Källmén Håkan, Sjöberg Lennart, Wennberg Peter
Department of Clinical Neuroscience, Section for Alcohol and Drug Research, Magnus Huss Clinic, Karolinska Institute, Stockholm, Sweden.
Subst Use Misuse. 2003 Jun;38(7):895-903. doi: 10.1081/ja-120017616.
This study, designed to evaluate a relapse prevention technique, is based on Swedish "heavy" social drinkers who wanted to drink less or quit completely. They were recruited by advertisement in national Swedish newspapers and were randomly assigned into a control group and a coping skill training group (treatment group). Data were collected during the period 1989-1991. Subjects in the coping skills training group were taught methods to cope with the craving for alcohol, and subjects in the control group had a conventional discussion about their problems and the future. All participants also had to set a goal to be reached after the treatment. Subjects were asked about their alcohol consumption and dependence of alcohol and other alcohol-related behaviors, before, six months, and 18 months after treatment. The coping skills training did not prove more efficient than nonspecific treatment received in the control group. Instead alcohol consumption decreased as a function of the subjects' initial goals, independent of treatment and a wish to control drinking seemed more efficient than to try to quit drinking completely.
本研究旨在评估一种预防复发的技术，研究对象是瑞典希望减少饮酒量或完全戒酒的“重度”社交饮酒者。他们通过在瑞典全国性报纸上刊登广告招募而来，并被随机分为对照组和应对技能训练组（治疗组）。数据收集于1989年至1991年期间。应对技能训练组的受试者学习了应对酒精渴望的方法，而对照组的受试者则就他们的问题和未来进行了常规讨论。所有参与者还必须设定一个治疗后要达到的目标。在治疗前、治疗后六个月和18个月，询问受试者的酒精消费量、对酒精的依赖以及其他与酒精相关的行为。结果表明，应对技能训练并不比对照组接受的非特异性治疗更有效。相反，酒精消费量随着受试者的初始目标而减少，与治疗无关，而且想要控制饮酒似乎比试图完全戒酒更有效。
