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Pretreatment Assessment-Related Reductions in Drinking Among Women With Alcohol Use Disorders.

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Title: Pretreatment Assessment-Related Reductions in Drinking Among Women With Alcohol Use Disorders.
Authors: Worden, Blaise L. (AUTHOR), Epstein, Elizabeth E. (AUTHOR), McCrady, Barbara S. (AUTHOR)
Source: Substance Use & Misuse. Jan2015, Vol. 50 Issue 2, p215-225. 11p. 2 Diagrams, 3 Charts, 2 Graphs.
Subjects: Rehabilitation of people with alcoholism, Cognitive therapy, Alcoholism, Analysis of variance, Chi-squared test, Drinking behavior, Medical needs assessment, Substance abuse, Women's health, Pre-tests & post-tests, Repeated measures design, Descriptive statistics
Abstract: Background: Preliminary studies have suggested that patients entering research trials for alcohol use disorders (AUDs) may show substantial reductions in drinking prior to beginning treatment. Objectives: Determine whether significant pretreatment reductions in drinking are present in a sample of alcohol-dependent women entering a psychotherapy trial for AUDs, and whether such pretreatment drinking reductions predict lower levels of drinking during and posttreatment. Method: The study included 136 women with DSM-IV alcohol dependence who participated in a trial of individual or couples-based cognitive behavioral therapy for AUDs. Repeated-measures ANOVAs were used to examine changes in drinking across the pretreatment assessment period, and hierarchical multiple regression was used to test whether pretreatment reductions in drinking predicted continued reduced drinking during treatment and follow-up at 12 months posttreatment. Results: Patients had significant reductions in drinking quantity and frequency throughout the pretreatment period, with one-third of the sample becoming abstinent prior to treatment. Controlling for baseline quantity and frequency of drinking, reductions in pretreatment drinking were predictive of reduced frequency of drinking within- and posttreatment, and lower quantity of drinking per drinking occasion in the within-treatment period but not the posttreatment period. Motivational level and treatment arm did not predict the level of change in drinking across the pretreatment period. Conclusions: The overall reductions in drinking are consistent with previous findings suggesting that female participants in AUD treatment trials can show a substantial amount of reduction in drinking during the pretreatment assessment phase, before therapy skills are imparted. [ABSTRACT FROM AUTHOR]
Copyright of Substance Use & Misuse is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Pretreatment Assessment-Related Reductions in Drinking Among Women With Alcohol Use Disorders.
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  Data: <searchLink fieldCode="AR" term="%22Worden%2C+Blaise+L%2E%22">Worden, Blaise L.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Epstein%2C+Elizabeth+E%2E%22">Epstein, Elizabeth E.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22McCrady%2C+Barbara+S%2E%22">McCrady, Barbara S.</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Substance+Use+%26+Misuse%22">Substance Use & Misuse</searchLink>. Jan2015, Vol. 50 Issue 2, p215-225. 11p. 2 Diagrams, 3 Charts, 2 Graphs.
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  Data: <searchLink fieldCode="DE" term="%22Rehabilitation+of+people+with+alcoholism%22">Rehabilitation of people with alcoholism</searchLink><br /><searchLink fieldCode="DE" term="%22Cognitive+therapy%22">Cognitive therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Alcoholism%22">Alcoholism</searchLink><br /><searchLink fieldCode="DE" term="%22Analysis+of+variance%22">Analysis of variance</searchLink><br /><searchLink fieldCode="DE" term="%22Chi-squared+test%22">Chi-squared test</searchLink><br /><searchLink fieldCode="DE" term="%22Drinking+behavior%22">Drinking behavior</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+needs+assessment%22">Medical needs assessment</searchLink><br /><searchLink fieldCode="DE" term="%22Substance+abuse%22">Substance abuse</searchLink><br /><searchLink fieldCode="DE" term="%22Women's+health%22">Women's health</searchLink><br /><searchLink fieldCode="DE" term="%22Pre-tests+%26+post-tests%22">Pre-tests & post-tests</searchLink><br /><searchLink fieldCode="DE" term="%22Repeated+measures+design%22">Repeated measures design</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Background: Preliminary studies have suggested that patients entering research trials for alcohol use disorders (AUDs) may show substantial reductions in drinking prior to beginning treatment. Objectives: Determine whether significant pretreatment reductions in drinking are present in a sample of alcohol-dependent women entering a psychotherapy trial for AUDs, and whether such pretreatment drinking reductions predict lower levels of drinking during and posttreatment. Method: The study included 136 women with DSM-IV alcohol dependence who participated in a trial of individual or couples-based cognitive behavioral therapy for AUDs. Repeated-measures ANOVAs were used to examine changes in drinking across the pretreatment assessment period, and hierarchical multiple regression was used to test whether pretreatment reductions in drinking predicted continued reduced drinking during treatment and follow-up at 12 months posttreatment. Results: Patients had significant reductions in drinking quantity and frequency throughout the pretreatment period, with one-third of the sample becoming abstinent prior to treatment. Controlling for baseline quantity and frequency of drinking, reductions in pretreatment drinking were predictive of reduced frequency of drinking within- and posttreatment, and lower quantity of drinking per drinking occasion in the within-treatment period but not the posttreatment period. Motivational level and treatment arm did not predict the level of change in drinking across the pretreatment period. Conclusions: The overall reductions in drinking are consistent with previous findings suggesting that female participants in AUD treatment trials can show a substantial amount of reduction in drinking during the pretreatment assessment phase, before therapy skills are imparted. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
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  Data: <i>Copyright of Substance Use & Misuse is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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    Identifiers:
      – Type: doi
        Value: 10.3109/10826084.2014.962662
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 11
        StartPage: 215
    Subjects:
      – SubjectFull: Rehabilitation of people with alcoholism
        Type: general
      – SubjectFull: Cognitive therapy
        Type: general
      – SubjectFull: Alcoholism
        Type: general
      – SubjectFull: Analysis of variance
        Type: general
      – SubjectFull: Chi-squared test
        Type: general
      – SubjectFull: Drinking behavior
        Type: general
      – SubjectFull: Medical needs assessment
        Type: general
      – SubjectFull: Substance abuse
        Type: general
      – SubjectFull: Women's health
        Type: general
      – SubjectFull: Pre-tests & post-tests
        Type: general
      – SubjectFull: Repeated measures design
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
    Titles:
      – TitleFull: Pretreatment Assessment-Related Reductions in Drinking Among Women With Alcohol Use Disorders.
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            NameFull: Worden, Blaise L.
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            NameFull: Epstein, Elizabeth E.
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            NameFull: McCrady, Barbara S.
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              M: 01
              Text: Jan2015
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