Individual versus group female-specific cognitive behavior therapy for alcohol use disorder.
Individual versus group female-specific cognitive behavior therapy for alcohol use disorder.
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DOI：
10.1016/j.jsat.2018.02.003
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发表时间：
2018-05
影响因子：
3.9
通讯作者：
Litt MD
中科院分区：
文献类型：
--
作者：
Epstein EE;McCrady BS;Hallgren KA;Gaba A;Cook S;Jensen N;Hildebrandt T;Holzhauer CG;Litt MD
测试基于群体的女性特异性认知行为疗法（G-FS-CBT）对女性酒精使用障碍（AUD）的治疗效果与个体女性特异性认知行为疗法（I-FS-CBT）的效果。本文的目的是描述G-FS-CBT的发展、内容、可行性、可接受性、小组过程、参与治疗以及治疗内和治疗后的结果。患有AUD的女性（n=155）被随机分配到12个手动指导的G-FS-CBT或I-FS-CBT疗程；138名妇女至少参加了一次治疗。G-FS-CBT组的妇女比I-FS-CBT组的妇女参加的疗程少（M=7.6） （M=9.7; p<.001）。两种情况下的女性对治疗都非常满意。独立编码员认为G-FS-CBT和I-FS-CBT的交付保真度都很高。在两种情况下，与治疗师的治疗配合度都很高，I-FS-CBT略高于G-FS-CBT，但显著高于G-FS-CBT。在治疗的前六周，两种治疗条件下的女性饮酒天数百分比（PDD）和重度饮酒天数百分比（PHD）都显著减少了等量，在治疗的剩余时间和12个月的随访中保持不变，没有任何治疗条件的影响。在治疗期间，除一项次要结局外，妇女报告所有次要结局均有显著改善；治疗期间在抑郁、焦虑、自主和人际关系问题方面取得的进展在随访期间得以保持，而在应对技能、戒断自我效能、自我护理和社会属性方面取得的进展在随访期间有所恶化，但与基线相比仍有改善。研究结果支持了一种针对AUD的女性特定CBT的小组形式的可行性、可接受性和有效性，这是一种新的12期、单一性别、社区友好、专门针对女性的小组治疗。同样，个人和团体治疗形式在饮酒、情绪、应对技能、自信、人际功能和自我保健方面也发现了积极的结果。
To test group-based Female-Specific Cognitive Behavioral Therapy (G-FS-CBT) for women with Alcohol Use Disorder (AUD) against an individual Female-Specific Cognitive Behavioral Therapy (I-FS-CBT). This aims of this paper are to describe G-FS-CBT development, content, feasibility, acceptability, group process, engagement in treatment, and within-and post-treatment outcomes. Women with AUD (n=155) were randomly assigned to 12 manual-guided sessions of G-FS-CBT or I-FS-CBT; 138 women attended at least one treatment session. Women in G-FS-CBT attended fewer sessions (M=7.6) than women in I-FS-CBT (M=9.7; p<.001). Women in both conditions reported high satisfaction with the treatments. Independent coders rated high fidelity of delivery of both G-FS-CBT and I-FS-CBT. Therapeutic alliance with the therapist was high in both conditions, with I-FS-CBT being slightly but significantly higher than G-FS-CBT. In the first six weeks of treatment, women in both treatment conditions significantly reduced their percent drinking days (PDD) and percent heavy days drinking (PHD) by equivalent amounts, maintained through the rest of treatment and the 12 month follow up with no treatment condition effects. Women reported significant improvement in all but one of the secondary outcomes during treatment; gains made during treatment in depression, anxiety, autonomy, and interpersonal problems were maintained during the follow-up period, while gains made during treatment in use of coping skills, self-efficacy for abstinence, self-care, and sociotropy deteriorated over follow up but remained improved compared to baseline. Findings support the feasibility, acceptability, and efficacy of a group format for female-specific CBT for AUD, a new 12-session, single gender, community friendly, group therapy with programming specifically for women. Similar, positive outcomes for individual and group treatment formats were found for drinking, mood, coping skills, self-confidence, interpersonal functioning, and self-care.
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DOI：
10.1037/adb0000330
发表时间：
2018-03
期刊：
Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors
影响因子：
--
作者：
Epstein EE;McCrady BS;Hallgren KA;Cook S;Jensen NK;Hildebrandt T
通讯作者：
Hildebrandt T
影响因子：
6
作者：
Graham, K;Annis, HM;Venesoen, P
通讯作者：
Venesoen, P
影响因子：
4.1
作者：
Breslin, FC;Sobell, LC;Agrawal, S
通讯作者：
Agrawal, S
影响因子：
2.3
作者：
Cucciare, Michael A.;Simpson, Tracy;Timko, Christine
通讯作者：
Timko, Christine
影响因子：
4.2
作者：
Cohen, Emily;Feinn, Richard;Kranzler, Henry R.
通讯作者：
Kranzler, Henry R.