ENVIRONMENTAL TREATMENT OF ALCOHOL ABUSERS

我们研究的长期目标是确定最 有效和高效的酒精治疗干预措施 施虐者。我们的工作假设是匹配的假设是 必要：不同特征的患者会有反应 不同的治疗干预措施。我们的方法 解决这个问题的方法是发展出一个理论公式 对结果做出预测：五个变量是 已确认身份。这些是酒精依赖，心理健康， 为酒精健康提供社会投资、社会环境支持 以及社会环境对心理健康的支持。这个 理论包括关于以下条件集的假设 哪些具体的治疗干预措施将有所不同 有效。三种门诊治疗干预措施是 定义：(1)个体关注，一种社会学习理论 帮助酗酒者学会如何达到和保持 禁欲；(2)加强社会支持，一种干预 其中包括将重要的其他人纳入 患者的治疗方案；(3)加强职业培训 角色，这是一种添加到个人关注点和 增强社会支持。 为了测试理论和区分有效性， 干预措施，患者被随机分配到三个治疗组 条件。他们接受了多达20次的门诊治疗 一年的课程，并作为研究对象跟踪18年 治疗开始后几个月。采访和综合 测量他们的酒精，生理，心理， 社会和职业健康。治疗和改变 预测变量也被测量，以测试 理论公式的拟合度。 本申请的目的是为了一项竞争性的 补充和续期是允许完成一年和 18个月的随访评估，以及相关数据 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.