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ENVIRONMENTAL TREATMENT OF ALCOHOL ABUSERS

酗酒者的环境处理

基本信息

批准号：
3109111
负责人：
RICHARD LONGABAUGH
金额：
$ 14.42万
依托单位：
BUTLER HOSPITAL (PROVIDENCE, RI)
依托单位国家：
美国
项目类别：
财政年份：
1984
资助国家：
美国
起止时间：
1984-04-01 至 1989-03-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/3109111
关键词：
alcoholism /alcohol abuse therapy human subject human therapy evaluation mental health counseling prognosis psychosocial rehabilitation self help social support network vocational guidance

项目摘要

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.

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。