A randomized trial of individual and couple behavioral alcohol treatment for women.

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).

Inviting the Significant Other of LGBT Clients into Substance Abuse Treatment Programs: Frequency and Impact

“…(Fals-Stewart et al 1996, 2006McCrady et al 2009;Winters et al 2002). However, in the three studies that measured client satisfaction with treatment, no differences were found between the groups.…”

A randomized clinical trial of behavioral couples therapy versus individually based treatment for women with alcohol dependence.

“…Treatment condition was dummy-coded with IBT as the reference group. Following prior research (McCrady, et al 2009), PDA was arcsine-transformed to improve normality. Baseline days of non-study-based treatment was square root-transformed to improve normality.…”

Assessment and Support Consultation: Enhancing Social Support for Sexual Offenders

“…In a randomized controlled trial, Peters et al (2011) identified numerous benefits of involving relatives in relapse prevention, including improved understanding of the disorder, increased efficacy in relatives' ability to manage the illness, and improved relationships. Across clinical presentations, there is strong evidence for the benefits of including social supports in the treatment (e.g., Copello et al, 2005;McCrady et al, 2009;McGorry, 2009;Rea et al, 2003;Shimazu et al, 2011). Commonly, benefits include improved treatment retention, improved client recovery, enhanced relationships, and improved family well-being.…”

“…In substance use disorder treatment, McCrady et al (2009) showed that couple behavioral therapy for alcohol dependence was more effective than individual behavioral therapy. Further, social interventions, used in combination with individual treatment, have been shown to be more effective than individual treatment alone.…”