Center on Alcoholism, Substance Abuse and Addictions, University of New Mexico, MSC11 6280, 2650 Yale Boulevard SE, Albuquerque, NM 87106, USA.
Psychol Addict Behav. 2011 Sep;25(3):521-9. doi: 10.1037/a0024037.
Study aims were to assess preferences for individual or conjoint treatment, differences between women with alcohol use disorders (AUDs) selecting each modality, and the impact on treatment entry and retention of providing a choice of treatments. During initial screening, women with AUDs in an intimate relationship with a male partner were given the choice of individual or conjoint treatment. After choosing a treatment modality and completing all assessments they entered one of two randomized trials testing different approaches to each treatment modality. Standardized measures were used to assess drinking quantity, frequency, and problems; motivation to change; and relationship satisfaction. Women's reasons for choice of treatment modality were coded using an iterative coding process. Results showed that women were more likely to select and follow through with individual than conjoint treatment. Women cited a desire to work on individual problems, lack of perceived support from their partner, and logistical issues as reasons for preferring individual treatment. Women in the two choice groups did not differ significantly on individual, partner, or relationship characteristics, but small to medium effect sizes suggested that women choosing individual treatment were more educated and less satisfied with their relationship, had fewer pretreatment heavy drinking days, and heavier drinking partners. Offering women a choice of treatment modality increased the probability of entering treatment, but not treatment attendance. Results suggest that barriers to couple therapy for women with AUDs need to be addressed to facilitate more widespread dissemination. Given women's preferences, it also is important to offer a range of treatments.
研究目的是评估个体或联合治疗的偏好，选择每种治疗模式的酒精使用障碍（AUD）女性之间的差异，以及提供治疗选择对治疗开始和保留的影响。在初步筛选期间，与男性伴侣有亲密关系的 AUD 女性有机会选择个体或联合治疗。在选择治疗模式并完成所有评估后，她们进入了两项随机试验之一，测试每种治疗模式的不同方法。使用标准化措施评估饮酒量、频率和问题、改变动机以及关系满意度。使用迭代编码过程对女性选择治疗模式的原因进行编码。结果表明，女性更倾向于选择个体而非联合治疗，并且更有可能坚持下去。女性提到希望解决个人问题、缺乏伴侣的感知支持以及后勤问题是选择个体治疗的原因。在两个选择组中的女性在个体、伴侣或关系特征方面没有显著差异，但中小效应大小表明，选择个体治疗的女性受教育程度更高，对关系的满意度更低，治疗前的重度饮酒天数更少，饮酒伴侣更重。为女性提供治疗模式的选择增加了进入治疗的可能性，但不能增加治疗的出勤率。结果表明，需要解决 AUD 女性夫妇治疗的障碍，以促进更广泛的传播。鉴于女性的偏好，提供一系列治疗方法也很重要。
