Evatt Daniel P, Juliano Laura M, Griffiths Roland R
Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine.
Department of Psychology, American University.
J Consult Clin Psychol. 2016 Feb;84(2):113-21. doi: 10.1037/ccp0000064. Epub 2015 Oct 26.
The goal of the present investigation was to develop and test a brief therapist-guided manualized treatment for problematic caffeine use, including cognitive-behavioral strategies and 5 weeks of progressively decreased consumption.
Individuals seeking treatment for problematic caffeine use (mean daily caffeine consumption of 666 mg at baseline) were randomized using a waitlist-control design to receive immediate treatment (N = 33) or delayed treatment (∼6 weeks later; N = 34). A 1-hr treatment session designed to help individuals quit or reduce caffeine consumption was provided by a trained counselor along with a take-home booklet. After the treatment session, participants completed daily diaries of caffeine consumption for 5 weeks. They returned for follow-up assessments at 6, 12, and 26 weeks and had a telephone interview at 52-weeks posttreatment.
Treatment resulted in a significant reduction in self-reported caffeine use and salivary caffeine levels. No significant posttreatment increases in caffeine use were observed for up to 1 year follow-up. Comparisons to the waitlist-control condition revealed that reductions in caffeine consumption were due to treatment and not the passing of time, with a treatment effect size of R² = .35 for the model.
A brief 1-session manualized intervention with follow-up was efficacious at reducing caffeine consumption. Future researchers should replicate and extend these findings, as well as consider factors affecting dissemination of treatment for problematic caffeine use to those in need.
本研究的目的是开发并测试一种由治疗师指导的简短手册化治疗方法,用于解决咖啡因使用问题,包括认知行为策略和为期5周的逐步减少摄入量的方案。
寻求解决咖啡因使用问题治疗的个体(基线时平均每日咖啡因摄入量为666毫克)采用等待列表对照设计进行随机分组,以接受立即治疗(N = 33)或延迟治疗(约6周后;N = 34)。由一名训练有素的咨询师提供一次为期1小时的治疗课程,旨在帮助个体戒烟或减少咖啡因摄入量,并提供一本带回家阅读的手册。治疗课程结束后,参与者连续5周记录每日咖啡因摄入量的日记。他们在6周、12周和26周返回进行随访评估,并在治疗后52周接受电话访谈。
治疗导致自我报告的咖啡因使用量和唾液中咖啡因水平显著降低。在长达1年的随访中,未观察到治疗后咖啡因使用量有显著增加。与等待列表对照条件的比较显示,咖啡因摄入量的减少是由于治疗而非时间的推移,该模型的治疗效应大小为R² = .35。
一种简短的1节手册化干预及随访在减少咖啡因摄入量方面是有效的。未来的研究人员应重复并扩展这些发现,并考虑影响将解决咖啡因使用问题的治疗方法传播给有需要者的因素。