Page R D, Badgett S
Am J Drug Alcohol Abuse. 1984;10(4):589-605. doi: 10.3109/00952998409001495.
Environmental support contracting was evaluated as an ancillary treatment to more traditional alcoholism rehabilitation. Eighty-eight male alcoholics, who scored 10 or higher on the Environmental Deprivation Scale (EDS), were randomly dichotomized between experimental and control groups. The control group participated only in the routine, eclectic, 28-d inpatient alcoholism treatment program at this medical center. The experimental group additionally completed training to improve environmental support. Dependent variables included the EDS, the Maladaptive Behavior Rating (MBR), days of hospitalization, medical visits, and the number of medications. Each dependent variable was assessed prior to treatment, 3 months following initiation of treatment and/or 6 months following treatment. A high positive correlation was obtained between EDS and MBR scores on the 3 and 6 month followup. Both the experimental and control groups improved with regard to their level of environmental and control groups improved with regard to their level of environmental support and relative coping ability, showing less maladaptive behavior and hospitalization following treatment. The experimental group demonstrated statistically significant treatment benefit over the traditionally treated control group on both the EDS and MBR subcategories of employment at 6 months following initiation of alcohol treatment. Environmental support contracting appears to be a worthwhile addition to alcohol treatment regimen.
环境支持契约被评估为一种辅助治疗方法，用于更传统的酒精成瘾康复治疗。88名男性酗酒者，其在环境剥夺量表（EDS）上的得分达到10分或更高，被随机分为实验组和对照组。对照组仅参加该医疗中心常规的、折中的28天住院酒精成瘾治疗项目。实验组额外完成了改善环境支持的培训。因变量包括EDS、适应不良行为评分（MBR）、住院天数、就诊次数和药物数量。每个因变量在治疗前、治疗开始后3个月和/或治疗后6个月进行评估。在3个月和6个月的随访中，EDS和MBR得分之间获得了高度正相关。实验组和对照组在环境支持水平和相对应对能力方面均有所改善，治疗后表现出较少的适应不良行为和住院情况。在酒精治疗开始6个月后，实验组在EDS和MBR就业子类别上显示出比传统治疗的对照组具有统计学意义的治疗益处。环境支持契约似乎是酒精治疗方案中一项值得添加的内容。
