Disorders - Alcohol Use
Kaminer, Y., Burleson, J. A., Goldston, D. B., Burke, R. H.
The objectives of this study are to assess the magnitude and course of suicidal ideation during outpatient treatment and aftercare for adolescents with alcohol use disorders (AUD). One hundred seventy-seven adolescents meeting eligibility criteria, including no past 30-day suicidal behavior, participated in 9 weeks of outpatient cognitive-behavioral group therapy. Treatment completers were randomized into: (1) No-Active, (2) In-Person, or (3) Telephone aftercare conditions for a period of 12 weeks. No specific intervention for suicidal behavior was provided during the study. The Suicide Ideation Questionnaire (SIQ-JR, Reynolds, 1988) was administered at baseline, end of treatment, and end of aftercare. The results are as follows, a higher baseline suicidal ideation was associated with higher retention at the end of treatment and through aftercare. The In-Person Aftercare condition showed a significant decrease in suicidal ideation, relative to the No-Active Aftercare condition. There was a trend for similarly reduced severity of suicidal ideation in the Telephone Aftercare condition. In conclusion, the type of aftercare and resulting decrease in AUD may play a role in the reduction in suicidal ideation. The mechanism of change by which suicidal ideation is reduced in adolescents in treatment for AUD needs to be further explored. Copyright copyright American Academy of Addiction Psychiatry.
American Journal on Addictions., 15(SUPPL. 1) : 43-49
- Year: 2006
- Problem: Suicide or self-harm behaviours (excluding non-suicidal self-harm)
, Suicide or self-harm with comorbid mental disorder, Alcohol Use
- Type: Randomised controlled trials
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Stage: At risk (indicated or selected prevention)
, Disorder established (diagnosed disorder)
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Treatment and intervention: Service Delivery & Improvement, Other service delivery and improvement interventions
Komro, Kelli A., Perry, Cheryl L., Veblen-Mortenson, Sara, Farbakhsh, Kian, Kugler, Kari C., Alfano, Karen A., Dudovitz, Bonnie S., et-al
The current study describes the extensive cross-cultural adaptation of a brief home-based alcohol prevention program for racially and ethnically diverse sixth grade students and their families, using a randomized controlled trial design involving 60 public schools in the city of Chicago (N = 3,623 students). The adapted program achieved high participation levels (73%) overall, as well as in single parent families, non-English homes, and low-income students, among other at risk groups. Lower levels of factors associated with the onset of alcohol use (i.e., normative expectations and outcome expectations) were achieved in the intervention group compared to the control group. However, no differences were observed for several other protective factors or alcohol use. (PsycINFO Database Record (c) 2007 APA, all rights reserved) (journal abstract).
Journal of Primary Prevention, 27(2) : 135-154
- Year: 2006
- Problem: Alcohol Use
- Type: Randomised controlled trials
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Stage: Universal prevention
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Treatment and intervention: Psychological Interventions (any)
, Other Psychological Interventions
Smith, Bradley H., Bogle, Kristin E., Talbott, Laura, Gant, Rick, Castillo, Helen
OBJECTIVE: The purpose of this study was to examine the efficacy of sending cards designed to prevent alcohol-related problems during 21st birthday celebrations. METHOD: College students were randomly assigned to receive cards with one of the following messages: (1) a neutral birthday greeting; (2) harm reduction information; (3) messages designed by the Be Responsible About Drinking (B.R.A.D.) Foundation, including harm reduction information and a description of the tragic death of Brad McCue during his 21st birthday celebration; (4) social norming messages designed to correct misperceptions of drinking; or (5) the combination of messages from Cards 2 and 4. A total of 994 students completed a post-21st birthday phone survey. Effects were evaluated in two cohorts with 444 and 550 students, respectively. RESULTS: There were no significant effects of the cards on drinking or alcohol-related problems. CONCLUSIONS: These null findings, plus some unexpected trends in our data, highlight the importance of carefully evaluating mailed interventions before deploying them on a large scale.
