-D患者在治疗期间的躯体抑郁症状以及抑郁和焦虑情绪比RTC患者有更大的减少。接受CBT-D的患者在前3个月的随访中有更大比例的禁欲天数，但没有更大的总体禁欲或每天更少的饮酒量。然而，在3个月和6个月的随访期间，CBT-D患者在完全戒酒（47%对13%），戒酒天数百分比（90.5%对68.3%）和每天饮酒量（0.46对5.71）方面的酒精使用结果明显更好。使用CBT-D在酒精治疗的理论和临床意义进行了讨论。
Alcoholics with depressive symptoms score greater than or equal to 10 on the Beck Depression Inventory (A. T. Beck, C. H. Ward, M. Mendelson, J. Mock, & J. Erbaugh, 1961) received 8 individual sessions of cognitive-behavioral treatment for depression (CBT-D, n = 19) or a relaxation training control (RTC; n = 16) plus standard alcohol treatment. CBT-D patients had greater reductions in somatic depressive symptoms and depressed and anxious mood than RTC patients during treatment. Patients receiving CBT-D had a greater percentage of days abstinent but not,greater overall abstinence or fewer drinks per day during the first 3-month follow-up. However, between the 3- and 6-month follow-ups, CBT-D patients had significantly better alcohol use outcomes on total abstinence (47% vs. 13%), percent days abstinent (90.5% vs. 68.3%), and drinks per day (0.46 vs. 5.71). Theoretical and clinical implications of using CBT-D in alcohol treatment are discussed.