Matching alcoholism treatments to client heterogeneity: treatment main effects and matching effects on drinking during treatment. Project MATCH Research Group.
Matching alcoholism treatments to client heterogeneity: treatment main effects and matching effects on drinking during treatment. Project MATCH Research Group.
复制标题
将酗酒治疗与客户异质性相匹配：治疗主效应和治疗期间饮酒的匹配效应。
DOI：
10.15288/jsa.1998.59.631
复制
发表时间：
1998
期刊：
影响因子：
--
通讯作者：
N. Archidiacono
中科院分区：
文献类型：
--
作者：
M. Rocchi;R. Stanyon;N. Archidiacono
目的
本文探讨了客户端饮酒和相关的心理社会功能在酗酒治疗过程中。它集中在（1）三个项目匹配治疗的主要影响，（2）在匹配假设中采用的客户属性的预后价值，以及（3）治疗交互效应的属性。
方法
从门诊机构（n = 952）或康复机构（n = 774）招募的客户被随机分配到以下治疗之一：动机增强疗法（MET），认知行为疗法（CBT）和跨步骤促进（TSF）。在12周治疗期结束时，对治疗期间的饮酒量和心理社会功能进行评估。
结果
在治疗阶段，仅在门诊组中发现治疗之间在饮酒量和酒精相关负面后果指标上存在微小但统计学显着的差异。41%的CBT和TSF客户禁欲或适度饮酒，没有酒精相关的后果，而MET客户为28%。10个先验的主要客户端治疗匹配假设的测试未能找到任何相互作用的影响，在整个治疗阶段的饮酒。
结论
在门诊设置似乎有一个暂时的优势，分配个人CBT或TSF，而不是MET。当需要快速减少大量饮酒和酒精相关后果时，CBT或TSF似乎应该是治疗的选择。
OBJECTIVE
This article examines client drinking and related psychosocial functioning during the course of alcoholism treatment. It focuses on (1) the main effects of the three Project MATCH treatments, (2) the prognostic value of client attributes employed in the matching hypotheses, and (3) the attribute by treatment interaction effects.
METHOD
Clients recruited from outpatient settings (n = 952) or from aftercare settings (n = 774) were randomized to one of the following treatments: Motivational Enhancement Therapy (MET), Cognitive Behavioral Therapy (CBT) and Twelve-Step Facilitation (TSF). Alcohol consumption and psychosocial functioning during treatment were assessed at the end of the 12-week treatment phase.
RESULTS
During the treatment phase, small but statistically significant differences among treatments were found only in the outpatient arm on measures of alcohol consumption and alcohol-related negative consequences. Forty-one percent (41%) of CBT and TSF clients were abstinent or drank moderately without alcohol-related consequences, compared with 28% of MET clients. Tests of 10 a priori primary client-treatment matching hypotheses failed to find any interaction effects that had an impact on drinking throughout the treatment phase.
CONCLUSIONS
In the outpatient setting there appears to be a temporary advantage to assigning individuals to CBT or TSF rather than MET. When there is a need to quickly reduce heavy drinking and alcohol-related consequences, it appears that CBT or TSF should be the treatment of choice.