Longabaugh R, Morgenstern J
Center for Alcohol and Addiction Studies, Brown University, Providence, Rhode Island, USA.
Alcohol Res Health. 1999;23(2):78-85.
Cognitive-behavioral coping-skills training (CBST) is an alcoholism treatment approach aimed at improving the patients' cognitive and behavioral skills for changing their drinking behavior. CBST encompasses a variety of approaches that despite their core similarities differ in duration, modality, content, and treatment setting. Numerous studies and reviews have ranked CBST among the most effective approaches for treating alcoholic patients. Nevertheless, a recent analysis of nine studies failed to identify specific CBST components that could account for the treatment's effectiveness. Furthermore, a similar analysis of 26 studies suggested that CBST's superior effectiveness was limited to specific treatment contexts (i.e., when delivered as part of a comprehensive treatment program) and to specific patient subgroups (e.g., patients with less severe alcohol dependence). Several measures may help broaden CBST's focus and effectiveness, such as incorporating components of other treatment approaches.
认知行为应对技能训练（CBST）是一种酗酒治疗方法，旨在提高患者改变饮酒行为的认知和行为技能。CBST包含多种方法，尽管它们的核心相似，但在持续时间、方式、内容和治疗环境方面存在差异。众多研究和综述将CBST列为治疗酗酒患者最有效的方法之一。然而，最近对九项研究的分析未能确定能够解释该治疗有效性的特定CBST组成部分。此外，对26项研究的类似分析表明，CBST的卓越有效性仅限于特定治疗背景（即作为综合治疗计划的一部分提供时）和特定患者亚组（例如酒精依赖较轻的患者）。一些措施可能有助于拓宽CBST的重点和有效性，例如纳入其他治疗方法的组成部分。
