TESTING ALCOHOL BEHAVIORAL COUPLES THERAPY FOR WOMEN

这个为期5年的项目继续进行广泛的研究计划，以开发酒精滥用/依赖治疗的联合模型。本研究拟达到四个具体目标：（1）获得关于酒精滥用/依赖妇女与其男性伴侣之间关系性质的详细描述性数据;（2）修改研究者现有的酒精相关行为伴侣治疗与复发预防（RP/ABCT）方法，以纳入关于酒精滥用/依赖妇女及其男性伴侣的现有知识;（3）使用随机临床试验（随访18个月）测试手动ABCT对女性的有效性，并与以个人为导向的女性治疗进行比较;（4）评估个人精神病理学、伴侣精神病理学、亲密关系质量和女性社交网络其他部分功能对治疗结果预测的相对贡献。将从现有的社区治疗方案和通过直接广告招募120名酗酒/酒精依赖妇女及其男性伴侣。受试者将被随机分配至RP/ABCT或个体认知行为治疗组。将提供20次门诊治疗。夫妇将在基线时以及基线后6、12和18个月进行面对面评估，每名伴侣将在基线后3、9和15个月接受电话采访。受试者将在多个领域的功能进行评估：酒精和药物的使用，每个合作伙伴的个人心理功能，婚姻功能，以及妇女的社会网络的程度和质量。

This 5-year project continues a broad program of research to develop conjoint models of treatment for alcohol abuse/dependence. The proposed research is intended to accomplish four specific aims: (1) To obtain detailed descriptive data about the nature of relationships between women with alcohol abuse/dependence and their male partners; (2) To modify the investigators' existing Alcohol-related Behavioral Couples Therapy with Relapse Prevention (RP/ABCT) approach to incorporate current knowledge about women with alcohol abuse/dependence and their male partners; (3) To test the effectiveness of manualized ABCT for women compared to an individually-oriented women's treatment using a randomized clinical trial with an 18-month follow-up; (4) To assess the relative contribution to the prediction of treatment outcome of individual psychopathology, partner psychopathology, quality of the intimate relationship, and functioning of other parts of the woman's social network. One hundred and twenty women with alcohol abuse/dependence and their male partners will be recruited from existing community treatment programs and through direct advertising. Subjects will be randomly assigned to RP/ABCT or individual cognitive-behavioral treatment. Twenty outpatient treatment sessions will be provided. Couples will be assessed in-person at baseline, and 6, 12, and 18 months after baseline, and each partner will be interviewed by telephone 3, 9, and 15 months after baseline. Subjects will be assessed in multiple areas of functioning: alcohol and drug use, individual psychological functioning of each partner, marital functioning, and the extent and quality of the woman's social network.