Arroyo Judith A, Miller William R, Tonigan J Scott
Center on Alcoholism, Substance Abuse, and Addictions (CASAA), University of New Mexico, Albuquerque, New Mexico 87106, USA.
J Stud Alcohol. 2003 Jan;64(1):98-104. doi: 10.15288/jsa.2003.64.98.
Prior research has suggested that treatment-seeking Hispanic clients are not likely to affiliate with Alcoholics Anonymous (AA). It was hypothesized that AA 12-step facilitation therapy (TSF) would therefore be less effective than cognitive behavioral therapy (CBT) and motivational enhancement therapy (MET) for Hispanics, particularly for those with low acculturation.
Outcomes for non-Hispanic white (n = 105; 70% male) and Hispanic (n = 100; 80% male) clients at the New Mexico site within Project MATCH were analyzed for evidence of differential treatment response. A pretreatment measure of acculturation to non-Hispanic white culture was available for 80 of the Hispanic clients.
Self-identified ethnicity mediated treatment response at distal follow-up, as measured by frequency and intensity of alcohol consumption (p < .02). Hispanics drank with more intensity than did non-Hispanic whites when assigned to TSF; non-Hispanic whites in TSF drank with less frequency than those in the combined CBT and MET conditions. The modest outcome advantage for TSF observed in Project MATCH appears to have been limited to non-Hispanic clients. Contrary to prediction, level of acculturation did not mediate treatment response at proximal (Months 1-6 after treatment) or distal follow-up (Months 7-12).
Ethnic self-identification may interact with treatment outcomes in complex ways that are not directly associated with the factors tapped by commonly used measures of acculturation.
先前的研究表明，寻求治疗的西班牙裔客户不太可能加入戒酒互助会（AA）。因此，有人假设，对于西班牙裔，尤其是文化适应程度低的西班牙裔，AA的12步促进疗法（TSF）不如认知行为疗法（CBT）和动机增强疗法（MET）有效。
分析了匹配项目中位于新墨西哥州的非西班牙裔白人（n = 105；70%为男性）和西班牙裔（n = 100；80%为男性）客户的治疗结果，以寻找差异治疗反应的证据。80名西班牙裔客户有一项对非西班牙裔白人文化适应程度的预处理测量。
自我认定的种族在随访后期介导了治疗反应，通过饮酒频率和强度来衡量（p < 0.02）。当被分配到TSF时，西班牙裔饮酒强度比非西班牙裔白人更大；TSF组中的非西班牙裔白人饮酒频率低于CBT和MET联合治疗组的非西班牙裔白人。在匹配项目中观察到的TSF适度的结果优势似乎仅限于非西班牙裔客户。与预测相反，文化适应程度在治疗近端（治疗后1至6个月）或随访后期（7至12个月）并未介导治疗反应。
种族自我认定可能以复杂的方式与治疗结果相互作用，而这些方式与常用文化适应测量所涉及的因素并无直接关联。
