Women with alcohol dependence: A randomized trial of couple versus individual plus couple therapy.
Women with alcohol dependence: A randomized trial of couple versus individual plus couple therapy.
复制标题
DOI：
10.1037/adb0000158
复制
发表时间：
2016-05
期刊：
影响因子：
--
通讯作者：
Jensen NK
中科院分区：
文献类型：
--
作者：
McCrady BS;Epstein EE;Hallgren KA;Cook S;Jensen NK
对女性酒精使用障碍（AUDs）的夫妻治疗产生了积极的饮酒结果，但许多女性更喜欢单独治疗而不是联合治疗。本研究比较了联合认知行为疗法对女性aud患者的治疗效果，并将其与个体联合治疗相结合。参与者为59名AUDs女性患者（95%为高加索人，平均年龄为46岁）及其男性伴侣，随机分配到12次酒精行为夫妻治疗（ABCT）或5次单独CBT治疗和7次ABCT治疗（混合ABCT）。在治疗期间和治疗后一年内对饮酒和关系满意度进行评估。在治疗期间或治疗后的12个月内，治疗条件在参加治疗的次数、饮酒天数（PDD）的百分比或重度饮酒天数（PDH）方面没有显着差异。然而，效应量估计表明，在参加治疗的次数上，混合ABCT对ABCT的影响较小至中等，d=−。41，治疗PDD前后半期，d=−。41岁的d =−。28、PDH, d=−。46岁的d =−38。调节分析发现，基线社会属性较低的妇女在混合ABCT治疗1-8周的PDH低于ABCT治疗，自我效能较低的妇女在混合ABCT治疗的随访期间PDH低于ABCT治疗。两个治疗组在治疗内或治疗后的关系满意度上没有显著差异。结果表明，与ABCT相比，单独治疗和联合治疗相结合的效果相似或略好，这是对女性表达的将单独治疗作为其治疗一部分的愿望的回应，并减少了安排联合治疗的挑战。
Couple therapy for women with alcohol use disorders (AUDs) yields positive drinking outcomes, but many women prefer individual to conjoint treatment. The present study compared conjoint cognitive behavioral therapy for women with AUDs to a blend of individual and conjoint therapy. Participants were 59 women with AUDs (95% Caucasian, mean age = 46 years) and their male partners randomly assigned to 12 sessions of Alcohol Behavioral Couple Therapy (ABCT) or to a blend of five individual CBT sessions and seven sessions of ABCT (Blended-ABCT). Drinking and relationship satisfaction were assessed during and for one year post-treatment. Treatment conditions did not differ significantly on number of treatment sessions attended, percent of drinking days (PDD), or heavy drinking days (PDH), during or in the 12 months following treatment. However, effect size estimates suggested a small to moderate effect of Blended-ABCT over ABCT in number of treatment sessions attended, d=−.41, and first- and second-half within treatment PDD, d=−.41, d=−.28, and PDH, d=−.46, d=−.38. Moderator analyses found that women lower in baseline sociotropy had lower PDH across treatment weeks 1–8 in Blended-ABCT than ABCT and that women lower in self-efficacy had lower PDH during follow-up in Blended-ABCT than ABCT. The two treatment groups did not differ significantly in within-treatment or post-treatment relationship satisfaction. Results suggest that blending individual and conjoint treatment yields similar or slightly better outcomes than ABCT, is responsive to women’s expressed desire for individual sessions as part of their treatment, and decreases the challenges of scheduling conjoint sessions.