Gottheil Edward, Thornton Charles, Weinstein Stephen
Department of Psychiatry & Human Behavior, Division of Substance Abuse Programs, Thomas Jefferson University, Philadelphia, Pa., USA.
Am J Addict. 2002 Fall;11(4):279-90. doi: 10.1080/10550490290088081.
Outcomes during treatment were compared for inner-city drug-dependent individuals randomly assigned to high-structure, behaviorally-oriented (HSB) or to low-structure, facilitative (LSF) individual counseling. No group differences were found for symptom reduction, patient and counselor ratings of benefit, retention, or drug free urines. However, the more depressed and "helpless" clients showed significantly better control of substance use in HSB counseling, while the less depressed and helpless patients realized better control in LSF treatment. These results suggest that outcomes might be improved by matching patients to high- and low-structure counseling based on their pretreatment levels of depression and learned helplessness.
对随机分配到高结构化、行为导向型（HSB）或低结构化、促进型（LSF）个体咨询的市中心药物依赖个体的治疗结果进行了比较。在症状减轻、患者和咨询师对获益的评分、留存率或尿样毒品检测呈阴性方面，未发现组间差异。然而，抑郁程度较高且“无助”的客户在HSB咨询中对物质使用的控制明显更好，而抑郁程度较低且无助的患者在LSF治疗中实现了更好的控制。这些结果表明，根据患者治疗前的抑郁水平和习得性无助程度，将患者与高结构化和低结构化咨询相匹配，可能会改善治疗结果。
