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The Important People Drug and Alcohol Interview: Psychometric Properties Predictive Validity and Implications for Treatment

机译：重要人物毒品和酒精采访：心理计量学特性预测效度及其治疗意义

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Research with the Important People instrument has demonstrated that social support for abstinence is related to alcohol treatment outcomes but less work has been done on the role of network support in drug treatment outcomes. A drug and alcohol version of the Important People instrument (IPDA) was developed and administered to 141 patients in residential treatment for cocaine dependence. Three components were found, all with acceptable internal consistency: (1) substance involvement of the network, (2) general/treatment support, and (3) support for abstinence. These components and three fundamental network characteristics (size of daily network, size of network, and importance of the most important people) were investigated as correlates of pretreatment and posttreatment alcohol and drug use. The general/treatment support component and network size were inversely related to pretreatment days using drugs while network substance involvement positively correlated with pretreatment drinking frequency. Size of the daily network predicted less drinking, less drug use, and less problem severity during the 6 months after treatment whereas general/treatment support and support for abstinence did not predict outcome. Network substance involvement decreased for patients who stayed abstinent but not for those who later relapsed. Results suggest that increasing the number of people the patient sees daily while replacing substance-involved with abstinent-supportive people may improve treatment outcomes. Treatment programs may use the IPDA to identify clients most likely to benefit from changes in their social networks.
机译：重要人物工具的研究表明，戒酒的社会支持与酒精治疗的结果有关，但是关于网络支持在药物治疗结果中的作用的工作较少。开发了毒品和酒精版本的“重要人物”仪器（IPDA），并将其用于141名因可卡因依赖而住院治疗的患者。发现了三个组成部分，所有这些组成部分都具有可接受的内部一致性：（1）网络中的物质参与，（2）常规/治疗支持以及（3）禁欲支持。研究了这些组成部分和三个基本网络特征（日常网络的大小，网络的大小以及最重要人员的重要性），作为治疗前后酒精和药物使用的相关性。总体/治疗支持成分和网络规模与使用药物的预处理天数成反比，而网络物质的参与与预处理饮酒频率呈正相关。日常网络的规模预测出在治疗后的6个月内饮酒次数减少，药物使用减少以及问题严重程度降低，而一般/治疗支持和戒酒支持并不能预测结果。保持禁欲的患者的网络物质受累减少，但后来复发的患者并未减少。结果表明，增加患者每日看望的人数，同时用戒酒支持者代替涉及毒品的人，可能会改善治疗效果。治疗程序可以使用IPDA来识别最有可能从其社交网络的变化中受益的客户。

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