Rychtarik Robert G, McGillicuddy Neil B, Barrick Christopher
Research Institute on Addictions.
Psychol Addict Behav. 2015 Mar;29(1):26-33. doi: 10.1037/adb0000032. Epub 2014 Oct 27.
Spouses whose partner has an alcohol use disorder can experience considerable psychological distress. Yet, because of social, financial, relationship, and psychological barriers they often remain hidden and underserved. To partially reduce treatment barriers for this population, this study evaluated the short-term efficacy of a self-paced, web-delivered coping skills training program for women experiencing distress as a result of living with a partner with an alcohol use disorder. Participants (N = 89) were randomly assigned to either 8 weeks of an Internet-administered coping skills training program (iCST), or an 8-week delayed treatment control (DTC). Participation in, and satisfaction with iCST was high. At the end of the 8-week access/delay period, iCST participants exhibited a significantly higher level of coping skills relative to DTC, d = 1.02, 95% confidence interval [CI; .64, 1.51], and reported significantly fewer depressive symptoms, d = -.65, 95% CI [-1.21, -.35], and situational anger, d = -.70, 95% CI [-1.62, -.64]. Moreover, iCST appeared to prevent an increase in symptoms among those with low baseline symptom levels; DTC did not. Skill acquisition appeared to partially mediate changes observed. Online coping skills training may be an effective way of reaching and helping a large number of this frequently underserved population.
伴侣患有酒精使用障碍的配偶可能会经历相当大的心理困扰。然而，由于社会、经济、关系和心理障碍，这些困扰往往被隐藏起来，得不到充分的治疗。为了部分减少这一人群的治疗障碍，本研究评估了一种自定进度、通过网络提供的应对技能培训项目对因伴侣患有酒精使用障碍而苦恼的女性的短期疗效。参与者（N = 89）被随机分配到为期8周的互联网管理应对技能培训项目（iCST）组或为期8周的延迟治疗对照组（DTC）。对iCST的参与度和满意度都很高。在8周的接入/延迟期结束时，iCST参与者相对于DTC表现出显著更高水平的应对技能，d = 1.02，95%置信区间[CI；.64，1.51]，并且报告的抑郁症状显著更少，d = -.65，95% CI [-1.21，-.35]，情境性愤怒也显著更少，d = -.70，95% CI [-1.62，-.64]。此外，iCST似乎能防止基线症状水平较低者的症状增加；DTC则不能。技能习得似乎部分介导了观察到的变化。在线应对技能培训可能是接触和帮助大量这类经常得不到充分服务人群的有效方式。
