The influence of partner status, relationship quality and relationship stability on outcomes following intensive substance-use disorder treatment.
The influence of partner status, relationship quality and relationship stability on outcomes following intensive substance-use disorder treatment.
复制标题
伴侣状态、关系质量和关系稳定性对强化药物使用障碍治疗后结果的影响。
DOI：
10.15288/jsa.2005.66.497
复制
发表时间：
2005
期刊：
影响因子：
--
通讯作者：
R. Moos
中科院分区：
文献类型：
--
作者：
Stephen W Tracy;J. Kelly;R. Moos
目的
成瘾治疗研究检查患者的合作伙伴的影响表明，合作伙伴的行为影响患者的物质使用的结果。我们研究的影响，有一个合作伙伴在治疗入口，以及一般质量的支持和物质使用状态的合作伙伴，对物质使用障碍治疗后的结果的影响。我们还研究了关系稳定性对治疗结果的影响，并研究了可能预测关系稳定性的基线伴侣行为。
方法
一个前瞻性的，完整的组设计，采用逻辑回归分析数据。参与者（N = 3，014）从15个密集的物质使用障碍治疗计划进行了评估，在治疗进入和出院后1年。
结果
虽然有伴侣的患者具有更有利的临床特征，但他们的结局并不比单身患者好。然而，那些关系持续到治疗后第一年的患者比那些关系结束的患者有更好的结果。与更多的积极合作伙伴的行为和更少的消极合作伙伴的行为在摄入量的关系更有可能保持完整的过程中的第一年治疗后。积极的合作伙伴行为并没有直接提高患者的结果，但合作伙伴的人际压力和患者的信念，他们的合作伙伴有一个物质使用的问题有显着的，有害的影响患者的物质使用的结果。
结论
临床医生应定期评估患者与伴侣的关系质量。如果存在有害的伴侣行为，经验支持的干预措施（例如，行为伴侣疗法）可用于减少这些行为并最终降低复发风险。
OBJECTIVE
Addiction treatment studies examining the influence of patients' partners suggest that partner behaviors affect patients' substance-use outcomes. We examine the influence of having a partner at treatment entry as well as the influence of the general quality of support and substance-using status of the partner, on outcomes following treatment for substance-use disorder. We also examine the influence of relationship stability on treatment outcomes and examine baseline partner behaviors that may predict relationship stability.
METHOD
A prospective, intact-group design was utilized with data analyzed using logistic regression. Participants (N = 3,014) from 15 intensive substanceuse disorder treatment programs were assessed at treatment entry and 1-year postdischarge.
RESULTS
Although patients with partners possessed a more favorable clinical profile, their outcomes were no better than those of their single counterparts. However, patients whose relationships lasted through the first year posttreatment had better outcomes than patients whose relationships ended. Relationships with more positive partner behaviors and fewer negative partner behaviors at intake were more likely to remain intact over the course of the first year posttreatment. Positive partner behaviors did not enhance patients' outcomes directly, but partner interpersonal stressors and patients' belief that their partner had a substance-use problem had a significant, deleterious impact on patients' substance-use outcomes.
CONCLUSIONS
Clinicians should routinely assess the quality of patients' relationships with partners. If deleterious partner behaviors exist, empirically supported interventions (e.g., behavioral couples therapy) could be utilized to reduce these behaviors and ultimately reduce relapse risk.
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影响因子：
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DOI：
10.1080/09652140050111726
发表时间：
2000
期刊：
Addiction (Abingdon, England)
影响因子：
--
作者：
Niaura,R
通讯作者：
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