Breslin F C, Sobell M B, Sobell L C, Sdao-Jarvie K, Sagorsky L
Addiction Research Foundation, Toronto, Ontario, Canada.
J Subst Abuse. 1996;8(4):479-86. doi: 10.1016/s0899-3289(96)90009-7.
Problem drinkers' alternatives to high-risk situations were evaluated and related to treatment outcome. participants were 80 problem drinkers (64% males, 36% females) who completed a brief outpatient Guided Self-Change treatment. Treatment included a homework exercise where clients identified two to three high-risk situations and generated alternative responses for each situation. Based on a coding scheme developed by Moser and Annis (1996), responses were coded as (a) cognitive or behavioral, and (b) active or avoidant. Results indicated that the proportion of cognitive coping responses (e.g., thinking through the consequences) was positively related to posttreatment improvement. This prospective study suggests that intention to use active cognitive coping responses influences the relapse process.
对问题饮酒者应对高风险情境的替代方式进行了评估，并将其与治疗结果相关联。参与者为80名问题饮酒者（64%为男性，36%为女性），他们完成了简短的门诊指导自我改变治疗。治疗包括一项家庭作业练习，让来访者识别两到三种高风险情境，并针对每种情境生成替代反应。根据莫泽和安妮斯（1996年）制定的编码方案，反应被编码为（a）认知或行为，以及（b）积极或回避。结果表明，认知应对反应（例如，思考后果）的比例与治疗后改善呈正相关。这项前瞻性研究表明，使用积极认知应对反应的意图会影响复发过程。
