简短的认知行为干预,以促进严重饮酒障碍的成年人寻求治疗:随机对照试验
Kenneth R Conner1,2, Stephen A Maisto3, Beau Abar1
1Department of Emergency Medicine, University of Rochester Medical Center, Rochester, New York, USA.
Addiction (Abingdon, England)
|July 25, 2023
概括
一个简短的认知行为治疗治疗寻求干预并没有增加寻求治疗的严重酒精使用障碍 (AUD). 这项干预措施对男性有潜在的益处,但对患有AUD的女性没有.
科学领域:
- 成 药物 药物 药物 药物
- 临床心理学 临床心理学
- 公共卫生 公共卫生
背景情况:
- 有限的随机对照试验 (RCT) 证据表明,短期干预可以改善严重酒精使用障碍 (AUD) 寻求治疗的情况.
- 增加治疗以减少AUD患者的酒精消费的有效性也尚未得到充分证实.
研究的目的:
- 测试一项旨在增加严重AUD的未经治疗的成年人寻求治疗的简短干预措施的有效性.
- 评估干预对酒精使用的影响作为次要结果.
主要方法:
- 一个并行组,非药物随机对照试验与400名参与者进行.
- 干预组接受了一次电话交付的治疗寻求治疗的认知行为疗法 (CBT-TS),而对照组阅读了一份信息小册子.
- 盲目的评估人员在1,3个月和6个月后进行了跟踪,主要结果是3个月内的任何AUD治疗使用.
主要成果:
- 在CBT-TS干预组 (19%) 和3个月后对照组 (18%) 之间没有观察到寻求治疗的显著差异 (χ2 [1] = 0.16,P = 0.689).
- 在性别和干预分配之间发现了显著的相互作用 (β = -1.197,P = 0.027).
- 后期分析表明,CBT-TS可能对男性有效 (22%对13%,P=0.071),但对女性不有效 (17%对24%).
结论:
- 一次性CBT-TS干预并没有显著增加严重AUD的未经治疗的成年人寻求治疗的数量.
- 干预的有效性可能因性别而异,在男性中观察到潜在的益处,尽管需要进一步的研究.
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