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A Randomized Trial of Individual and Couple Behavioral Alcohol Treatment for Women

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Title: A Randomized Trial of Individual and Couple Behavioral Alcohol Treatment for Women
Language: English
Authors: Mccrady, Barbara S., Epstein, Elizabeth E., Cook, Sharon
Source: Journal of Consulting and Clinical Psychology. Apr 2009 77(2):243-256.
Availability: American Psychological Association. Journals Department, 750 First Street NE, Washington, DC 20002-4242. Tel: 800-374-2721; Tel: 202-336-5510; Fax: 202-336-5502; e-mail: order@apa.org; Web site: http://www.apa.org/publications
Peer Reviewed: Y
Physical Description: PDF
Page Count: 14
Publication Date: 2009
Document Type: Journal Articles
Reports - Research
Descriptors: Females, Drinking, Alcohol Abuse, Family Counseling, Counseling Techniques, Outcomes of Treatment, Counseling Effectiveness, Individual Characteristics, Family Income, Age Differences, Educational Attainment, Employment Level, Family Structure, Mental Disorders, Drug Abuse, Behavior Modification, Cognitive Restructuring
DOI: 10.1037/a0014686
ISSN: 0022-006X
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). (Contains 3 footnotes, 5 tables, and 5 figures.)
Abstractor: As Provided
Number of References: 43
Entry Date: 2009
Accession Number: EJ833335
Database: ERIC
FullText Text:
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  Data: A Randomized Trial of Individual and Couple Behavioral Alcohol Treatment for Women
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  Data: <searchLink fieldCode="AR" term="%22Mccrady%2C+Barbara+S%2E%22">Mccrady, Barbara S.</searchLink><br /><searchLink fieldCode="AR" term="%22Epstein%2C+Elizabeth+E%2E%22">Epstein, Elizabeth E.</searchLink><br /><searchLink fieldCode="AR" term="%22Cook%2C+Sharon%22">Cook, Sharon</searchLink>
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  Data: <searchLink fieldCode="SO" term="%22Journal+of+Consulting+and+Clinical+Psychology%22"><i>Journal of Consulting and Clinical Psychology</i></searchLink>. Apr 2009 77(2):243-256.
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  Data: American Psychological Association. Journals Department, 750 First Street NE, Washington, DC 20002-4242. Tel: 800-374-2721; Tel: 202-336-5510; Fax: 202-336-5502; e-mail: order@apa.org; Web site: http://www.apa.org/publications
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  Data: 14
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  Data: Journal Articles<br />Reports - Research
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  Data: <searchLink fieldCode="DE" term="%22Females%22">Females</searchLink><br /><searchLink fieldCode="DE" term="%22Drinking%22">Drinking</searchLink><br /><searchLink fieldCode="DE" term="%22Alcohol+Abuse%22">Alcohol Abuse</searchLink><br /><searchLink fieldCode="DE" term="%22Family+Counseling%22">Family Counseling</searchLink><br /><searchLink fieldCode="DE" term="%22Counseling+Techniques%22">Counseling Techniques</searchLink><br /><searchLink fieldCode="DE" term="%22Outcomes+of+Treatment%22">Outcomes of Treatment</searchLink><br /><searchLink fieldCode="DE" term="%22Counseling+Effectiveness%22">Counseling Effectiveness</searchLink><br /><searchLink fieldCode="DE" term="%22Individual+Characteristics%22">Individual Characteristics</searchLink><br /><searchLink fieldCode="DE" term="%22Family+Income%22">Family Income</searchLink><br /><searchLink fieldCode="DE" term="%22Age+Differences%22">Age Differences</searchLink><br /><searchLink fieldCode="DE" term="%22Educational+Attainment%22">Educational Attainment</searchLink><br /><searchLink fieldCode="DE" term="%22Employment+Level%22">Employment Level</searchLink><br /><searchLink fieldCode="DE" term="%22Family+Structure%22">Family Structure</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+Disorders%22">Mental Disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Drug+Abuse%22">Drug Abuse</searchLink><br /><searchLink fieldCode="DE" term="%22Behavior+Modification%22">Behavior Modification</searchLink><br /><searchLink fieldCode="DE" term="%22Cognitive+Restructuring%22">Cognitive Restructuring</searchLink>
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  Data: 10.1037/a0014686
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  Data: 0022-006X
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  Data: 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). (Contains 3 footnotes, 5 tables, and 5 figures.)
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  Data: 2009
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  Data: EJ833335
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        Value: 10.1037/a0014686
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        PageCount: 14
        StartPage: 243
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      – SubjectFull: Females
        Type: general
      – SubjectFull: Drinking
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      – SubjectFull: Alcohol Abuse
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      – SubjectFull: Family Counseling
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      – SubjectFull: Individual Characteristics
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      – SubjectFull: Family Income
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      – SubjectFull: Age Differences
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      – SubjectFull: Employment Level
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      – SubjectFull: Behavior Modification
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      – SubjectFull: Cognitive Restructuring
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      – TitleFull: A Randomized Trial of Individual and Couple Behavioral Alcohol Treatment for Women
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