Building better cognitive-behavioral therapy: is broad-spectrum treatment more effective than motivational-enhancement therapy for alcohol-dependent patients treated with naltrexone?

Building better cognitive-behavioral therapy: is broad-spectrum treatment more effective than motivational-enhancement therapy for alcohol-dependent patients treated with naltrexone? Research Abstract Details 

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Building better cognitive-behavioral therapy: is broad-spectrum treatment more effective than motivational-enhancement therapy for alcohol-dependent patients treated with naltrexone? Abstract Text:

Dena Davidson,Suzy Bird Gulliver,Richard Longabaugh,Philip W Wirtz,Robert Swift,

OBJECTIVE: The current study investigated the treatment effectiveness, during treatment, of a second-generation cognitive-behavioral therapy for alcoholism--broad-spectrum treatment (BST)--compared with motivational-enhancement therapy (MET), when both were offered in conjunction with a therapeutic dose of naltrexone (Revia). METHOD: One hundred forty-nine alcohol-dependent patients completed a 3-month randomized, controlled trial of BST and naltrexone versus MET and naltrexone. RESULTS: Patients receiving BST had a significantly higher percentage of days abstinent than patients receiving MET. The superior effect of BST is particularly strong in interaction with support for drinking, suggesting that the advantage of BST is worth the additional cost for patients whose psychosocial networks are supportive of continued drinking. This effect remains significant when controlling for pretreatment percentage of days abstinent. CONCLUSIONS: In aggregate, these findings suggest that it is either the combination of naltrexone and BST or the unique properties of BST that account for BST's superiority to MET and naltrexone. The results of this initial phase of the trial suggest that a second-generation cognitive-behavioral therapy such as BST may have a meaningful clinical advantage over brief interventions such as MET, at least when combined with naltrexone.

Building better cognitive-behavioral therapy: is broad-spectrum treatment more effective than motivational-enhancement therapy for alcohol-dependent patients treated with naltrexone? Publishing Authors By Initials

D Davidson,SB Gulliver,R Longabaugh,PW Wirtz,R Swift,

For similar human activities: temperance research abstracts see: human activities: temperance research

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Building better cognitive-behavioral therapy: is broad-spectrum treatment more effective than motivational-enhancement therapy for alcohol-dependent patients treated with naltrexone? Journal Published:

PUBLICATION TYPE: Research Support, N.I.H., Extr

Journal: Journal of studies on alcohol and drugs

VOLUME: 68

Page Numbers: 238-47

Journal Abbreviation:

ISSN: 0096-882X

DAY: 3

MONTH: Mar

YEAR: 2007

Building better cognitive-behavioral therapy: is broad-spectrum treatment more effective than motivational-enhancement therapy for alcohol-dependent patients treated with naltrexone? Information

Number of References:

LANGUAGE: eng

NlmUniqueID: 101295847

Building better cognitive-behavioral therapy: is broad-spectrum treatment more effective than motivational-enhancement therapy for alcohol-dependent patients treated with naltrexone? Keywords Mesh Terms:

KEYWORDS: Temperance

MESH TERMS: statistics & numerical data

Chemical & Substance for Abstract: Building better cognitive-behavioral therapy: is broad-spectrum treatment more effective than motivational-enhancement therapy for alcohol-dependent patients treated with naltrexone? Information

Substance Name: Naltrexone

Registry Number: 16590-41-3

Grant and Affiliation Information for Building better cognitive-behavioral therapy: is broad-spectrum treatment more effective than motivational-enhancement therapy for alcohol-dependent patients treated with naltrexone?

AFFILIATION: Department of Psychiatry, Veterans Affairs Boston Healthcare System, 150 South Huntington Avenue, Boston, Massachusetts 02130, USA.

Country: United States

AGENCY: United States NIAAA

GRANT: 2R01AA11642-01A

ACRONYM: AA

MEDLINETA: J Stud Alcohol Drugs

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