Department of Psychology, University of South Florida, 4202 East Fowler Ave, Tampa, FL 33620, United
Drug Alcohol Depend. 2012 Apr 1;122(1-2):70-6. doi: 10.1016/j.drugalcdep.2011.09.012. Epub 2011 Oct 7.
Psychological distress tolerance, the ability to persist in goal directed activity when experiencing psychological distress, is associated with poor substance use treatment outcomes including drug and alcohol treatment dropout and relapse.
The current study examines if a brief distress tolerance intervention that was specifically developed as an adjunctive treatment for patients in residential substance abuse treatment shows efficacy in improving the patients' distress tolerance.
Seventy-six individuals who were receiving treatment at a residential substance use treatment facility and indexed low distress tolerance on laboratory distress tolerance measures were randomized into three conditions: treatment-as-usual (TAU), six sessions of Supportive Counseling (SC), or six sessions of the novel distress tolerance treatment, Skills for Improving Distress Intolerance (SIDI).
Patients were assessed at baseline for DSM-IV psychiatric diagnoses, DSM-IV substance use disorders, distress tolerance, and depressive symptoms. Patients were again assessed at posttreatment. Therapeutic alliance and treatment expectancies and credibility were also assessed at posttreatment.
Patients who received SIDI (n=28) evidenced significantly greater improvements than SC (n=24) and TAU participants (n=24) on the distress tolerance laboratory measures, even when controlling for changes in negative affect (in the form of depression). Additionally, a higher percentage of patients in SIDI reached clinically significant improvement compared to patients in SC and TAU.
This study supports the efficacy of SIDI in improving distress tolerance levels among individuals with drug and alcohol use disorders currently receiving residential substance use treatment. SIDI appears to be a brief and feasible intervention for use within inpatient substance use facilities.
心理困扰耐受力，即在经历心理困扰时坚持目标导向活动的能力，与不良物质使用治疗结果相关，包括药物和酒精治疗的脱落和复发。
本研究考察了一种专门为住院物质滥用治疗患者开发的简短的耐受力干预措施是否能提高患者的耐受力。
76 名正在接受住院物质使用治疗的个体在实验室耐受力测量中表现出低耐受力，他们被随机分为三组：常规治疗（TAU）、六次支持性咨询（SC）或六次新的耐受力治疗，即提高耐受力技能（SIDI）。
患者在基线时接受 DSM-IV 精神病诊断、DSM-IV 物质使用障碍、耐受力和抑郁症状的评估。患者在治疗后再次接受评估。治疗联盟和治疗期望和可信度也在治疗后进行评估。
接受 SIDI（n=28）的患者在耐受力实验室测量上的改善明显优于 SC（n=24）和 TAU 参与者（n=24），即使控制了负性情绪（以抑郁的形式）的变化。此外，与 SC 和 TAU 患者相比，SIDI 中有更高比例的患者达到了临床显著的改善。
这项研究支持 SIDI 对提高目前接受住院物质使用治疗的药物和酒精使用障碍患者耐受力水平的疗效。SIDI 似乎是一种在住院物质使用设施中使用的简短且可行的干预措施。
