Jackson P, Oei T P
Drug Alcohol Depend. 1978 Sep;3(5):369-74. doi: 10.1016/0376-8716(78)90007-8.
Social skills training (SST) has been shown to produce significant increases in skills immediately after training. However, persistence of skills has not been demonstrated during the follow-up period. The present study investigated this issue using SST and cognitive restructuring (CR) methods. Twenty-four hospitalized "alcoholics" were allocated to one of the following three group: (i) SST, (ii) CR, and (iii) traditional supportive therapy (TST). Twelve 2-hour sessions were conducted with each group. Before, following, and three months after treatment (i) behaviour ratings through structured interview, (ii) nurses' ratings, (iii) self-reported ratings of social skills and (iv) alcohol intake were recorded. Analysis of variance indicated SST to be significantly superior on all measures compared to CR, which was superior to TST immediately after training. However, 3 months after treatment, the subjects in the CR group indicated greater skill increments than the SST group subjects who, in turn, showed greater improvement than subjects in the TST group. These results led to the conclusion that CR was more effective than SST and TST in producing long-term skill increments. The significance of these findings in providing support for the social learning model of alcohol dependence and cognitive restructuring theory of social skills modification is discussed.
社交技能训练（SST）已被证明在训练后能立即显著提高技能。然而，在随访期间，技能的持续性尚未得到证实。本研究使用社交技能训练和认知重构（CR）方法对这一问题进行了调查。24名住院“酗酒者”被分配到以下三组之一：（i）社交技能训练组，（ii）认知重构组，（iii）传统支持性治疗组（TST）。每组进行了12次两小时的治疗。在治疗前、治疗后以及治疗后三个月，记录了以下内容：（i）通过结构化访谈进行的行为评分，（ii）护士的评分，（iii）社交技能的自我报告评分，以及（iv）酒精摄入量。方差分析表明，与认知重构组相比，社交技能训练组在所有测量指标上都显著更优，而认知重构组在训练后立即优于传统支持性治疗组。然而，在治疗三个月后，认知重构组的受试者技能提升幅度大于社交技能训练组的受试者，而社交技能训练组的受试者又比传统支持性治疗组的受试者表现出更大的改善。这些结果得出结论，在产生长期技能提升方面，认知重构比社交技能训练和传统支持性治疗更有效。本文讨论了这些发现对于支持酒精依赖的社会学习模型和社交技能修正的认知重构理论的意义。
