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The key relative's impact on treatment and course of alcoholism

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Summary

One hundred alcoholics participated in a 6-week inpatient and a 6-week outpatient therapy programme and a 6-month and 18-month follow-up. Major goals of the study were a descriptive analysis of the course of illness over time, the evaluation of the effects of therapy in general and concerning the specific effects of additional (A) systematic inclusion of the key relative versus (B) systematic involvement in self-help, and identification of predictors for relapse. While therapy as such was quite effective and resulted in significant changes in symptomatology and the scores on personality scales, the additional involvement of the key relative showed no substantial additional treatment effects. Partnership interactions showed a deterioration during therapy, with temporary increased frictions. Based on conservative calculations, 40% of all patients remained abstinent until the 6-month follow-up and 30% until the 18-month follow-up.

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References

  • Azrin NH, Sisson RW, Meyer R, Goldey M (1982) Alcoholism treatment by disulfiram and community reinforcement therapy. J Behav Ther Exp Psychiatry 13:105–112

    Google Scholar 

  • Booth BM, Yates WR, Petty F, Brown K (1990) Longitudinal characteristics of hospital use before and after alcoholism treatment. Am J Drug Alcohol Abuse 16:161–170

    Google Scholar 

  • Bowers TG, Al-Redha MR (1990) A comparison of outcome with group/marital and standard/individual therapies with alcoholics. J Stud Alcohol 51:301–309

    Google Scholar 

  • Brown GW, Rutter M (1966) The measurement of family activities and relationships: a methodological study. Hum Relat 19:241–263

    Google Scholar 

  • Costello RM, Biever P, Baillargeon JG (1977) Alcoholism treatment programming: historical trends and modern approaches. Alcohol Clin Exp Res 1:311–318

    Google Scholar 

  • Derogatis LR, Lipman RS, Covi L (1973) SCL-90: An outpatient psychiatric rating scale — preliminary report. Psychopharmacol Bull 9:13–17

    Google Scholar 

  • Emrick CD (1974) A review of psychologically oriented treatment of alcoholism. I. The use and interrelationship of outcome criteria and drinking behaviour following treatment. Q J Stud Alcohol 35:523–549

    Google Scholar 

  • Feuerlein W, Küfner H, Ringer CH, Antons K (1979). Münchner Alkoholismustest (Manual). Beltz Test, Weinheim

    Google Scholar 

  • Feuerlein W, Küfner H (1989) A prospective multicentre study of impatient treatment for alcoholics: 18- and 48-month follow-up (Munich evaluation of alcoholism treatment, MEAT). Eur Arch Psychiatr Neurol Sci 239:144–157

    Google Scholar 

  • Fichter MM, Postpischil F (1985) Behavioral family therapy in alcoholism. In: falloon I (ed) Handbook of Behavioral Family Therapy. Guilford Publications, New York

    Google Scholar 

  • Fichter MM, May F, Postpischil F (1983) Ein stationäres Kurzzeit-therapiemodell auf der Suchtstation der Psychiatrischen Universitätsklinik München. Eine Bilanz über das erste Jahr. In: Schrappe O (ed) Methoden der Behandlung von Alkohol-, Drogen- und Medikamentenabhängigkeit. Schauttauer, Stuttgart, pp 171–179

    Google Scholar 

  • Fichter MM, Frick U (1992) Therapie und Verlauf von Alkoholabhängigkeit. Springer, Heidelberg Berlin New York

    Google Scholar 

  • Hahlweg K (1979) Konstruktion und Validierung des Partnerschaftsfragebobens PFB. Z Klin Psychol 8:17–40

    Google Scholar 

  • Hoellen BM, Hoellen B (1985) Neue Ergebnisse der Alkoholismustherapie: Ein Überblick. Suchtgefahren 31:402–413

    Google Scholar 

  • Kaufman E, Pattison EM (1982) The family and alcoholism. In: Pattison EM, Kaufman E (eds) Encyclopedic Handbook of Alcoholism. Gardner Press, New York, pp 663–673

    Google Scholar 

  • Kreisman DE, Simmens SJ, Joy VD (1979) Rejecting the patient: preliminary validation of a self-report scale. Schizophrenia Bulletin 5/2:220–222

