SKILL TRAINING FOR THOSE WITH ALCOHOLIC PARTNERS

大学生酒精应对技能的评估与训练研究 有酗酒伴侣的妇女的情况有限。 那些研究 不存在通常未能系统地评估应对技能， 或评价治疗前后的变化。 另一方面， 倾向于依赖应对行为的频率测量， 被伴侣的实际饮酒状况严重混淆 以前的资金被授予一个测量开发项目 （最近完成），以建立一个心理测量特性， 酒精相关应对技能情境特异性、角色扮演测量 配偶状况调查表（Spouse Situation Inventory，SSI） 目前的竞争性延续申请建立在以下结果的基础上： 这项研究和扩展研究的SSI的评价， 对有酗酒伴侣的女性进行干预。 在本提案中， 酗酒伴侣目前未接受治疗的女性， 随机分配接受三种治疗条件之一：应对 技能培训组，十二步促进组，或等待 列表控制条件。 此外，受试者将被随机分配 接受两个SSI之一的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个小组讨论）。 治疗/等待的效果 列出与酒精相关的应对技能的条件（以及替代SSI 形式），主体功能和酒精伴侣功能将是 在治疗后和治疗后分析中进行评价。 的 研究还探讨了三个主题X治疗相互作用的假设。 这些假说的核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性， 分别 总括而言，拟议工程计划将（a）以过往的 SSI研究，（B）严格检查治疗效果 使用不同的SSI表格，（c）提供有关 应对技能训练模式的相对和差异功效， 酒精中毒妇女工作中十二步促进模式 伙伴

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.