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Dose of psychotherapy and long-term recovery outcomes: An examination of attendance patterns in alcohol use disorder treatment.
Journal of Consulting and Clinical Psychology ( IF 4.5 ) Pub Date : 2021-12-01 , DOI: 10.1037/ccp0000703
Rory A Pfund 1 , Kevin A Hallgren 2 , Stephen A Maisto 3 , Matthew R Pearson 1 , Katie Witkiewitz 1
Affiliation  

OBJECTIVES The purpose of this study was to examine associations between psychotherapy session attendance, alcohol treatment outcomes, and Alcoholics Anonymous (AA) attendance. METHOD Using data from Project MATCH, repeated measures latent class analyses of psychotherapy session attendance were conducted among participants in the outpatient arm who were randomly assigned to complete 12-session cognitive-behavioral therapy (CBT; n = 301), 12-session twelve-step facilitation (TSF; n = 335), or 4-session motivational enhancement therapy (MET; n = 316). Associations between psychotherapy attendance classes, heavy drinking, alcohol-related consequences, psychosocial functioning, and AA attendance were examined at posttreatment (97% retention), 1-year posttreatment (92% retention), and 3-years posttreatment (85% retention). RESULTS In general, participants who attended all 12 CBT/TSF sessions had significantly fewer heavy drinking days and alcohol-related consequences at all posttreatment time points than participants who attended 0-2 CBT/TSF sessions. Participants who attended all four MET sessions generally had significantly fewer heavy drinking days and alcohol-related consequences at posttreatment and 1-year posttreatment than participants who attended 0-1 MET sessions. Participants who attended more TSF and MET sessions generally attended more AA meetings, and participants who attended less CBT sessions generally attended fewer AA meetings. CONCLUSIONS With some exceptions, attending all sessions in CBT, TSF, and MET was related to the most favorable heavy drinking and alcohol-related consequences outcomes. Alcoholics' Anonymous and other mutual help groups may be attended differently based on the form and dose of psychotherapy (PsycInfo Database Record (c) 2022 APA, all rights reserved).

中文翻译:

心理治疗的剂量和长期恢复结果:酒精使用障碍治疗中出勤模式的检查。

目标 本研究的目的是检查心理治疗会议出勤率、酒精治疗结果和匿名戒酒会 (AA) 出勤率之间的关联。方法 使用来自 Project MATCH 的数据,在门诊组的参与者中进行心理治疗会议出勤率的重复测量潜在类别分析,这些参与者被随机分配到完成 12 节认知行为治疗(CBT;n = 301),12 节十二-步骤促进(TSF;n = 335),或 4 疗程动机增强疗法(MET;n = 316)。在治疗后(97% 保留率)、治疗后 1 年(92% 保留率)和治疗后 3 年(85% 保留率)检查心理治疗出勤率、酗酒、酒精相关后果、心理社会功能和 AA 出勤率之间的关联. 结果 一般来说,与参加 0-2 次 CBT/TSF 会议的参与者相比,参加所有 12 次 CBT/TSF 会议的参与者在所有治疗后时间点的重度饮酒天数和酒精相关后果明显减少。与参加 0-1 MET 会议的参与者相比,参加所有四个 MET 会议的参与者在治疗后和治疗后 1 年的重度饮酒天数和酒精相关后果明显减少。参加更多 TSF 和 MET 会议的参与者通常参加更多的 AA 会议,而参加较少 CBT 会议的参与者通常参加较少的 AA 会议。结论 除了一些例外,参加 CBT、TSF 和 MET 的所有会议与最有利的大量饮酒和酒精相关后果结果相关。酗酒者
更新日期:2021-12-01
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