Morgenstern J, Longabaugh R
Department of Psychiatry, Mount Sinai School of Medicine, New York, USA.
Addiction. 2000 Oct;95(10):1475-90. doi: 10.1046/j.1360-0443.2000.951014753.x.
This review examined support for the hypothesis that cognitive-behavioral treatment (CBT) for alcohol dependence works through increasing cognitive and behavioral coping skills.
Ten studies were identified that examined the hypothesized mechanisms of action of CBT. These studies involved random assignment (or its near equivalent) of participants to CBT and at least one comparison condition.
Although numerous analyses of the possible causal links have been conducted to evaluate whether CBT works through increasing coping, the results indicate little support for the hypothesized mechanisms of action of CBT.
Research has not yet established why CBT is an effective treatment for alcohol dependence. Negative findings may reflect methodological flaws of prior studies. Alternatively, findings may indicate one or more conceptual assumptions underlying CBT require revision.
本综述检验了以下假设的支持情况，即酒精依赖的认知行为疗法（CBT）通过提高认知和行为应对技能发挥作用。
确定了10项研究，这些研究检验了CBT假设的作用机制。这些研究涉及将参与者随机分配（或近乎随机分配）至CBT组和至少一种对照条件组。
尽管已对可能的因果联系进行了大量分析，以评估CBT是否通过增强应对能力发挥作用，但结果显示对CBT假设的作用机制支持甚少。
研究尚未确定CBT为何是治疗酒精依赖的有效方法。负面研究结果可能反映了先前研究的方法缺陷。或者，研究结果可能表明CBT背后的一个或多个概念假设需要修正。
