Testing variability in response to a brief alcohol intervention: The role of self-regulation and the therapeutic relationship.
Testing variability in response to a brief alcohol intervention: The role of self-regulation and the therapeutic relationship.
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DOI：
10.1037/adb0000345
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发表时间：
2018-03
期刊：
影响因子：
--
通讯作者：
Carey KB
中科院分区：
文献类型：
--
作者：
Lopez-Vergara HI;Merrill JE;Carey KB
目前的研究测试了个体差异，以应对强制性的简短动机干预（BMI）的大学生饮酒。参与者包括99名（45%为女性）因违反校园酒精政策而被转介的学生。受试者内分析表明，BMI导致1个月随访时饮酒频率和酒精相关问题显著减少，饮酒量减少趋势不显著，最大饮酒水平无差异。然而，在频率、数量、最大值和酒精相关问题方面，对BMI的反应存在统计学显著性差异。自我调节的个体差异和治疗关系的强度被用来预测参与干预相关变化的变异性。较低的自我调节水平预示着在BMI后1个月会出现更多与酒精相关的问题。较强的治疗关系预测较低的频率，数量和最高水平的饮酒后1个月的BMI。在12个月的随访中，干预的有效性显著下降，所有结果的变异性具有统计学意义。较低的自我调节与12个月时的更多问题有关。治疗关系的个体差异与1至12个月期间任何结局变量的疗效衰减无关。结果是一致的病因异质性和共同因素模型的心理治疗的疗效，并扩展这些模型来解释结果的简短的酒精干预的学生被授权治疗。
The current study tests individual differences in response to a mandated brief motivational intervention (BMI) for college student drinking. Participants consisted of 99 (45% female) students who were referred for violating campus alcohol policy. Within-subject analyses suggest that the BMI led to a significant reduction in frequency of drinking and alcohol-related problems at the 1-month follow-up, with a non-significant trend in reduction of quantity of drinking, and no difference in maximum level of drinking. However, there was a statistically significant amount of variability in response to the BMI across frequency, quantity, maximum, and alcohol-related problems. Individual differences in self-regulation and the strength of the therapeutic relationship were used to predict variability in change associated with participating in the intervention. Lower levels of self-regulation predicted more alcohol-related problems at 1 month following the BMI. A stronger therapeutic relationship predicted lower frequency, quantity, and maximum level of drinking at 1 month following the BMI. At the 12-month follow-up, there was a significant decay in the efficacy of the intervention, with a statistically significant amount of variability across all outcomes. Lower self-regulation was associated with more problems at 12 months. Individual differences in the therapeutic relationship were not associated with decay of efficacy between 1 and 12 months across any of the outcome variables. Results are consistent with both etiological heterogeneity and common-factors models of the efficacy of psychotherapy, and extend these models to explaining outcomes of brief alcohol interventions in students mandated to treatment.
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影响因子：
4.4
作者：
Carey, KB;Neal, DJ;Collins, SE
通讯作者：
Collins, SE
影响因子：
5.9
作者：
Carey, Kate B.;Henson, James A.;Maisto, Stephen A.
通讯作者：
Maisto, Stephen A.
影响因子：
2.5
作者：
Castonguay, Louis G.;Constantino, Michael J.;Holtforth, Martin Grosse
通讯作者：
Holtforth, Martin Grosse
DOI：
10.1111/acer.12714
发表时间：
2015-05
期刊：
Alcoholism, clinical and experimental research
影响因子：
--
作者：
Huh D;Mun EY;Larimer ME;White HR;Ray AE;Rhew IC;Kim SY;Jiao Y;Atkins DC
通讯作者：
Atkins DC
影响因子：
2.5
作者：
Horvath, Adam O.;Del Re, A. C.;Symonds, Dianne
通讯作者：
Symonds, Dianne