SKILL TRAINING FOR THOSE WITH ALCOHOLIC PARTNERS

青少年酒精相关应对技能的评估与培训研究 有酗酒伴侣的女性受到了限制。那些做了这些的研究 不存在的人通常未能系统地评估应对技能， 或评估从治疗前到治疗后的变化。此外，已经有了 倾向于依赖应对行为的频率测量，这倾向于 对伴侣的实际饮酒状况感到非常困惑。 之前的资金是为一个测量开发项目提供的 (最近完成)来建立一个人的心理测量学特性 酒精相关应对技能的特定情境、角色扮演测量 有酗酒伴侣的妇女(配偶情况调查表，SSI)。 目前的竞争延续应用程序构建于以下结果之上 本研究将社会支持指数的研究扩展到社会保障体系的评价 对有酗酒伴侣的妇女的干预。在本提案中 其酗酒伴侣目前未接受治疗的女性将被 随机分配接受三种治疗条件之一：应对 技能培训小组、十二步促进小组或等待 列出控制条件。此外，受试者将被随机分配 在两个SSI中的一个上接受预处理应对技能评估 表格--其内容将用于技能培训小组 (分12个步骤小组进行讨论)。治疗/等待的效果 列出与酒精相关的应对技能的条件(使用备用SSI 形式)、主体功能和酗酒伙伴功能 在治疗后和治疗后分析中进行评估。这个 研究还探索了三个受试者X处理交互作用假说。 这些假说的中心是治疗类型与受试者的相互作用 灵性、关系凝聚力和人际依赖， 分别进行了分析。总而言之，拟议的项目将(A)建立在以前的基础上 与SSI进行研究，(B)严格检查治疗的效果 使用不同的SSI表格，(C)提供有关 应对技能训练模式的相对效度和差异性研究 十二步促进模式在女性酗酒者工作中的应用 合伙人。

Research on assessment and training of alcohol-related coping skills in women with alcoholic partners has been limited. Those studies which do not exist have typically failed to systematically assess coping skills, or evaluate change from pre-to posttreatment. Moveover, there has been a tendency to rely on frequency measures of coping behaviors which tend to be highly confounded by the actual drinking status of the partner. Previous funding was awarded for a measurement development project (recently completed) to establish the psychometric properties of a situation-specific, role-play measure of alcohol-related coping skills in women with alcoholic partners (the Spouse Situation Inventory, SSI). The present competing continuation application builds on the results of this research and extends study of the SSI to the evaluation of interventions for women with alcoholic partners. In the present proposal women whose alcoholic partner is not currently in treatment will be randomly assigned to receive one of three treatment conditions: a coping skills training group, a twelve step facilitation group, or a waiting list control condition. In addition, subjects will be randomly assigned to receive pretreatment coping skills assessment on one of the two SSI forms--the content of which will be used for skill training groups (discussion in twelve step groups). The effect of the treatment/waiting list conditions on alcohol-related coping skills (with the alternate SSI form), subject functioning, and alcoholic partner functioning will be evaluated at posttreatment, and in the posttreatment analysis. The research also explores three subjects X treatment interaction hypotheses. These hypotheses center on the interaction of treatment type with subject spirituality, relationship cohesion, and interpersonal dependency, respectively. In sum, the proposed project will (a) build on previous research with the SSI, (b) rigorously examine the effects of treatments using different SSI forms, (c) provide valuable information on the relative and differential efficacy of the coping skill training model and the twelve step facilitation model in work with women with alcoholic partners.