Journal of Studies on Alcohol, 67(4) : 607-15
- Year: 2006
- Problem: Alcohol Use
- Type: Controlled clinical trials
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Stage: Universal prevention
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Treatment and intervention: Psychological Interventions (any)
, Psychoeducation, Other Psychological Interventions, Personalised feedback, normative feedback
Watt, Margo, Stewart, Sherry, Birch, Cheryl, Bernier, Denise
Background: High anxiety sensitivity (AS; fear of anxiety sensations) is associated with frequent and problem drinking (Stewart, Samoluk, & MacDonald, 1999). Aims: It was hypothesized that a program designed to reduce AS levels in young adult women would also result in a decrease in their dysfunctional drinking behavior. Method: The brief cognitive behavioral therapy (CBT) intervention was conducted in small group format. Participants were selected to form high and low AS groups, according to their scores on the Anxiety Sensitivity Index (ASI; Peterson & Reiss, 1992), and randomly assigned to participate in 3 one-hour sessions of either brief CBT (i.e., psycho-education, cognitive restructuring, and physical exercise interoceptive exposure) or a control group seminar (discussion about psychology ethics). Drinking measures were assessed at pre-treatment and 10 weeks post-intervention. Results: Following the intervention, high AS participants in the CBT condition revealed significant reduction in conformity motivated drinking and emotional relief expectancies, as well as a 50% reduction in proportion meeting criteria for hazardous alcohol use as compared to other three groups. Conclusion: Findings suggest that alcohol abuse might be effectively prevented among high risk individuals with a brief CBT approach targeting high AS, and that AS may operate as one underlying determinant of dysfunctional drinking behavior. (PsycINFO Database Record (c) 2007 APA, all rights reserved) (journal abstract).
Journal of Mental Health, 15(6) : 683-695
- Year: 2006
- Problem: Alcohol Use
- Type: Randomised controlled trials
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Stage: At risk (indicated or selected prevention)
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Treatment and intervention: Psychological Interventions (any)
, Cognitive & behavioural therapies (CBT)
Paschall, Mallie J., Bersamin, Melina, Fearnow-Kenney, Melodie, Wyrick, David, Currey, David
This study examined the short-term effects of a web-based alcohol misuse and harm prevention course (College Alc) among incoming freshmen at a California public university. Analysis results indicated that at the end of the fall semester, students randomly assigned to College Alc (n = 173) had a higher level of alcohol-related knowledge and less positive attitudes toward alcohol use than students in the control group (n = 197). Students assigned to College Alc also reported a somewhat higher level of intentions to use strategies to minimise alcohol-related harm. College Alc did not have any effects on other targeted psychosocial factors (e.g., alcohol expectancies), alcohol use and heavy drinking, and alcohol-related problems. Observed effect sizes were generally small, suggesting that College Alc may have no effect on students' risk for alcohol misuse and related harm. (PsycINFO Database Record (c) 2007 APA, all rights reserved) (journal abstract).
Journal of Alcohol & Drug Education, 50(3) : 49-65
- Year: 2006
- Problem: Alcohol Use
- Type: Controlled clinical trials
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Stage: Universal prevention
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Treatment and intervention: Service Delivery & Improvement, Psychological Interventions (any)
, Psychoeducation, Technology, interventions delivered using technology (e.g. online, SMS)
McNally, Abigail M., Palfai, Tibor P., Kahler, Christopher W.
The authors examined the effects of a brief motivational intervention for heavy, episodic alcohol use on discrepancy-related psychological processes. Heavy-drinking college students (N=73) were randomly assigned to a motivationally based intervention (MBI) or an assessment-only control (AC) condition. Cognitive (actual-ideal discrepancy) and affective (2 forms of cognitive dissonance) discrepancy processes were assessed at baseline and immediately following the experimental manipulation. At 6-week follow-up, MBI participants demonstrated significantly greater reductions in problematic drinking than AC participants. Moreover, actual-ideal discrepancy and negative, self-focused dissonance were significantly increased following the intervention (discomfort-related dissonance was not) and were correlated with outcome alcohol involvement. These discrepancy processes did not, however, mediate the relationship between condition and outcome. The findings lend some support to the role of discrepancy enhancement in drinking-related behavior change among college students. Copyright (c) 2005 APA, all rights reserved.
