Kelley Michelle L, Fals-Stewart William
Department of Psychology, Old Dominion University, Norfold, VA 23529-0267, USA.
J Fam Psychol. 2007 Sep;21(3):435-44. doi: 10.1037/0893-3200.21.3.435.
The purpose of this study was to determine whether Learning Sobriety Together, a treatment for substance abuse that combines behavioral couples therapy and individual counseling, had comparable secondary benefits on the internalizing and externalizing behaviors of adolescent versus preadolescent siblings living in homes with their alcoholic fathers (N = 131) and their non-substance-abusing mothers. During a 17-month assessment period, the association between parents' functioning (i.e., fathers' drinking as determined by percentage of days abstinent and parents' dyadic adjustment) and children's adjustment (as rated by mothers, fathers, and children's teachers) was stronger for preadolescents than for their adolescent siblings, particularly in terms of children's externalizing behaviors. Interventions that reduce paternal drinking and improve couple functioning may serve as an important preventative intervention for preadolescents in these homes, whereas adolescents may need more intensive interventions to address internalizing and externalizing symptoms.
本研究的目的是确定“共同学习戒酒”这一针对药物滥用的治疗方法（该方法结合了行为夫妻治疗和个体咨询），对于与酗酒父亲及未滥用药物的母亲同住的青春期前和青春期兄弟姐妹的内化和外化行为是否具有相当的次要益处。在为期17个月的评估期内，父母功能（即通过戒酒天数百分比确定的父亲饮酒情况以及父母的二元调适）与儿童调适（由母亲、父亲和儿童教师评定）之间的关联，在青春期前儿童中比在其青春期兄弟姐妹中更强，尤其是在儿童的外化行为方面。减少父亲饮酒并改善夫妻功能的干预措施，可能是这些家庭中青春期前儿童的一项重要预防性干预措施，而青少年可能需要更强化的干预措施来解决内化和外化症状。
