Moos Rudolf H, Moos Bernice S
Center for Health Care Evaluation, Department of Veterans Affairs and Stanford University, Palo Alto, California, USA.
Drug Alcohol Depend. 2007 Jan 5;86(1):46-54. doi: 10.1016/j.drugalcdep.2006.04.015.
This study examined indices of personal and social resources drawn from social learning, behavioral economics, and social control theories as predictors of medium- and long-term alcohol use disorder outcomes.
Individuals (N = 461) who initiated help-seeking for alcohol-related problems were surveyed at baseline and 1, 3, 8, and 16 years later. At baseline and each follow-up, participants provided information about their personal and social resources and alcohol-related and psychosocial functioning.
In general, protective resources associated with social learning (self-efficacy and approach coping), behavioral economics (health and financial resources and resources associated with Alcoholics Anonymous), and social control theory (bonding with family members, friends, and coworkers) predicted better alcohol-related and psychosocial outcomes. A summary index of protective resources associated with all three theories significantly predicted remission. Protective resources strengthened the positive influence of treatment on short-term remission and partially mediated the association between treatment and remission.
Application of social learning, behavior economic, and social control theories may help to identify predictors of remission and thus to allocate treatment more efficiently.
本研究考察了从社会学习、行为经济学和社会控制理论中提取的个人及社会资源指标，以此作为中长期酒精使用障碍结果的预测因素。
对因酒精相关问题开始寻求帮助的个体（N = 461）在基线时以及1年、3年、8年和16年后进行了调查。在基线和每次随访时，参与者提供了有关其个人和社会资源以及与酒精相关的和心理社会功能的信息。
总体而言，与社会学习（自我效能感和积极应对）、行为经济学（健康和财务资源以及与戒酒互助会相关的资源）和社会控制理论（与家庭成员、朋友和同事的联系）相关的保护性资源预测了更好的与酒精相关的和心理社会结果。与所有这三种理论相关的保护性资源的综合指数显著预测了缓解情况。保护性资源增强了治疗对短期缓解的积极影响，并部分介导了治疗与缓解之间的关联。
社会学习、行为经济学和社会控制理论的应用可能有助于识别缓解的预测因素，从而更有效地分配治疗。
