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首页> 外文期刊>Journal of substance abuse treatment >Duration of therapy – Does it matter?
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Duration of therapy – Does it matter?

机译：治疗持续时间 - 是否重要？

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Abstract Background The recommendations in clinical guidelines for duration of therapy for alcohol use disorder (AUD) are based on consensus decisions. In reality, we do not know the optimal duration of an alcohol treatment course. Methods A systematic review and meta-regression of randomized controlled trials of psychosocial treatment in alcohol outpatient treatment centers. The population consisted of adults suffering from AUD, treated in an outpatient facility with at least two sessions of therapy. Meta-regression analysis was performed with treatment outcome as a function of duration of therapy across studies. Treatment outcome was defined as long-term alcohol use measured in percentage of days abstinent (PDA), percentage of heavy days drinking (PHD), and/or proportion of participants abstinent (ABS). Results 48 studies encompassing 8984 participants. Mean planned duration of therapy: 18 (882) weeks and 14 (236) sessions. Mean actual attended sessions: 9 (126). Mean follow-up time: 43 (8104) weeks with a mean of 6 (218) research assessments. Neither planned weeks, duration of sessions, frequency of sessions per week, nor actual attended sessions were associated with long-term alcohol use outcomes. However, frequency of research assessments was positively associated with PDA and PHD. Conclusion No associations between long-term alcohol use outcomes and planned or actual attended duration of psychosocial treatment in outpatient care. Research assessments and, accordingly, the research project in itself may influence outcome in studies of psychosocial treatment for alcohol use disorder. Highlights " Planned duration of therapy not associated with outcome in use of alcohol " Actual attended sessions of therapy not associated with outcome in use of alcohol " Frequency of research assessments significantly associated with use of alcohol " Emphasizes the importance of checkups for people with alcohol use disorder
机译：摘要背景技术临床指南用于饮酒持续时间（AUD）的持续时间（AUD）是基于共识决定。实际上，我们不知道酒精治疗课程的最佳持续时间。方法对酒精门诊治疗中心的心理社会治疗随机对照试验进行系统评价和荟萃回归。这些人口由患有澳元患者的成年人组成，在门诊设施中处理，至少有两届治疗会议。通过治疗结果进行荟萃回归分析作为跨研究持续时间的函数进行。治疗结果被定义为以爆炸（PDA）的百分比百分比测量的长期酒精用途，沉重日饮酒（PHD）的百分比和/或参与者戒断（ABS）的比例。结果48研究包括8984名参与者。平均计划的治疗持续时间：18（882）周和14个（236）届会议。平均实际参加会议：9（126）。平均随访时间：43（8104）周，其平均值为6（218）研究评估。既不是计划数周，会议持续时间，每周次数，也不是实际出席的会话与长期酒精使用结果相关。然而，研究评估的频率与PDA和PHD呈正相关。结论长期酒精使用成果与计划或实际出席的心理社会治疗期间的关联在门诊护理中。因此，研究评估本身本身可能会影响对醇类使用障碍的心理社会治疗研究的结果。亮点“未经酒精的使用结果未与结果无关的持续治疗的持续时间”实际出席的治疗会议与使用醇的结果无关的治疗与使用酒精显着相关的研究评估频率“强调了培养人使用的人员的重要性紊乱

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