Burtscheidt W, Wölwer W, Schwarz R, Strauss W, Gaebel W
Department of Psychiatry and Psychotherapy, Heinrich Heine University, Duesseldorf, Germany.
Acta Psychiatr Scand. 2002 Sep;106(3):227-32. doi: 10.1034/j.1600-0447.2002.02332.x.
The main aim of the study was the evaluation of out-patient behavioural approaches in alcohol dependence. Additionally, the persistence of treatment effects and the impact of psychiatric comorbidity in long-term follow-up was examined.
A total of 120 patients were randomly assigned to non-specific supportive therapy or to two different behavioural therapy programmes (coping skills training and cognitive therapy) each comprising 26 weekly sessions; the follow-up period lasted 2 years.
Patients undergoing behavioural therapy showed a consistent trend towards higher abstinence rates; significant differences between the two behavioural strategies could not be established. Moreover, the results indicate a reduced ability of cognitive impaired patients to cope with short-time abstinence violations and at a reduced benefit from behavioural techniques for patients with severe personality disorders.
Behavioural treatment yielded long-lasting effects and met high acceptance; yet, still in need of improvement is the development of specific programmes for high-risk patients.
本研究的主要目的是评估门诊治疗酒精依赖的行为方法。此外，还研究了治疗效果的持续性以及长期随访中精神共病的影响。
总共120名患者被随机分配到非特异性支持治疗或两种不同的行为治疗方案（应对技能训练和认知疗法），每种方案包括26次每周一次的治疗；随访期持续2年。
接受行为治疗的患者显示出持续的更高戒酒率趋势；两种行为策略之间未发现显著差异。此外，结果表明认知受损患者应对短期戒酒违规的能力降低，且严重人格障碍患者从行为技术中获得的益处减少。
行为治疗产生了持久的效果并获得了高度认可；然而，针对高危患者的特定方案仍有待改进。
