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针对问题饮酒者的最低限度饮酒与强化控制饮酒治疗干预措施的比较。

A comparison of minimal versus intensive controlled drinking treatment interventions for problem drinkers.

作者信息

Robertson I, Heather N, Dzialdowski A, Crawford J, Winton M

出版信息

Br J Clin Psychol. 1986 Sep;25 ( Pt 3):185-94. doi: 10.1111/j.2044-8260.1986.tb00694.x.

DOI:10.1111/j.2044-8260.1986.tb00694.x
PMID:3768576
Abstract

Thirty-seven problem drinkers with problems of low to moderate severity were randomly allocated to two groups, one receiving 'minimal' treatment of three or four sessions' assessment and advice, and the other 'intensive' treatment of one or more of a selection of individually tailored, cognitive-behavioural therapies lasting an average of 9.1 sessions. The two groups were followed up an average of 15.5 months after termination of treatment. Analysis of covariance revealed that the intensive group reduced consumption significantly more than the minimal group. Also, the intensive group showed a significantly greater increase in the number of days abstinent in the month prior to follow-up. Analysis of covariance also showed that, in spite of their small numbers (n = 7), women increased their days abstinent by a significantly greater amount and reported a significantly greater reduction in number of days drinking between 10 and 20 units. Overall, successful outcome was associated with higher pre-treatment employment and higher alcohol consumption although, given the large numbers of measures, these findings could have occurred by chance.

摘要

37名存在低至中度严重程度问题的酗酒者被随机分为两组,一组接受为期三或四次评估与建议的“最低限度”治疗,另一组接受一种或多种个体化定制的认知行为疗法的“强化”治疗,这些疗法平均持续9.1个疗程。两组在治疗结束后平均随访了15.5个月。协方差分析显示,强化治疗组的饮酒量减少幅度显著大于最低限度治疗组。此外,强化治疗组在随访前一个月的戒酒天数显著增加。协方差分析还表明,尽管女性人数较少(n = 7),但她们的戒酒天数增加幅度显著更大,并且报告称饮酒量在10至20个单位之间的天数减少幅度显著更大。总体而言,成功的治疗结果与治疗前较高的就业率和较高的酒精摄入量相关,不过,鉴于测量指标众多,这些结果可能是偶然出现的。

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引用本文的文献

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Meta-analysis of randomized control trials addressing brief interventions in heavy alcohol drinkers.针对重度饮酒者进行简短干预的随机对照试验的荟萃分析。
J Gen Intern Med. 1997 May;12(5):274-83. doi: 10.1046/j.1525-1497.1997.012005274.x.
3
Evaluation of a controlled drinking minimal intervention for problem drinkers in general practice (the DRAMS scheme).对全科医疗中问题饮酒者的适度饮酒最小干预措施的评估(DRAMS 方案)。
J R Coll Gen Pract. 1987 Aug;37(301):358-63.
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Alpha 1 antitrypsin phenotypes and alcoholic pancreatitis.α1抗胰蛋白酶表型与酒精性胰腺炎
Gut. 1991 Aug;32(8):945-8. doi: 10.1136/gut.32.8.945.