Greenfield Shelly F, Kuper Laura E, Cummings Amanda M, Robbins Michael S, Gallop Robert J
McLean Hospital, Belmont, MA ; Harvard Medical School, Boston, MA.
J Groups Addict Recover. 2013;8(4). doi: 10.1080/1556035X.2013.836867.
Enhanced affiliation among members is thought to provide increased support for women in single-gender compared with mixed-gender group therapy for substance use disorders (SUDs) and to provide a potential mechanism of action for its efficacy. In a Stage I trial of single-gender versus mixed-gender group therapy for SUDs we examined affiliative statements made by members in two group treatments, single-gender Women's Recovery Group (WRG) and mixed-gender Group Drug Counseling (GDC). Twenty-eight WRG and 17 GDC group therapy tapes were coded and compared for five types of affiliative statements. Three types of affiliative statements (agreement, supportive, and completing a thought) were highly correlated and were more frequent in WRG than GDC (D=0.882, p=0.27). In GDC, women were more likely to provide an affiliative statement to a male group member than any other combination of directionality (p<0.01). Compared with mixed-gender, single-gender group therapy for SUDs may enhance support through greater frequency of affiliative statements.
与针对物质使用障碍(SUDs)的混合性别团体治疗相比,单性别团体治疗中成员间更强的归属感被认为能为女性提供更多支持,并为其疗效提供一种潜在的作用机制。在一项针对SUDs的单性别与混合性别团体治疗的I期试验中,我们检查了两种团体治疗(单性别女性康复团体(WRG)和混合性别团体药物咨询(GDC))中成员做出的归属感陈述。对28份WRG和17份GDC团体治疗录音带进行编码,并比较了五种归属感陈述类型。三种归属感陈述(认同、支持和补充想法)高度相关,且在WRG中比在GDC中更频繁(D = 0.882,p = 0.27)。在GDC中,女性向男性团体成员提供归属感陈述的可能性高于任何其他方向性组合(p < 0.01)。与混合性别团体治疗相比,针对SUDs的单性别团体治疗可能通过更频繁的归属感陈述来增强支持。