Beattie M C, Longabaugh R
Alcohol Research Group, Berkeley, CA 94709, USA.
Addict Behav. 1999 Sep-Oct;24(5):593-606. doi: 10.1016/s0306-4603(98)00120-8.
Both general and alcohol-specific support have been shown, albeit inconsistently, to affect drinking behavior. The discrepant findings may be clarified by examining how they work together. In exploratory analysis of clients following private outpatient alcoholism treatment, we found that the two variables add uniquely to the explanation of the variance in proportion of days abstinent (PDA). Both contribute significantly in the short term (3 months posttreatment), but only alcohol-specific support helps to explain variance over the longer term (15 months posttreatment), and alcohol-specific support explains more of the variance in PDA than general support at both time periods. More complex relationships are operating when short-term treatment effects have diminished. Alcohol-specific support mediates the relationship between general support and PDA, and both general social support and alcohol-specific support are moderators of one another in their relationships to PDA. Knowing how different types of social support affect drinking behavior at different intervals following treatment may help treatment providers to better prepare their clients for the posttreatment social environment.
一般支持和特定于酒精的支持都已被证明(尽管结果并不一致)会影响饮酒行为。通过研究它们如何共同发挥作用,可能会澄清这些相互矛盾的发现。在对接受私人门诊酒精成瘾治疗的客户进行的探索性分析中,我们发现这两个变量对戒酒天数比例(PDA)的方差解释具有独特的贡献。两者在短期内(治疗后3个月)都有显著贡献,但只有特定于酒精的支持有助于解释长期(治疗后15个月)的方差,并且在两个时间段内,特定于酒精的支持比一般支持解释了更多PDA的方差。当短期治疗效果减弱时,会出现更复杂的关系。特定于酒精的支持介导了一般支持与PDA之间的关系,并且一般社会支持和特定于酒精的支持在它们与PDA的关系中彼此都是调节因素。了解不同类型的社会支持在治疗后的不同时间段如何影响饮酒行为,可能有助于治疗提供者更好地帮助他们的客户为治疗后的社会环境做好准备。