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Accepted VersionCC BY-NC-ND V4.0, Open Access
Journal article
Alcohol expectancies pre-and post-alcohol use disorder treatment: Clinical implications
Addictive Behaviors, Vol.80, pp.142-149
2018
PMID: 29407685
Abstract
Background and aims:
Modification of elevated positive expectations of alcohol consumption (alcohol outcome expectancies; AOEs) is a key feature of Cognitive Behaviour Therapy (CBT) approaches to Alcohol Use Disorders (AUDs). Despite extensive research supporting the efficacy of CBT for AUD, few studies have examined AOE change. This study aimed to assess AOE change following completion of CBT for AUD and its association with drinking behaviour.
Method:
One-hundred and seventy-five patients who completed a 12-week CBT program for AUD were administered the Drinking Expectancy Questionnaire (DEQ) at pre-treatment assessment and upon completion of treatment. Abstinence was achieved by 108 (61.7%) of completing patients. For patients who lapsed, the mean proportion of abstinent days was 93%.
Results:
DEQ scales assessing expectations of positive alcohol effects on tension reduction, assertiveness, and cognitive enhancement were significantly lower post-treatment (p < 0.001). Expectations of negative effects on mood were higher post-treatment (p < 0.001). The largest AOE change occurred on the tension reduction scale. Greater percentage of abstinent days over treatment was associated with lower pre-and post-treatment tension reduction expectancy scores (p < 0.05). Drinking during treatment was associated with smaller changes in expectations of negative effects of alcohol on mood (p < 0.05).
Conclusions:
Individuals who completed CBT treatment for AUD showed significant AOE change. Tension reduction and affective change expectancies may be particularly important for abstinence and useful markers of lapse risk.
Details
- Title
- Alcohol expectancies pre-and post-alcohol use disorder treatment: Clinical implications
- Authors
- Jason M Coates (Author) - The University of QueenslandMatthew J Gullo (Author) - The University of QueenslandGerald F.X Feeney (Author) - The University of QueenslandRoss Young (Author) - Queensland University of TechnologyGenevieve A Dingle (Author) - The University of QueenslandJason P Connor (Author) - The University of Queensland
- Publication details
- Addictive Behaviors, Vol.80, pp.142-149
- Publisher
- Elsevier Ltd
- Date published
- 2018
- DOI
- 10.1016/j.addbeh.2018.01.029
- ISSN
- 1873-6327; 0306-4603
- PMID
- 29407685
- Copyright note
- Copyright © 2018. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/
- Organisation Unit
- University of the Sunshine Coast, Queensland; Office of the Deputy Vice-Chancellor (Research and Innovation)
- Language
- English
- Record Identifier
- 99551007202621
- Output Type
- Journal article
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- Collaboration types
- Domestic collaboration
- Web Of Science research areas
- Psychology, Clinical
- Substance Abuse
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