Longabaugh R, Wirtz P W, Beattie M C, Noel N, Stout R
Center for Alcohol and Addiction Studies, Brown University, Providence, Rhode Island 02912, USA.
J Consult Clin Psychol. 1995 Apr;63(2):296-307. doi: 10.1037//0022-006x.63.2.296.
Patients were randomly assigned to 1 of 3 treatments: brief broad-spectrum (BBS), extended relationship enhancement (ERE), or extended cognitive-behavioral (ECB). A hierarchical latent growth model was used to analyze the data of 188 patients (82%) followed for 18 months. ERE treatment was significantly more effective in increasing abstinence of patients entering treatment with a network unsupportive of abstinence or with a low level of investment in their network, whereas BBS treatment was more effective for patients with either (a) both a social network unsupportive of abstinence and a low level of network investment or (b) high investment in a network supportive of abstinence. ECB outcomes were neither as good as those matched nor as bad as those mismatched to the different exposures of relationship enhancement. This suggests that dose of relationship enhancement should be determined after assessing patient relationships.
简短广谱治疗（BBS）、强化关系增强治疗（ERE）或强化认知行为治疗（ECB）。采用分层潜在增长模型对188名患者（82%）随访18个月的数据进行分析。对于那些进入治疗时其社交网络不支持戒酒或对社交网络投入较少的患者，ERE治疗在提高戒酒率方面显著更有效，而BBS治疗对于以下两类患者更有效：（a）社交网络既不支持戒酒且对社交网络投入较少，或（b）对支持戒酒的社交网络投入较高。ECB治疗的结果既不像与关系增强的不同暴露相匹配的结果那么好，也不像与之不匹配的结果那么差。这表明，应在评估患者关系后确定关系增强的剂量。
