Harvard Medical School Department of Psychiatry, VA Boston Healthcare System, Brockton MA 02301, USA.
Addict Behav. 2010 Jan;35(1):1-6. doi: 10.1016/j.addbeh.2009.07.003. Epub 2009 Aug 8.
Substance-dependent patients (N=29) living with a family member other than a spouse were randomly assigned to equally intensive treatments consisting of either (a) Behavioral Family Counseling (BFC) plus Individual-Based Treatment (IBT) or (b) IBT alone. Outcome data were collected at baseline, post-treatment, and at 3- and 6-month follow-up. BFC patients remained in treatment significantly longer than IBT patients. BFC patients improved significantly from baseline at all time periods on all outcomes studied, and had a medium effect size reflecting better primary outcomes of increased abstinence and reduced substance use than IBT patients. For secondary outcomes of reduced negative consequences and improved relationship adjustment, both BFC and IBT patients improved significantly and to an equivalent extent. The present results show BFC is a promising method for retaining patients in treatment, increasing abstinence, and reducing substance use. These results also provide support for larger scale, randomized trials examining the efficacy of behavioral family counseling for patients living with family members beyond spouses.
物质依赖患者（N=29）与配偶以外的家庭成员同住，被随机分配到两种同样强化的治疗中，分别为：（a）行为家庭咨询（BFC）加个体治疗（IBT）或（b）单独 IBT。在基线、治疗后以及 3 个月和 6 个月随访时收集结果数据。BFC 组患者的治疗时间明显长于 IBT 组患者。在所有研究的结果中，BFC 组患者从基线开始到所有时间点都有显著改善，并且具有中等的效果大小，反映了更好的主要结果，即增加戒断和减少物质使用，优于 IBT 组患者。对于减少负面后果和改善关系调整的次要结果，BFC 和 IBT 组患者都有显著改善，并且程度相当。这些结果表明，BFC 是一种有前途的方法，可以让患者坚持治疗，增加戒断率，并减少物质使用。这些结果也为更大规模、随机试验提供了支持，以检验行为家庭咨询对与配偶以外的家庭成员一起生活的患者的疗效。
