Center of Alcohol Studies, Rutgers, The State University of New Jersey.
Psychol Addict Behav. 2018 Feb;32(1):1-15. doi: 10.1037/adb0000330. Epub 2017 Nov 20.
This study compared Female-Specific Cognitive Behavioral Therapy (FS-CBT) to evidence-based, gender-neutral CBT (GN-CBT; Epstein & McCrady, 2009) for women with alcohol use disorder (AUD). Women (N = 99) with AUD, mean age 48, were randomly assigned to 12 outpatient manual-guided sessions of FS-CBT (n = 44) or GN-CBT (n = 55). Women were assessed at baseline and 3, 9 and 15 months after baseline for drinking and for specific issues common among women with AUD. A FS-CBT protocol was developed that was discriminable on treatment integrity ratings from GN-CBT. No treatment condition differences were found in treatment engagement, changes in drinking, alcohol-related coping, abstinence self-efficacy, motivation to change, or constructs directly targeted in FS-CBT (sociotropy, autonomy, depression, anxiety). Women in both conditions were highly engaged and satisfied with treatment, and reported significant reductions in drinking and changes in desired directions for all other variables except social support for abstinence. In the year following treatment, women in the FS-CBT but not in the CBT condition reported an increase in percentage of abstainers in their social networks (0.69% per month, SE = 0.21, p = .002). The value and appeal of female-specific programming in AUD treatment has been established in the wider literature (Epstein & Menges, 2013), and the current study provides support for the use of the Female-Specific Cognitive Behavioral Therapy (FS-CBT) manual as an option that may yield outcomes similar to standard gender-neutral CBT for women with AUD. Future research should examine whether FS-CBT enhances treatment utilization for women. (PsycINFO Database Record
这项研究比较了女性特定认知行为疗法（FS-CBT）与基于证据的、性别中立的认知行为疗法（GN-CBT；Epstein & McCrady，2009）在女性酒精使用障碍（AUD）中的效果。女性（N = 99），平均年龄 48 岁，随机分配到 12 次门诊手册指导的 FS-CBT（n = 44）或 GN-CBT（n = 55）治疗组。在基线时和基线后 3、9 和 15 个月评估女性的饮酒情况和女性 AUD 中常见的特定问题。开发了一种 FS-CBT 方案，该方案在治疗完整性评估中与 GN-CBT 有区别。在治疗参与度、饮酒变化、与酒精相关的应对方式、戒酒自我效能、改变动机或 FS-CBT 直接针对的结构（社交依赖、自主性、抑郁、焦虑）方面，两种治疗条件之间没有发现差异。两种治疗条件下的女性都非常投入并对治疗感到满意，并报告说除了戒酒的社会支持外，所有其他变量的饮酒量都显著减少，并且朝着期望的方向发生了变化。在治疗后的一年中，FS-CBT 组而不是 CBT 组的女性报告说，她们社交网络中的戒酒者比例增加（每月 0.69%，SE = 0.21，p =.002）。女性特定编程在 AUD 治疗中的价值和吸引力在更广泛的文献中已经得到确立（Epstein & Menges，2013），本研究为使用女性特定认知行为疗法（FS-CBT）手册提供了支持，该手册可能为女性 AUD 患者提供与标准性别中立 CBT 相似的结果。未来的研究应该检验 FS-CBT 是否能增强女性的治疗利用率。
