Behavioral Couples Therapy for Alcoholism and Drug Abuse: Where We've Been, Where We Are, and Where We're Going
Behavioral Couples Therapy for Alcoholism and Drug Abuse: Where We've Been, Where We Are, and Where We're Going
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DOI：
10.1891/jcop.2005.19.3.229
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发表时间：
2005-01-01
影响因子：
0.7
通讯作者：
Kelley, Michelle L.
中科院分区：
文献类型：
--
作者：
Fals-Stewart, William;O'Farrell, Timothy J.;Kelley, Michelle L.
在用于治疗药物滥用的各种类型的夫妇和家庭疗法中，行为夫妇疗法（BCT）对其有效性有最强的实证支持。在过去的30年里，多项研究一致发现，已婚或同居的物质滥用患者参与BCT会显著减少物质使用，减少与物质使用相关的问题（例如，失业，住院），并提高关系满意度。最近，探索其他结果的调查发现，与传统的基于个人的治疗相比，参与BCT导致显著的（a）伴侣暴力的更高减少，（B）与接受干预的父母一起生活的儿童的心理社会功能的更大改善，以及（c）更好的成本效益和成本效益。除了提供一个概述的理论基础的BCT，这种干预所使用的方法，并支持其使用的文献，本文还探讨了未来的方向BCT研究药物滥用。
Among the various types of couple and family therapies used to treat substance abuse, Behavioral Couples Therapy (BCT) has the strongest empirical support for its effectiveness. During the last 3 decades, multiple studies have consistently found participation in BCT by married or cohabiting substance-abusing patients results in significant reductions in substance use, decreased problems related to substance use (e.g., job loss, hospitalization), and improved relationship satisfaction. Recently, investigations exploring other outcomes have found that, compared to traditional individual-based treatments, participation in BCT results in significantly (a) higher reductions in partner violence, (b) greater improvements in psychosocial functioning of children who live with parents who receive the intervention, and (c) better cost-benefit and cost-effectiveness. In addition to providing an overview of the theoretical underpinnings of BCT, methods used with this intervention, and the literature supporting its use, this article also examines the future directions of BCT research for substance abuse.