APPLICANT S ABSTRACT: This 5-year project continues a broad program of research to develop conjoint models of treatment for alcohol abuse/dependence. The proposed research is intended to accomplish four specific aims: (1) To obtain detailed descriptive data about the nature of relationships between women with alcohol abuse/dependence and their male partners; (2) To modify the investigators' existing Alcohol-related Behavioral Couples Therapy with Relapse Prevention (RP/ABCT) approach to incorporate current knowledge about women with alcohol abuse/dependence and their male partners; (3) To test the effectiveness of manualized ABCT for women compared to an individually-oriented women's treatment using a randomized clinical trial with an 18-month follow-up; (4) To assess the relative contribution to the prediction of treatment outcome of individual psychopathology, partner psychopathology, quality of the intimate relationship, and functioning of other parts of the woman's social network. One hundred and twenty women with alcohol abuse/dependence and their male partners will be recruited from existing community treatment programs and through direct advertising. Subjects will be randomly assigned to RP/ABCT or individual cognitive-behavioral treatment. Twenty outpatient treatment sessions will be provided. Couples will be assessed in-person at baseline, and 6, 12, and 18 months after baseline, and each partner will be interviewed by telephone 3, 9, and 15 months after baseline. Subjects will be assessed in multiple areas of functioning: alcohol and drug use, individual psychological functioning of each partner, marital functioning, and the extent and quality of the woman's social network.

Agency
National Institute of Health (NIH)
Institute
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Type
Research Project (R01)
Project #
2R01AA007070-08
Application #
2000176
Study Section
Clinical and Treatment Subcommittee (ALCP)
Project Start
1988-09-15
Project End
2001-11-30
Budget Start
1996-12-01
Budget End
1997-11-30
Support Year
8
Fiscal Year
1997
Total Cost
Indirect Cost
Name
Rutgers University
Department
Psychology
Type
Other Domestic Higher Education
DUNS #
038633251
City
New Brunswick
State
NJ
Country
United States
Zip Code
08901
Epstein, Elizabeth E; McCrady, Barbara S; Hallgren, Kevin A et al. (2018) A randomized trial of female-specific cognitive behavior therapy for alcohol dependent women. Psychol Addict Behav 32:1-15
Holzhauer, Cathryn Glanton; Epstein, Elizabeth E; Cohn, Amy M et al. (2017) Erratum to ""Heterogeneity in pathways to abstinence among women in treatment for alcohol use disorder"" [Journal of Substance Abuse Treatment 75 (2017) 1-9]. J Subst Abuse Treat 76:18-19
Holzhauer, Cathryn Glanton; Epstein, Elizabeth E; Cohn, Amy M et al. (2017) Heterogeneity in pathways to abstinence among women in treatment for alcohol use disorder. J Subst Abuse Treat 75:1-9
Holzhauer, Cathryn Glanton; Epstein, Elizabeth E; Hayaki, Jumi et al. (2017) Moderators of sudden gains after sessions addressing emotion regulation among women in treatment for alcohol use. J Subst Abuse Treat 83:1-9
Hallgren, Kevin A; McCrady, Barbara S (2016) We-Language and Sustained Reductions in Drinking in Couple-Based Treatment for Alcohol Use Disorders. Fam Process 55:62-78
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Hunter-Reel, Dorian; Epstein, Elizabeth E; McCrady, Barbara S et al. (2014) PERSONALITY DISORDERS AND THE PREDICTION OF ALCOHOL USE OUTCOMES FOR WOMEN: DIMENSIONAL VERSUS CATEGORICAL CLASSIFICATION. Addict Res Theory 22:176-180
Chung, Nicola; Langenbucher, James; McCrady, Barbara et al. (2002) Use of survival analyses to examine onset and staging of DSM-IV alcohol symptoms in women. Psychol Addict Behav 16:236-42
Epstein, E E; McCrady, B S (1998) Behavioral couples treatment of alcohol and drug use disorders: current status and innovations. Clin Psychol Rev 18:689-711