The Effects of Drinking Goal on Treatment Outcome for Alcoholism

Autor/inn/en	Bujarski, Spencer; O'Malley, Stephanie S.; Lunny, Katy; Ray, Lara A.
Titel	The Effects of Drinking Goal on Treatment Outcome for Alcoholism
Quelle	In: Journal of Consulting and Clinical Psychology, 81 (2013) 1, S.13-22 (10 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0022-006X
DOI	10.1037/a0030886
Schlagwörter	Intervention; Alcoholism; Drinking; Patients; Outcomes of Treatment; Behavior Modification; Alcohol Abuse; Goal Orientation; Drug Therapy + Suchen Sie Ihr Suchwort? Alkoholismus; Trinken; Patient; Behaviour modification; Verhaltensänderung; Zielorientierung; Zielvorstellung
Abstract	Objective: It is well known to clinicians and researchers in the field of alcoholism that patients vary with respect to drinking goal. The objective in this study was to elucidate the contribution of drinking goal to treatment outcome in the context of specific behavioral and pharmacological interventions. Method: Participants were 1,226 alcohol-dependent individuals enrolled in a large, multisite trial of combined behavioral intervention, acamprosate, and naltrexone. Drinking goal was coded as follows: (a) controlled drinking, (b) conditional abstinence, and (c) complete abstinence. Results: Analysis revealed a main effect of drinking goal on percent days abstinent (p less than 0.0001), days to relapse to heavy drinking (p less than 0.0001), and global clinical outcome (p less than 0.001). These results were such that a goal of complete abstinence was associated with the best outcomes, followed by conditional abstinence; controlled drinking was associated with the poorest outcomes. Conversely, a main effect of drinking goal was observed on drinks per drinking day (p less than 0.01), such that controlled drinking was associated with fewer drinks per drinking day whereas complete abstinence was associated with the highest number of drinks per drinking day. Combined behavioral intervention performed better than medical management alone for participants whose drinking goal was not complete abstinence. Conclusion: These results suggest that drinking goal represents a highly predictive clinical variable and should be an integral part of the clinical assessment of patients with alcohol dependence. Assessment of patients' drinking goals may also help match patients to interventions best suited to address their goals and clinical needs. (Contains 5 figures and 1 footnote.) (As Provided).
Anmerkungen	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
Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10