Psychology of Addictive Behaviors, 19(1) : 79-87
- Year: 2005
- Problem: Alcohol Use
- Type: Randomised controlled trials
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Stage: At risk (indicated or selected prevention)
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Treatment and intervention: Psychological Interventions (any)
, Motivational interviewing, includes Motivational Enhancing Therapy
Moore, Michele Johnson, Soderquist, Jessie, Werch, Chudley
In this study, the authors evaluated the feasibility and efficacy of a binge drinking prevention intervention for college students delivered via the Internet versus a parallel print-based intervention delivered via postal mail. A total of 116 college students completed the baseline survey. The authors then randomized the students into the Web or print group and sent them intervention materials. One hundred and six students completed the posttest survey. The intervention consisted of a series of 4 weekly "newsletters" in electronic or print format. The authors collected data using a standardized online 42-item survey. They found that an Internet-based binge drinking prevention intervention for college students was feasible. Results supported the efficacy of this intervention for those students already binge drinking, regardless of delivery mode. The authors found no significant differences on outcome measures when delivered via the Internet or postal mail. Results lend support to the use of the Internet as a viable alternative to more traditional health intervention delivery methods. (PsycINFO Database Record (c) 2007 APA, all rights reserved) (journal abstract).
Journal of American College Health, 54(1) : 38-44
- Year: 2005
- Problem: Alcohol Use
- Type: Randomised controlled trials
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Stage: Universal prevention
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Treatment and intervention: Service Delivery & Improvement, Technology, comparing delivery mode (e.g. online vs. face-to-face)
Werch, Chudley, Jobli, Edessa, Moore, Michele J., DiClemente, Carlo C., Dore, Heather, Brown, C.
Objective: The objective of this study was to develop and test a brief, experimental alcohol preventive intervention matched to the use of specific alcohol beverages among adolescents. Method: A total of 232 high school students who drank within the last year participated in this study. Participants were randomly assigned to either the experimental intervention or a minimal intervention control. Four-month postintervention data are reported. Results: Overall multivariate analyses of covariance (MANCOVAs) were significant (p's < .05) on risk factors (influenceability, perceived severity, perceived susceptibility and perceived peer prevalence) for three of six beverages (beer, wine and distilled spirits), with a fourth, malt liquor, approaching significance (p = .06). These tests showed intervention adolescents experiencing less risk for alcohol use than control adolescents. In addition, whereas the overall MANCOVA for malt liquor use was not significant, univariate analyses were significant for 30-day frequency (F= 5.69, 1/195 df, p = .01) and 30-day quantity of malt liquor use (F = 4.03, 1/195 df, p = .04) with intervention adolescents showing less consumption than control adolescents. A post hoc analysis examining differential intervention effects using preintervention drug use as a factor (i.e., 30-day cigarette or marijuana use) showed a significant overall factorial MANCOVA interaction (F = 6.90, 4/189 df, p = .000), with drug-using intervention adolescents consuming cigarettes and marijuana less frequently than drug-using control adolescents at postintervention. Conclusions: The findings of this study suggest the brief, beverage-tailored intervention reduced certain risk factors mediating individual alcohol beverage use and consumption of malt liquor (4 months after intervention) and may have reduced the frequency of cigarette and marijuana use among those already using drugs. (PsycINFO Database Record (c) 2007 APA, all rights reserved) (journal abstract).
Journal of Studies on Alcohol, 66(2) : 284-290
- Year: 2005
- Problem: Alcohol Use
- Type: Randomised controlled trials
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Stage: At risk (indicated or selected prevention)
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Treatment and intervention: Psychological Interventions (any)
, Other Psychological Interventions
Werch, Chudley, Moore, Michele J., DiClemente, Carlo C., Bledsoe, Rhonda, Jobli, Edessa
The primary purpose of this study was to test the efficacy of a brief, multi-health behavior intervention integrating physical activity and alcohol use prevention messages for high school-aged adolescents. A total of 604 participants, 335 9th and 269 11th grade students from a suburban high school in northeast Florida participated in this study. A randomized control trial was conducted with participants randomly assigned within grade levels to receive either a brief consultation and prescription with a mailed reinforcing follow-up flyer (Project SPORT) or a minimal intervention control consisting of a wellness brochure provided in school and a pamphlet about teen health and fitness mailed to the home. Differences between intervention groups were evaluated with a series of MANCOVA tests. Project SPORT participants demonstrated significant positive effects at 3-months post-intervention for alcohol consumption, alcohol initiation behaviors, alcohol use risk and protective factors, drug use behaviors, and exercise habits, and at 12-months for alcohol use risk and protective factors, cigarette use, and cigarette initiation (p's < 0.05). A post hoc analysis examining interactions between past 30-day use of marijuana and/or cigarettes by treatment group indicates significant positive effects for drug using adolescents who received Project SPORT on alcohol consumption, drug use behaviors, and drug use initiation at 3-months, and for drug use behaviors and exercise habits at 12-months (p's < 0.05). A brief, 12-min one-on-one consultation integrating alcohol avoidance messages within those promoting fitness and other positive health behaviors holds promise for influencing adolescent alcohol and cigarette use and other health behaviors at posttreatment and 1 year later. Long-term sustained effects for cigarette and marijuana use, and both vigorous and moderate physical activity, were found among adolescents using marijuana and/or cigarettes prior to intervention. (PsycINFO Database Record (c) 2007 APA, all rights reserved) (journal abstract).
