Does adding conjoint therapy to individually focused alcoholism treatment lead to better family functioning?
Does adding conjoint therapy to individually focused alcoholism treatment lead to better family functioning?
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DOI：
10.1016/0899-3289(93)90122-r
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发表时间：
1993-01-01
期刊：
影响因子：
--
通讯作者：
Noel, N E
中科院分区：
文献类型：
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作者：
McKay, J R;Longabaugh, R;Noel, N E
本报告探讨了接受门诊治疗的酗酒者家庭的功能。酗酒患者被随机分配到两种基于社会学习的酗酒治疗中，其中一种包含联合治疗成分。患者（Pts）和重要他人（SOs）在治疗前和6个月随访时提供家庭功能评分。根据pt和so的看法，治疗后在许多领域的家庭功能都有显着改善。然而，与预期相反，在联合条件下，改善并没有更大。研究还探讨了酗酒者自主水平作为匹配变量的有效性。根据患者和SOs的看法，当低自主性酗酒者在没有其他家庭成员的情况下接受治疗时，治疗后的家庭功能更好。也有证据表明，联合治疗对高度自主的酗酒者及其家人更有效，尽管它不那么令人信服，而且仅限于SOs的看法。对酒精中毒治疗的意义和研究结果的局限性进行了讨论。
This report examines functioning in the families of alcoholics undergoing outpatient treatment. Alcoholic patients were randomly assigned to two social-learning-based alcoholism treatments, one of which contained a conjoint therapy component. Patients (Pts) and significant others (SOs) provided ratings of family functioning before treatment and at a 6-month follow-up. According to the perceptions of both Pts and SOs, there were significant improvements in family functioning in a number of areas at posttreatment. Contrary to what was expected, however, the improvements were not greater in the conjoint condition. The usefulness of alcoholics' level of autonomy as a matching variable also was explored. According to the perceptions of both Pts and SOs, posttreatment family functioning was better when low-autonomy alcoholics were treated without other family members. There also was evidence that conjoint treatment was more effective with high-autonomy alcoholics and their families, although it was less convincing and limited to the SOs' perceptions. Implications for alcoholism treatment and the limitations of the findings are discussed.