    Google Scholar 

  • Lienert GA (1978) Verteilungsfreie Methoden in der Biostatistik. Vol. II. Anton Hain, Meisenheim am Glan, pp 1246–1248

    Google Scholar 

  • Loosen PT, Dew BW, Prange AJ (1990) Longterm predictors of outcome in abstinent alcoholic men. Am J Psychiatry 147:1662–1666

    Google Scholar 

  • McCrady B, Noel N, Abrams D, Stout R et al. (1986) Comparative effectiveness of three kinds of spouse involvement in outpatient behavioral alcoholism treatment. J Stud Alcohol 47:459–467

    Google Scholar 

  • McCrady BS (1989) Outcomes of family-involved alcoholism-treatment. Recent Dev Alcohol 7:165–182

    Google Scholar 

  • McNabb J, Der-Karabetian A, Rhoads J (1989) Family involvement and outcome in treatment of alcoholism. Psychol Rep 65:1327–1330

    Google Scholar 

  • Midanik LT (1988) Validity of self-reported alcohol use: a literature review and assessment. Br J Addict 83:1019–1029

    Google Scholar 

  • Miller WR, Hester RK (1980) Treating the problem drinker: Modern approaches. In: Miller WR (ed) The addictive behaviours: treatment of alcoholism, drug abuses, smoking and obesity. Pergamon, Oxford, pp 11–14

    Google Scholar 

  • Monti PM, Abrams DB, Binkoff JA, Zwick WR, Liepman MR, Nirenberg TD, Rohsenow DJ (1990) Communication skills training, communication skills training with family and cognitive behavioral mood management training for alcoholics. J Study Alcohol 51:263–270

    Google Scholar 

  • Moos RH, Moos B (1984) The process of recovery from alcoholism: III. Comparing functioning in families of alcoholics and matched control families. Q J Stud Alcohol 45:111–118

    Google Scholar 

  • O'Farrell TJ, Birchler GR (1985) Marital relationships of alcoholic, conflicted and nonconflicted couples. Paper presented at the Annual Convention of the American Psychological Association (August 1985). Los Angeles, Calif.

  • O'Farrell TJ, Cutter HSG (1979) A proposed behavioral couples group for male alcoholics and their wives. In: Upper D, Ross SM (eds) Behavioral group therapy: An annual review, Research Press, Champaign, Ill., pp 277–298

    Google Scholar 

  • O'Farrell TJ, Cutter HSG, Floyd FJ (1985) Evaluation behavioral marital therapy for male alcoholics: effects on marital adjustment and communication from before to after therapy. Beh Therapy 16:147–167

    Google Scholar 

  • O'Farrell TJ, Cutter HSG, Choquette KA, Floyd FJ, Bayog RD (1992) Behavioral marital therapy for male alcoholics: marital and drinking adjustment during the two years after treatment. Behav Ther 23:529–549

    Google Scholar 

  • Parker G (1983) Parental overprotection: A risk factor in psychosocial development. Grune & Stratton, New York

    Google Scholar 

  • Regier DA, Boyd JH, Burke JD, Rae DS, Myers JK, Kramer M, Robins LN (1988) One-month prevalence of mental disorders in the United States. Arch Gen Psychiatry 45:977–968

    Google Scholar 

  • Robins LN, Helzer JE, Weissman MM, Orvaschel H, Gruenberg E, Burke JD (1984) Lifetime prevalence of specific psychiatric disorders in three sites. Arch Gen Psychiatry 41:949–958

    Google Scholar 

  • Shaw GK, Waller S, McDougall S, MacGarvie J, Dunn G (1990) Alcoholism: A follow-up study of participants in an alcohol treatment programm. Br J Psychiatry 157:190–196

    Google Scholar 

  • Vaughn CE, Leff JP (1976) The measurement of expressed emotion in the families of psychiatric patients. Br J Soc Clin Psychol 15:157–165

    Google Scholar 

  • Zerssen D von (1976) Beschwerdenliste. Beltz Verlag, Weinheim

    Google Scholar 

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Fichter, M.M., Frick, U. The key relative's impact on treatment and course of alcoholism. Eur Arch Psychiatry Clin Nuerosci 243, 87–94 (1993). https://doi.org/10.1007/BF02191570

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