Prevention Science, 6(3) : 213-226
- Year: 2005
- Problem: Alcohol Use
- Type: Randomised controlled trials
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Stage: Universal prevention
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Treatment and intervention: Psychological Interventions (any)
, Other Psychological Interventions
Schinke, Steven P., Schwinn, Traci M., Ozanian, Alfred J.
This study examined the feasibility of a CD-ROM intervention to prevent alcohol abuse among high-risk youths. Youths from 41 community-based agencies in greater New York City participated in a randomized trial of a skills-based interactive CD-ROM. Outcome data were collected on 489 early adolescents in these agencies before and after a randomized subset of youths interacted with a 10-session alcohol abuse prevention program on CD-ROM. Compared to control participants, youths in the intervention arm had a positive increase in perceived harm of alcohol use and increased assertiveness skills. At posttest, drinking rates for control and intervention participants were equal and unchanged from pretest. These findings suggest that CD-ROM technology offers a new and promising medium for engaging high-risk youth in an alcohol abuse prevention program. Study implications and future applications of the present approach are discussed. (PsycINFO Database Record (c) 2007 APA, all rights reserved) (journal abstract).
Journal of Prevention & Intervention in the Community, 29(1-2) : 117-130
- Year: 2005
- Problem: Alcohol Use
- Type: Randomised controlled trials
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Stage: At risk (indicated or selected prevention)
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Treatment and intervention: Service Delivery & Improvement, Psychological Interventions (any)
, Skills training, Technology, interventions delivered using technology (e.g. online, SMS)
Spoth, R., Randall, G. K., Shin, C., Redmond, C.
This study reports findings on a combined family and school-based competency-training intervention from an in-school assessment 2.5 years past baseline, as a follow-up to an earlier study of substance initiation. Increased rates of observed alcohol use and an additional wave of data allowed evaluation of regular alcohol use and weekly drunkenness, with both point-in-time and growth curve analyses. Thirty-six rural schools were randomly assigned to (a) a combined family and school intervention condition, (b) a school-only condition, or (c) a control condition. The earlier significant outcome on a substance initiation index was replicated, and positive point-in-time results for weekly drunkenness were observed, but there were no statistically significant outcomes for regular alcohol use. Discussion focuses on factors relevant to the mix of significant longitudinal results within a consistent general pattern of positive intervention-control differences. Copyright 2005 by the American Psychological Association.
Psychology of Addictive Behaviors, 19(4) : 372-381
- Year: 2005
- Problem: Alcohol Use
- Type: Controlled clinical trials
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Stage: Universal prevention
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Treatment and intervention: Psychological Interventions (any)
, Other Psychological Interventions
Brown, Eric C., Catalano, Richard F., Fleming, Charles B., Haggerty, Kevin P., Abbott, Robert D.
Raising Healthy Children (RHC) is a preventive intervention designed to promote positive youth development by targeting developmentally appropriate risk and protective factors. In this study, the authors tested the efficacy of the RHC intervention on reducing adolescent alcohol, marijuana, and cigarette use. Ten public schools, which comprised 959 1st- and 2nd-grade students (54% male students, 18% minority, 28% low socioeconomic status), were matched and assigned randomly to either intervention or control conditions. A 2-part latent growth modeling strategy was used to examine change in both use-versus-nonuse and frequency-of-use outcomes while students were in Grades 6-10. Results indicated significant (p < .05) intervention effects in growth trajectories for frequency of alcohol and marijuana use but not for use versus nonuse. These findings provide support for preventive interventions that take a social development perspective in targeting empirically supported risk and protective factors and demonstrate the use of 2-part models in adolescent substance use research. Copyright 2005 APA, all rights reserved.
Journal of Consulting & Clinical Psychology, 73(4) : 699-710
- Year: 2005
- Problem: Alcohol Use, Cannabis Use
- Type: Randomised controlled trials
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Stage: Universal prevention
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Treatment and intervention: Psychological Interventions (any)
, Other Psychological Interventions