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员工援助计划中针对高危饮酒的简短干预措施。

A brief intervention for at-risk drinking in an employee assistance program.

作者信息

Osilla Karen Chan, Zellmer Steven P, Larimer Mary E, Neighbors Clayton, Marlatt G Alan

机构信息

RAND Corporation, 1776 Main Street, Santa Monica, California 90401, USA.

出版信息

J Stud Alcohol Drugs. 2008 Jan;69(1):14-20. doi: 10.15288/jsad.2008.69.14.

Abstract

OBJECTIVE

The current pilot study examined the preliminary efficacy of a brief intervention (BI) for at-risk drinking in an employee assistance program.

METHOD

Clients (N = 107) entering the employee assistance program (EAP) for mental health services were screened and met criteria for at-risk drinking. EAP therapists were randomly assigned to deliver either the BI plus EAP services as usual (SAU) or SAU only. Participants in the final analyses consisted of 44 BI + SAU (30 women, 14 men) and 30 SAU (21 women, 9 men) EAP clients who completed a 3-month follow-up.

RESULTS

Results suggested that participants in the BI + SAU group had significant reductions in peak blood alcohol concentration, peak quantity, and alcohol-related consequences compared with the SAU group. Men in the BI + SAU group had greater reductions in alcohol-related problems compared with men in the SAU group. Groups did not differ by number of total EAP sessions attended or rates of presenting problem resolution.

CONCLUSIONS

Results provide preliminary evidence to support the integration of alcohol screening and BI as a low-cost method of intervening with clients with at-risk drinking in the context of co-occurring presenting problems.

摘要

目的

当前的试点研究考察了员工援助计划中针对危险饮酒的简短干预(BI)的初步疗效。

方法

对进入员工援助计划(EAP)寻求心理健康服务的客户(N = 107)进行筛查,他们符合危险饮酒标准。EAP治疗师被随机分配提供BI加常规EAP服务(SAU)或仅提供SAU。最终分析中的参与者包括44名BI + SAU(30名女性,14名男性)和30名SAU(21名女性,9名男性)EAP客户,他们完成了为期3个月的随访。

结果

结果表明,与SAU组相比,BI + SAU组的参与者在血液酒精浓度峰值、饮酒量峰值以及与酒精相关的后果方面有显著降低。BI + SAU组的男性与SAU组的男性相比,与酒精相关的问题减少得更多。两组在参加EAP总疗程数或问题解决率方面没有差异。

结论

结果提供了初步证据,支持将酒精筛查和BI整合为一种低成本方法,用于在同时存在其他问题的情况下对危险饮酒客户进行干预。

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