Stringer A Y, Goldman M S
Department of Rehabilitation Medicine, Emory University, Atlanta, Georgia 30322.
J Stud Alcohol. 1988 Sep;49(5):406-11. doi: 10.15288/jsa.1988.49.406.
Neuropsychological functioning in alcoholics has been known to improve with length of abstinence. However, recovery in some areas is limited in the absence of specific cognitive stimulation. In order to better identify the factor(s) responsible for experience-dependent recovery in alcoholics, the current investigation compared a strategy training approach to the unstructured practice approach used in previous studies. Results showed that both treatments improved Block Design performance in abstinent male alcoholics to levels comparable to nonalcoholic controls, while unremediated alcoholics remained significantly impaired. Unstructured practice was sufficient to improve Block Design performance, with no additional advantage evident in alcoholics receiving strategy training. Hence, forced use of cognitive skills appears to be the important factor in experience-dependent recovery.
众所周知，酗酒者的神经心理功能会随着戒酒时间的延长而改善。然而，在缺乏特定认知刺激的情况下，某些方面的恢复是有限的。为了更好地确定导致酗酒者经验依赖性恢复的因素，当前的研究将一种策略训练方法与先前研究中使用的无结构化练习方法进行了比较。结果表明，两种治疗方法都使戒酒的男性酗酒者的积木图案测验成绩提高到了与非酗酒对照组相当的水平，而未经治疗的酗酒者仍然明显受损。无结构化练习足以提高积木图案测验成绩，接受策略训练的酗酒者没有明显的额外优势。因此，强迫使用认知技能似乎是经验依赖性恢复的重要因素。
