Duckert F, Amundsen A, Johnsen J
National Institute for Alcohol and Drug Research, Oslo, Norway.
Br J Addict. 1992 Oct;87(10):1457-67. doi: 10.1111/j.1360-0443.1992.tb01924.x.
Eighty-four men and 51 women who had been recruited to treatment through newspaper advertisements were matched pairwise and randomly assigned to either brief counselling or short-term group therapy. All participants were followed-up after 3, 9, 15 and 21 months by personal interviews and medical examinations. The average reduction in alcohol consumption was greatest to start with in the group attending group therapy, but this group experienced greater set-back during the following period. At 21 months there were no significant differences between the two groups as regards amount of alcohol consumed, GGT-levels, deaths or number of alcohol-related hospitalizations. The sample as a whole maintained a significant reduction in alcohol consumption throughout the follow-up period. At 21 months half of the sample had reduced their consumption with more than 50%, one-fourth had reduced 20-50%, one-tenth changed less than 20% and only 18% of the sample had increased their consumption with more than 20% compared with their baseline consumption. The reductions took place mainly by way of less frequent drinking, fewer episodes of heavy drinking and reduced consumption during weeks of moderate drinking. When heavy drinking episodes did occur, there were only minor changes in the amounts consumed.
通过报纸广告招募来接受治疗的84名男性和51名女性被两两配对，并随机分配到简短咨询组或短期团体治疗组。在3个月、9个月、15个月和21个月后，通过个人访谈和医学检查对所有参与者进行随访。开始时，参加团体治疗组的酒精消费量平均减少幅度最大，但在接下来的时期该组经历了更大的倒退。在21个月时，两组在酒精消费量、谷氨酰转肽酶水平、死亡人数或与酒精相关的住院次数方面没有显著差异。整个样本在随访期间酒精消费量持续显著减少。在21个月时，一半的样本饮酒量减少了50%以上，四分之一减少了20%至50%，十分之一的变化小于20%，与基线消费量相比，只有18%的样本饮酒量增加了20%以上。饮酒量的减少主要是通过减少饮酒频率、减少重度饮酒次数以及在适度饮酒周内减少饮酒量来实现的。当确实发生重度饮酒时，饮酒量只有轻微变化。
