Addition of cue exposure to cognitive-behaviour therapy for alcohol misuse: a randomized trial with dysphoric drinkers

Kavanagh, DJ, Sitharthan, G, Young, RM, Sitharthan, T, Saunders, JB, Shockley, N and Giannopoulos, V (2006) Addition of cue exposure to cognitive-behaviour therapy for alcohol misuse: a randomized trial with dysphoric drinkers. Addiction, 101 8: 1106-1116.


Author Kavanagh, DJ
Sitharthan, G
Young, RM
Sitharthan, T
Saunders, JB
Shockley, N
Giannopoulos, V
Title Addition of cue exposure to cognitive-behaviour therapy for alcohol misuse: a randomized trial with dysphoric drinkers
Journal name Addiction   Check publisher's open access policy
ISSN 0965-2140
Publication date 2006
Sub-type Article (original research)
DOI 10.1111/j.1360-0443.2006.01488.x
Volume 101
Issue 8
Start page 1106
End page 1116
Total pages 11
Editor R. West
Place of publication Oxford, U.K.
Publisher Blackwell Publishing
Collection year 2006
Language eng
Subject C1
321021 Psychiatry
730211 Mental health
Abstract Aim To test whether addition of moderation-orientated cue exposure (CE) or CE after dysphoric mood induction ( emotional CE, ECE) improved outcomes above those from cognitive-behaviour therapy alone (CBT) in people who drank when dysphoric. Design Multi-site randomized controlled trial comparing CBT with CBT + CE and CBT + ECE. Setting Out-patient rooms in academic treatment units in Brisbane and Sydney, Australia. Participants People with alcohol misuse and problems controlling consumption when dysphoric (n = 163). Those with current major depressive episode were excluded. Intervention Eight weekly 75-minute sessions of individual treatment for alcohol problems were given to all participants, with CBT elements held constant across conditions. From session 2, CBT + CE participants resisted drinking while exposed to alcohol cues, with two priming doses of their preferred beverage being given in some sessions. After an initial CE session, CBT + ECE participants recalled negative experiences before undertaking CE, to provide exposure to emotional cues of personal relevance. Measurements Alcohol consumption, related problems, alcohol expectancies, self-efficacy and depression. Results Average improvements were highly significant across conditions, with acceptable maintenance of effects over 12 months. Both treatment retention and effects on alcohol consumption were progressively weaker in CBT + CE and CBT + ECE than in CBT alone. Changes in alcohol dependence and depression did not differ across conditions. Conclusions These data do not indicate that addition of clinic-based CE to standard CBT improves outcomes. A different approach to the management of craving may be required.
Keyword Substance Abuse
Psychiatry
Alcohol
Cognitive-behaviour Therapy
Cue Exposure
Self-efficacy
Treatment
Moderation Drinking
Use Disorders
Drug-use
Reactivity
Relapse
Dependence
Mood
Predictors
Programs
Q-Index Code C1

Document type: Journal Article
Sub-type: Article (original research)
Collections: 2007 Higher Education Research Data Collection
School of Medicine Publications
 
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