ENVIRONMENTAL TREATMENT OF ALCOHOL ABUSERS

酗酒者的环境处理

• 批准号: 3109977
• 负责人: RICHARD LONGABAUGH
• 金额: $ 3.15万
• 依托单位: BUTLER HOSPITAL (PROVIDENCE, RI)
• 依托单位国家: 美国
• 财政年份: 1985
• 资助国家: 美国
• 起止时间: 1985-04-01 至 1988-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/3109977
• 关键词: alcoholism /alcohol abuse therapy; cognition disorders; health care service evaluation; human subject; mental health counseling; neuropsychology; prognosis; psychometrics; psychosocial rehabilitation; psychosocial service; social support network; vocational guidance

The long range goal of our research is to determine the most effective and efficient treatment interventions for alcohol abusers. Our working assumption is that a matching hypothesis is necessary: patients with different characteristics will respond differentially to different treatment interventions. Our approach to the problem has been to develop a theoretical formulation for making prognoses concerning outcome: Five variables are identified. These are alcohol dependence, psychological health, social dependence, social environmental support for alcohol health and social environmental support for psychological health. The theory includes hypotheses concerning the set of conditions under which specific treatment interventions will be differentially effective. Three outpatient treatment interventions are defined: (1) individual focus, a social learning theory approach to helping alcohol abusers to learn how to achieve and maintain abstinence; (2) enhancement of social support, an intervention which includes incorporation of significant others into the patients' treatment program; and (3) enhancement of vocational role, an intervention which is added to individual focus and enhancement of social support. To test the theory and the differential effectiveness of the interventions, patients discharged from inpatient service are randomly assigned to three treatment conditions. They are treated for 20 outpatient sessions over the course of a year and are followed as research subjects for 18 months after treatment initiation. Interviews and comprehensive measurements are made of their alcohol, physical, psychological, social and vocational health. Treatment and changes in prognostic variables are also measured, in order to test the goodness of fit of the theoretical formulation. The present supplementary application has the objectives of better assessing the patients' neuropsychological impairment, and determining interactions between these impairments and type of treatment intervention.

我们研究的长期目标是确定最有效的， 对酗酒者进行有效的治疗干预。 我们的工作 假设是匹配的假设是必要的：患者 不同的特征将对不同的 治疗干预。 我们解决这个问题的方法是制定一个 就结果作出判断的理论公式：五 变量被识别。 这些是酒精依赖，心理上的 健康，社会依赖，饮酒健康的社会环境支持 心理健康的社会环境支持。 理论 包括关于特定条件的一组假设， 治疗干预措施的效果将有所不同。 三门诊 治疗干预措施的定义：（1）个人重点，社会 学习理论的方法来帮助酒精滥用者学习如何实现 （2）加强社会支持，干预 这包括将重要的其他人纳入患者的 治疗方案;（3）加强职业角色，干预 这是对个人关注和加强社会支持的补充。 为了测试理论和干预措施的不同有效性， 从住院服务中出院的患者被随机分配到三个 处理条件 他们接受了20次门诊治疗， 一年的课程，并作为研究对象进行了18个月的随访， 治疗开始。 访谈和综合测量进行 他们的酒精，身体，心理，社会和职业健康。 治疗和预后变量的变化也被测量， 以测试理论公式的拟合优度。 本补充申请的目的是更好地 评估患者的神经心理损伤，并确定 这些损伤和治疗干预类型之间的相互作用。