Department of Physical Medicine and Rehabilitation, Baylor College of Medicine/Harris County Hospital District and Brain Injury Research Center, TIRR Memorial Hermann, Houston, Texas 77019, USA.
J Head Trauma Rehabil. 2012 Sep-Oct;27(5):319-30. doi: 10.1097/HTR.0b013e318269838c.
: To investigate the effectiveness of brief intervention for modifying alcohol expectancies, readiness to change, and problem alcohol use in persons with traumatic brain injury (TBI).
: Randomized controlled trial, with 3-month follow-up.
: Three level I Trauma Centers.
: One hundred four persons with complicated mild, moderate, or severe TBI, with preinjury problem alcohol use, who had emerged from posttraumatic amnesia.
: Twenty- to 30-minute brief intervention (education and motivational interview).
: Alcohol Expectancy Questionnaire-III Global Positive Expectancies and Cognitive and Physical Impairment scales; Readiness to Change Questionnaire; problem alcohol use.
: After controlling for relevant covariates, there was an effect of treatment on expectation that alcohol use would result in cognitive and physical impairment. This effect was moderated by injury severity, and was only effective for those with severe injury. There was no treatment effect on global positive expectancies, readiness to change, or problem alcohol use. Attribution of injury to alcohol use was associated with the expectation that alcohol use would result in cognitive and physical impairment, and at one center, in greater readiness to change.
: Although the brief intervention did not have an impact on problem alcohol use, positive alcohol expectancies, or readiness to change, the results of this study suggest that brief intervention can be effective for educating on the negative impact of alcohol use for people with severe TBI who have emerged from posttraumatic amnesia. Attribution of the injury to alcohol use could potentially increase readiness to change in some settings, and might be used to generate discussion about the negative impact of alcohol use.
探讨对创伤性脑损伤（TBI）患者进行简短干预以改变酒精预期、改变意愿和解决酒精使用问题的效果。
随机对照试验，随访 3 个月。
3 家 1 级创伤中心。
104 名有复杂轻度、中度或重度 TBI 且有创伤前酒精使用问题的患者，他们已经从创伤后遗忘中恢复。
20 至 30 分钟的简短干预（教育和动机访谈）。
酒精预期问卷-III 全球正性预期和认知及身体损害量表；改变意愿问卷；酒精使用问题。
在控制了相关协变量后，治疗对认为饮酒会导致认知和身体损害的预期有影响。这种效果因损伤严重程度而有所不同，仅对严重损伤的患者有效。治疗对全球正性预期、改变意愿或酒精使用问题没有影响。归因于酒精使用的损伤与认为饮酒会导致认知和身体损害的预期有关，在一个中心，与更高的改变意愿有关。
尽管简短干预对酒精使用问题、正性酒精预期或改变意愿没有影响，但本研究结果表明，简短干预可以有效地教育从创伤后遗忘中恢复的严重 TBI 患者，了解酒精使用的负面影响。将损伤归因于酒精使用可能会在某些情况下增加改变的意愿，并可能用于讨论酒精使用的负面影响。
