Learning sobriety together: A randomized clinical trial examining behavioral couples therapy with alcoholic female patients

Learning sobriety together: A randomized clinical trial examining behavioral couples therapy with alcoholic female patients
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DOI:
10.1037/0022-006x.74.3.579
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发表时间:
2006-06-01
影响因子:
5.9
通讯作者:
Kelley, Michelle L.
Kelley, Michelle L.
中科院分区:
心理学1区
文献类型:
--
作者:
Fals-Stewart, William;Birchler, Gary R.;Kelley, Michelle L.

文献摘要

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已婚或同居的女性酗酒患者(n = 138)及其非药物滥用的男性伴侣被随机分配到三种同样强化的干预措施中的一种:(a)行为夫妻治疗加基于个体的治疗(BCT n = 46), (b)仅基于个体的治疗(IBT, n = 46),或(c)心理教育注意控制治疗(PACT, n = 46)。在治疗期间,BCT组受试者在二元调节方面的改善明显大于IBT组,而PACT组受试者在不同条件下的饮酒频率无显著差异。在治疗后1年的随访中,与接受IBT或PACT的参与者相比,接受BCT的参与者报告了(a)更少的饮酒天数,(b)更少的饮酒相关负面后果,(c)更高的双元调整,(d)更少的伴侣暴力。
Married or cohabiting female alcoholic patients (n = 138) and their non-substance-abusing male partners were randomly assigned to 1 of 3 equally intensive interventions: (a) behavioral couples therapy plus individual-based treatment (BCT n = 46), (b) individual-based treatment only (IBT; n = 46), or (c) psychoeducational attention control treatment (PACT; n = 46). During treatment, participants in BCT showed significantly greater improvement in dyadic adjustment than those in IBT or PACT drinking frequency was not significantly different among participants in the different conditions. During the 1-year posttreatment follow-up, compared with participants who received IBT or PACT, participants who received BCT reported (a) fewer days of drinking, (b) fewer drinking-related negative consequences, (c) higher dyadic adjustment, and (d) reduced partner violence.