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
Method to Extend Research in Time (MERIT) Award (R37)
Project #
5R37AA007070-10
Application #
2837267
Study Section
Clinical and Treatment Subcommittee (ALCP)
Program Officer
Lowman, Cherry
Project Start
1988-09-15
Project End
2001-11-30
Budget Start
1998-12-01
Budget End
1999-11-30
Support Year
10
Fiscal Year
1999
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
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
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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Hallgren, Kevin A; McCrady, Barbara S; Epstein, Elizabeth E (2016) Trajectories of drinking urges and the initiation of abstinence during cognitive-behavioral alcohol treatment. Addiction 111:854-65
Worden, Blaise L; Epstein, Elizabeth E; McCrady, Barbara S (2015) Pretreatment assessment-related reductions in drinking among women with alcohol use disorders. Subst Use Misuse 50:215-25
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Owens, Mandy D; Hallgren, Kevin A; Ladd, Benjamin O et al. (2013) Associations between Relationship Satisfaction and Drinking Urges for Women in Alcohol Behavioral Couples and Individual Therapy. Alcohol Treat Q 31:
Worden, Blaise L; McCrady, Barbara S (2013) Effectiveness of a Feedback-Based Brief Intervention to Reduce Alcohol Use in Community Substance Use Disorders. Alcohol Treat Q 31:186-205
Grosso, Justine A; Epstein, Elizabeth E; McCrady, Barbara S et al. (2013) Women's motivators for seeking treatment for alcohol use disorders. Addict Behav 38:2236-45

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