Rounsaville B J, Glazer W, Wilber C H, Weissman M M, Kleber H D
Arch Gen Psychiatry. 1983 Jun;40(6):629-36. doi: 10.1001/archpsyc.1983.04390010039005.
A clinical trial was used to evaluate short-term interpersonal psychotherapy (IPT) as treatment for psychiatric disorders in opiate addicts who were also participating in a full-service methadone hydrochloride maintenance program. Seventy-two opiate addicts were randomly assigned to one of two treatment conditions for six months: (1) IPT, consisting of weekly individual psychotherapy, and (2) low-contact treatment, consisting of one brief meeting per month. Recruitment was a problem, as only 5% of eligible clients agreed to participate and only around half of the subjects completed the study treatment. The outcome was similar for the two study groups. However, in many of the outcome areas, subjects in both treatment conditions attained significant clinical improvement. Several factors limited the generalizability of findings and may have biased against showing a psychotherapy effect.
一项临床试验旨在评估短期人际心理治疗(IPT)对同时参加全面美沙酮盐酸维持治疗项目的阿片类成瘾者精神疾病的治疗效果。72名阿片类成瘾者被随机分配到两种治疗方案之一,为期6个月:(1)IPT,包括每周一次的个体心理治疗;(2)低接触治疗,包括每月一次简短会面。招募存在问题,因为只有5%符合条件的客户同意参与,且只有约一半的受试者完成了研究治疗。两个研究组的结果相似。然而,在许多结果领域,两种治疗方案的受试者都取得了显著的临床改善。有几个因素限制了研究结果的普遍性,可能不利于显示心理治疗的效果。