McCrady Barbara S, Wilson Adam D, Muñoz Rosa E, Fink Brandi C, Fokas Kathryn, Borders Adrienne
Center on Alcoholism, Substance Abuse, and Addictions, University of New Mexico, Albuquerque, NM.
University of New Mexico School of Medicine, Albuquerque, NM.
Fam Process. 2016 Sep;55(3):443-59. doi: 10.1111/famp.12231. Epub 2016 Jul 2.
Alcohol Behavioral Couple Therapy (ABCT) has emerged over the last 30 years as a highly efficacious treatment for those with alcohol use disorders. This review highlights the historical and conceptual underpinnings of ABCT, as well as the specific treatment elements and structure. Proposed active ingredients, moderators, and mediators of treatment outcome are discussed. Efficacy is evaluated for reductions in identified patient drinking, improved relationship functioning, and reductions in intimate partner violence. Adaptations of ABCT for substances other than alcohol are described. Other adaptations, including brief interventions, interventions addressing PTSD and TBI along with alcohol use, and interventions deliverable via technology platforms are described. Additional cost-benefit and cost-effectiveness findings supporting the economic value of ABCT are noted. Future directions for research in this area include possible adaptations for female identified patients, nontraditional couples, LGBT partners and dyads involving nonintimate partner relationships. The development of more flexible models and enhanced dissemination strategies may improve clinical uptake and utility as well as increasing the feasibility of this treatment for integrated healthcare settings.
酒精行为夫妻治疗（ABCT）在过去30年中已成为治疗酒精使用障碍患者的一种高效疗法。本综述重点介绍了ABCT的历史和概念基础，以及具体的治疗要素和结构。讨论了治疗结果的潜在有效成分、调节因素和中介因素。对减少确诊患者饮酒量、改善关系功能以及减少亲密伴侣暴力行为的疗效进行了评估。描述了ABCT针对酒精以外物质的调整。还描述了其他调整，包括简短干预、针对创伤后应激障碍（PTSD）和创伤性脑损伤（TBI）以及酒精使用的干预，以及通过技术平台提供的干预。指出了支持ABCT经济价值的额外成本效益和成本效果研究结果。该领域未来的研究方向包括对女性确诊患者、非传统夫妻、LGBT伴侣以及涉及非亲密伴侣关系的二元组的可能调整。开发更灵活的模式和加强传播策略可能会提高临床应用和实用性，并增加这种治疗在综合医疗环境中的可行性。
