ENVIRONMENTAL TREATMENT OF ALCOHOL ABUSERS

我们研究的长期目标是确定最有效和 对酗酒者进行有效的治疗干预。我们的工作 假设匹配的假设是必要的：患有 不同的特征会对不同的 治疗干预。我们解决这个问题的方法是开发一种 对结果进行预测的理论公式：五 确定了变量。这些都是酒精依赖，心理上的 健康、社会依赖、社会环境对酒精健康的支持 以及社会环境对心理健康的支持。这一理论 包括关于特定情况下的一组条件的假设 治疗干预措施将具有不同的效果。三名门诊病人 治疗干预措施的定义是：(1)个人重点、社会干预 学习理论方法帮助酗酒者学会如何实现 并保持禁欲；(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)加强职业作用，一种干预 这增加了对个人的关注和社会支持的加强。 为了测试干预的理论和不同的有效性， 出院的病人被随机分配到三个 治疗条件。他们接受了超过20次的门诊治疗 一年的疗程，并在18个月后作为研究对象进行跟踪 开始治疗。进行了访谈和综合测量 酒精、身体、心理、社会和职业健康。 治疗和预后变量的变化也按顺序进行测量 检验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害，并确定 这些损伤与治疗干预类型之间的相互作用。

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.