Individualized assessment and treatment program for alcohol dependence: results of an initial study to train coping skills.
Aims Cognitive-behavioral treatments (CBT) are among the most popular interventions offered for alcohol and other substance use disorders, but it is not clear how they achieve their effects. CBT is purported to exert its beneficial effects by altering coping skills, but data supporting coping change...
| Publicado en: | Addiction Vol. 104; no. 11; pp. 1837 - 1849 |
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| Autores principales: | , , |
| Formato: | clinical trial research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Nov2009
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105328319&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105328319 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09652140 AIO jtl: Addiction issn: 09652140 maglogo: Y pubinfo: dt: Nov2009 vid: 104 iid: 11 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 105328319 2010442936 10.1111/j.1360-0443.2009.02693.x NLM19712124 105328319 ppf: 1837 ppct: 12 formats: fmt: @attributes: type: P tig: atl: Individualized assessment and treatment program for alcohol dependence: results of an initial study to train coping skills. aug: au: Litt MD Kadden RM Kabela-Cormier E affil: Department of Behavioral Sciences and Community Health, University of Connecticut Health Center, Farmington, CT, USA. sug: subj: Alcohol Rehabilitation Programs Alcoholism Diagnosis Alcoholism Therapy Cognitive Therapy Coping Adult Alcoholism Psychosocial Factors Breath Tests Chi Square Test Clinical Trials Data Analysis Software Descriptive Statistics Female Funding Source Interview Guides Logistic Regression Male Maximum Likelihood Middle Age Odds Ratio Outpatients Pilot Studies Post Hoc Analysis Pretest-Posttest Design Psychological Tests Scales Substance Abuse Detection Methods Treatment Outcomes Wireless Communications Human Adult: 19-44 years Middle Aged: 45-64 years Female Male ab: Aims Cognitive-behavioral treatments (CBT) are among the most popular interventions offered for alcohol and other substance use disorders, but it is not clear how they achieve their effects. CBT is purported to exert its beneficial effects by altering coping skills, but data supporting coping changes as the mechanism of action are mixed. The purpose of this pilot study was to test a treatment in which coping skills were trained in a highly individualized way, allowing us to determine if such training would result in an effective treatment. Design Participants were assigned randomly to a comprehensive packaged CBT program (PCBT), or to an individualized assessment and treatment program (IATP). The IATP program employed experience sampling via cellphone to assess coping skills prior to treatment, and provided therapists with a detailed understanding of patients' coping strengths and deficits. Setting Out-patient treatment. Participants A total of 110 alcohol-dependent men and women. Measurements Participants in both conditions completed experience sampling of situations, drinking and coping efforts prior to, and following, 12 weeks of treatment. Time-line follow-back procedures were also used to record drinking at baseline and post-treatment. Findings IATP yielded higher proportion of days abstinent (PDA) at post-treatment (P < 0.05) than did PCBT, and equivalent heavy drinking days. IATP also elicited more momentary coping responses and less drinking in high-risk situations, as recorded by experience sampling at post-treatment. Post-treatment coping response rates were associated with decreases in drinking. Conclusions The IATP approach was more successful than PCBT at training adaptive coping responses for use in situations presenting a high risk for drinking. The highly individualized IATP approach may prove to be an effective treatment strategy for alcohol-dependent patients. pubtype: Academic Journal doctype: clinical trial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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