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

David J Kavanagh; Gomathi Sitharthan; Ross Young; Thiagarajan Sitharthan; John B Saunders; Natalie Shockley; Vicki Giannopoulos

doi:10.1111/j.1360-0443.2006.01488.x

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

Journal article

Peer reviewed

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

David J Kavanagh, Gomathi Sitharthan, Ross Young, Thiagarajan Sitharthan, John B Saunders, Natalie Shockley and Vicki Giannopoulos

Addiction, Vol.101(8), pp.1106-1116

2006

DOI: https://doi.org/10.1111/j.1360-0443.2006.01488.x

PMID: 16869840

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https://doi.org/10.1111/j.1360-0443.2006.01488.xView

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Abstract

treatment

Alcohol

cue exposure

self-efficacy

cognitive-behaviour therapy

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: Outpatient 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.

Details

Title: Addition of cue exposure to cognitive-behaviour therapy for alcohol misuse: a randomized trial with dysphoric drinkers
Authors: David J Kavanagh (Author) - University of Queensland
Gomathi Sitharthan (Author) - University of Sydney
Ross Young (Author) - Queensland University of Technology
Thiagarajan Sitharthan (Author) - University of Sydney
John B Saunders (Author) - University of Queensland
Natalie Shockley (Author) - University of Queensland
Vicki Giannopoulos (Author) - Sydney West Area Drug and Alcohol Services
Publication details: Addiction, Vol.101(8), pp.1106-1116; 11
Publisher: Wiley-Blackwell Publishing Ltd.
DOI: 10.1111/j.1360-0443.2006.01488.x
ISSN: 1360-0443
PMID: 16869840
Organisation Unit: Office of the Deputy Vice-Chancellor (Research and Innovation); University of the Sunshine Coast, Queensland
Language: English
Record Identifier: 99551007602621
Output Type: Journal article

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Collaboration types: Domestic collaboration
Web Of Science research areas: Psychiatry; Substance Abuse

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