ENVIRONMENTAL TREATMENT OF ALCOHOL ABUSERS

我们研究的长期目标是确定 有效和高效的酗酒治疗干预措施 施虐者 我们的工作假设是，匹配的假设是 必要性：不同特征的患者将响应 不同的治疗干预。 我们的方法 一直在发展一种理论公式， 对结果进行分析：五个变量是 鉴定 这些是酒精依赖，心理健康， 酒精健康的社会投资、社会环境支持 心理健康的社会环境支持。 的 理论包括假设的条件下， 哪些具体的治疗干预措施将 有效 三种门诊治疗干预措施是 定义：（1）个人焦点，一种社会学习理论， 帮助酗酒者学习如何实现和保持 禁欲;（2）加强社会支持，干预 其中包括将重要的其他人纳入 病人的治疗方案;（3）加强职业 角色，一种添加到个人焦点的干预， 加强社会支持。 为了验证理论和差异的有效性， 干预措施，患者被随机分配到三个治疗 条件 他们接受多达20次门诊治疗， 一年的课程，并作为研究对象跟踪18 治疗开始后3个月。 采访和综合 测量他们的酒精，身体，心理， 社会和职业健康。 治疗和变化 还测量了预后变量，以检验 理论公式的拟合优度。 本申请的目的是竞争性的 补充和更新是允许完成一年， 18个月随访评估和相关数据 分析。

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 response 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 investment, social environmental support for alchol 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 appraoch 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 programs; 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 are randomly assigned to three treatment conditions. They are treated for up to 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 purpose of the present application for a competitive supplement and renewal is to permit completion of one year and eighteen month follow-up assessments, and attendant data analyses.