A randomized trial of individual and couple behavioral alcohol treatment for women.
Authors:
- Barbara S. McCradyBMBarbara S. McCrady
- Elizabeth E. EpsteinEEElizabeth E. Epstein
- Sharon CookSCSharon Cook
- Noelle JensenNJNoelle Jensen
- Thomas HildebrandtTHThomas Hildebrandt
- 1 April 2009
- journal article
- research article
- Published by American Psychological Association (APA) in Journal of Consulting and Clinical Psychology
- Vol. 77 (2) , 243-256
Abstract
Although alcohol use disorders (AUDs) adversely affect women, research on efficacious treatments for women is limited. In this randomized efficacy trial of 102 heterosexual women with AUDs, the authors compared alcohol behavioral couple therapy (ABCT) and alcohol behavioral individual therapy (ABIT) on percentage of days abstinent (PDA) and percentage of days of heavy drinking (PDH) over 6 months of treatment and 12 months of posttreatment follow-up. Baseline relationship functioning and comorbid disorders were tested as moderators of outcome. Piecewise linear growth models were used to model outcomes. During treatment, women increased their PDA and decreased their PDH, with significantly greater improvements in ABCT than in ABIT (d = 0.59 for PDA; d = 0.79 for PDH). Differences favoring ABCT were maintained during follow-up. Women with poorer baseline relationship functioning improved more on PDA during treatment with ABCT than with ABIT. For PDH, results during treatment and follow-up favored ABCT for women with better baseline relationship functioning. ABCT resulted in better outcomes than ABIT for women with Axis I disorders at the end of follow-up (PDA), and for women with Axis II disorders at the end of treatment (PDA) and at the end of follow-up (PDH).Keywords
Funding Information
- National Institute on Alcohol Abuse and Alcoholism (R37 AA07070)
This publication has 25 references indexed in Scilit:
- Alcoholism in women: is it different in onset and outcome compared to men?European Archives of Psychiatry and Clinical Neuroscience, 2007
- Learning sobriety together: A randomized clinical trial examining behavioral couples therapy with alcoholic female patients.Journal of Consulting and Clinical Psychology, 2006
- Is alcohol assessment therapeutic? Pretreatment change in drinking among alcohol-dependent women.Journal of Studies on Alcohol, 2005
- Active Ingredients: How and Why Evidence-Based Alcohol Behavioral Treatment Interventions WorkAlcohol, Clinical and Experimental Research, 2005
- Maintaining change after conjoint behavioral alcohol treatment for men: outcomes at 6 monthsAddiction, 1999
- Male and female alcoholics' attributions regarding the onset and termination of relapses and the maintenance of abstinenceJournal of Substance Abuse, 1998
- Expressed emotion and relapse in alcoholic patients.Journal of Consulting and Clinical Psychology, 1998
- Internal validity of project MATCH treatments: Discriminability and integrity.Journal of Consulting and Clinical Psychology, 1998
- Gender differences in relapse situations.1996
- Gender differences in the probability of alcohol treatmentJournal of Substance Abuse, 1996