Family Attachment as an Indicator of Treatment Outcome

描述（由申请人提供）： 拟议的论文研究将探讨依恋行为与物质使用的关系，并通过评估依恋相关主题，物质滥用结果和治疗类型的几个方面来研究治疗对依恋相关行为的影响。最近的研究表明，依恋是可塑性的，随着青少年心理和生理的发展而变化（艾伦&兰德，1999;柏林&卡西迪，1999;科巴克，1999）。然而，对依恋相关行为及其在青少年物质使用障碍的发展或抑制中的作用知之甚少。此外，药物滥用的流行是青少年中的一个重大问题，任何能够加强预防和治疗工作的经验证据都是非常宝贵的。该分析旨在测量依恋行为（自主性和相关性）和治疗类型（家庭、个人和团体治疗）对药物滥用治疗结局的影响。这项研究提出使用自主性和相关性编码系统（艾伦，豪瑟，贝尔，麦克汉尼等人，1994年）。家庭互动将被用来确定是否附件介导的类型的治疗和治疗结果的关系。具体目标是：1）在基线上检查依恋和物质使用之间关系的性质。2)探讨治疗对依恋相关行为的影响。3)确定依恋是否介导治疗类型和治疗-结果关系。这项研究将最终提高对依恋在物质滥用治疗中的作用的理解，以及对未来研究家庭依恋作为预防青少年物质滥用的有价值的见解。本论文项目建议使用来自一个已完成的，NIDA资助的治疗结果研究，R 01 DA 09422的数据，并帮助阐明为什么某些青少年药物滥用治疗工作的重要发现。

DESCRIPTION (provided by applicant): The proposed dissertation study will explore how attachment behaviors relate to substance use and examine the effects of treatment on attachment-related behaviors by assessing several facets of attachment-related themes, substance abuse outcome, and type of treatment. Recent work suggests attachment is malleable and changes because of the dramatic developmental psychological and physical changes adolescents undergo (Allen & Land, 1999; Berlin & Cassidy, 1999; Kobak, 1999). Yet little is known about attachment-related behaviors and their role in the development or inhibition of substance-use disorders in adolescents. Moreover, the prevalence of substance abuse is a significant problem in adolescents, and any empirical evidence that can enhance prevention and treatment efforts would be invaluable. The analysis will be designed to measure the impact of attachment behaviors (autonomy and relatedness) and type of treatment (family, individual, and group therapy) on substance-abuse treatment outcome. This study proposes to code 200 videotaped family interactions using the Autonomy and Relatedness Coding System (Allen, Hauser, Bell, McEIhaney et al., 1994). The family interactions will then be used to determine whether attachment mediates the type of treatment and treatment-outcome relationship. The specific aims are: 1) To examine, at baseline, the nature of the relationship between attachment and substance use. 2) To examine the effect of treatment on attachment-related behaviors. 3) To determine whether attachment mediates the type of treatment and treatment-outcome relationship. This study will culminate with an improved understanding of the role of attachment in substance-abuse treatment as well as valuable insights for future research of family attachment as a prevention for adolescent substance abuse. This dissertation project proposes to use data from a completed, NIDA-funded treatment-outcome study, R01 DA09422, and to help illuminate important findings about why certain adolescent substance abuse treatments work.