BRIEF INTERVENTIONS FOR PROBLEM DRIKERS--DAILY PROCESS ANALYSIS

问题饮酒者面临或已经经历过负面影响 与饮酒有关的后果。据估计有四个 酗酒者的数量是酗酒者的两倍，而且大多数人 过度饮酒的个人、家庭和社会成本 似乎与这一群体中的酗酒事件有关 不依赖的问题饮酒者。拟议的项目评估和 比较两种简短干预策略的效果 与每种消费的变化相关的机制 干预。在此之前应用密集的日常流程方法和 经过短暂的干预，这项研究前瞻性地评估了 情绪、社交情境、应对方式之间的时间联系 努力和饮酒作为提供的干预类型的一种功能。 使用掌上电脑，120名非依赖型问题饮酒者监测 这些假想的饮酒线索持续了三周。然后，他们被随机 分配到以下三组之一：(1)基于短期(三周)干预的 关于应对技能模型，该模型具体确定了替代方法 对高风险情绪线索和相关社交情境的反应 问题饮酒；(2)短期(三周)动机干预 它探讨了改变饮酒问题的准备情况；或(3)等待名单 控制室。在短暂的干预之后，或者在等待名单上等待了三周， 重复进行为期三周的每日过程评估。两个活跃的人 治疗组在六个月后进行随访。这是第一次研究 使用日常过程方法来检验行为改变的机制 与对问题饮酒者的短暂干预有关。

Problem drinkers are at risk for, or have already experienced negative consequences associated with drinking. There are estimated to be four times as many problem drinkers as there are alcoholics, and the majority of personal, family, and societal costs of excessive alcohol consumption appear to be associated with episodes of heavy drinking among this group of non dependent problem drinkers. The proposed project evaluates and compares the efficacy of two brief intervention strategies and compares the mechanisms associated with changes in consumption for each intervention. Applying an intensive daily process methodology before and after brief intervention, this study evaluates prospectively changes in the temporal associations among emotions, social situations, coping efforts and drinking as a function of the type of intervention offered. Using a palm-top computer, 120 non-dependent problem drinkers monitor these hypothesized drinking cues for three weeks. They are then randomly assigned to one of three groups: (1) brief (three-week) intervention based on a Coping Skills model, which specifically identifies alternative ways of responding to high risk emotional cues and social situations associated with problem drinking; (2) brief (three-week) Motivational Intervention which explores readiness to change problem drinking; or (3) Waiting List Control. After the brief intervention or three weeks on the waiting list, the three-week daily process assessment is repeated. The two active treatment groups are followed-up six months later. This is the first study using daily process methods to examine the mechanisms of behavior change associated with brief interventions for problem drinkers.