McCrady Barbara S, Hayaki Jumi, Epstein Elizabeth E, Hirsch Linda S
Center of Alcohol Studies, Rutgers--The State University of New Jersey, Piscataway 08854-8001, USA.
Alcohol Clin Exp Res. 2002 Apr;26(4):463-70.
The model on which alcohol-related Behavioral Couples Therapy (ABCT) is based posits three primary domains related to alcohol consumption: individual factors, the quality and nature of the spouse's response to alcohol-related situations, and the nature and quality of the couple's marital interactions.
This study tested the model underlying ABCT in a sample of 68 male alcoholics and their partners, who completed at least five sessions of a 15-session outpatient treatment study in which they received ABCT. Couples were assessed at baseline, during treatment, and for 6 months after treatment completion. Stepwise multiple regression was used to test specific predictors derived from the ABCT model.
Some support was provided for each component of the ABCT model. Individual drinker variables predicted drinking outcomes, both during and after treatment. Specifically, greater drinking severity and drinking frequency at baseline predicted poorer drinking outcomes. Older client age and more education predicted less frequent but more intense drinking. Spouse coping was related primarily to measures of drinking intensity, rather than drinking frequency. Less intense drinking during treatment was predicted by greater spousal use of problem solving and social support to deal with problems and less use of self-blame, wishful thinking, and avoidance. After treatment, however, spouse coping had a less consistent relationship to drinking intensity. In the marital domain, drinking during treatment was unrelated to pretreatment marital satisfaction measures. However, in the 6 months after treatment, men's ability to remain abstinent was predicted by the quality of the pretreatment marital relationship, and the intensity of their drinking was predicted by the degree of their marital happiness immediately after treatment.
Results provided substantial support for the ABCT model, particularly in relationship to the role of the spouse in affecting heavy drinking.
酒精相关行为夫妻治疗（ABCT）所基于的模型假定了与饮酒相关的三个主要领域：个人因素、配偶对与酒精相关情况的反应的质量和性质，以及夫妻婚姻互动的性质和质量。
本研究在68名男性酗酒者及其伴侣的样本中测试了ABCT的基础模型，这些参与者完成了一项为期15节的门诊治疗研究中的至少5节，在该研究中他们接受了ABCT治疗。在基线、治疗期间以及治疗完成后的6个月对夫妻进行评估。采用逐步多元回归来测试从ABCT模型中得出的特定预测因素。
ABCT模型的每个组成部分都得到了一些支持。个体饮酒者变量预测了治疗期间和治疗后的饮酒结果。具体而言，基线时更高的饮酒严重程度和饮酒频率预测了更差的饮酒结果。年龄较大的客户和受教育程度较高者预测饮酒频率较低但饮酒强度较大。配偶的应对方式主要与饮酒强度的测量有关，而不是饮酒频率。配偶更多地运用解决问题和社会支持来处理问题，以及较少使用自责、一厢情愿的想法和回避行为，预测了治疗期间饮酒强度较低。然而，治疗后，配偶的应对方式与饮酒强度的关系不太一致。在婚姻领域，治疗期间的饮酒与治疗前的婚姻满意度测量无关。然而，在治疗后的6个月里，治疗前婚姻关系的质量预测了男性保持戒酒的能力，而治疗后立即感受到的婚姻幸福程度预测了他们的饮酒强度。
结果为ABCT模型提供了大量支持，特别是在配偶对影响重度饮酒的作用方面。
