Affect Regulation Training for Alcoholics

描述(由申请人提供)：在接受酒精治疗的男性和女性中，涉及负面影响的情况占所有酒精复发的近一半。尽管负面情绪起着关键作用，但目前还没有成熟的、经过经验检验的有效治疗方法，专门试图减少负面情绪对酒精依赖男性和女性复吸的影响。在本研究中(根据计划公告[PA 03-066]“行为疗法发展计划”提交)，我们建议开发和试行一种临床干预措施，解决与饮酒和酗酒复发相关的负面影响问题。该项目的目标是开发和测试一种干预措施，旨在帮助参加酒精治疗的个人调节和应对可能再次酗酒的负面情绪发作。在项目的第一阶段(即人工开发阶段)，我们将开发和完善一份12节的治疗手册，用于进行情绪调节培训(ART)，该手册将与标准的12节照常治疗(TAU)同时进行 适用于酗酒的男性和女性。在第二阶段(即试点研究)，我们将进行一项试点研究，将参与TAU抗逆转录病毒治疗的个人的结果与接受TAU加健康和生活方式补充剂(TAU HLS)的个人进行比较。开发治疗增强干预(即ART)以解决酗酒者在治疗中的负面影响问题与计划公告的声明目标一致，该计划公告指出，适当的第一阶段活动将是“可以添加以增强现有行为治疗的治疗干预”。这项研究的长期目标是向临床医生提供一种简短、有效的情感调节干预措施，可以增加这种干预措施，以加强现有的有经验支持的酒精依赖治疗。

DESCRIPTION (provided by applicant): Situations involving negative affect account for nearly half of all relapses to alcohol use among men and women engaged in alcohol treatment. Despite the key role of negative affect, there are currently no well-developed, empirically-tested, efficacious treatments that specifically attempt to reduce the impact of negative affect on relapse to alcohol use among alcohol dependent men and women. In the present study (submitted in response to the Program Announcement [PA 03-066] "Behavioral Therapies Development Program"), we propose to develop and pilot test a clinical intervention that addresses the problem of negative affect as it relates to alcohol use and alcohol relapse. The goal of this project is to develop and test an intervention designed to assist individuals enrolled in alcohol treatment in regulating and coping with negative affective episodes that threaten relapse to alcohol use. In Phase 1 of the project (i.e., manual development phase), we will develop and refine a 12-session treatment manual for conducting Affect Regulation Training (ART), which will be delivered concurrent with a standard 12-session Treatment as Usual (TAU) for alcohol dependent men and women. During Phase 2 (i.e., pilot study), we will conduct a pilot study in which the outcomes of individuals participating in TAU + ART will be compared to individuals who receive TAU plus a Health and Lifestyle supplement (TAU + HLS). The development of a treatment enhancement intervention (i.e., ART) to address the problem of negative affect among alcoholics in treatment is consistent with the stated aims of the Program Announcement, which notes that an appropriate Stage 1 activity would be a "therapeutic intervention that can be added to enhance an existing behavioral therapy." The long-term objective of this line of research is to make available to clinicians a brief, effective affect regulation intervention that can be added to enhance existing empirically-supported treatments for alcohol dependence.