Alcohol expectancy changes over a 12-week cognitive–behavioral therapy program are predictive of treatment success

Young, Ross, Connor, Jason P., & Feeney, Gerald F.X. (2011) Alcohol expectancy changes over a 12-week cognitive–behavioral therapy program are predictive of treatment success. Journal of Substance Abuse Treatment, 40(1), pp. 18-25.

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This study examines if outcome expectancies (perceived consequences of engaging in certain behavior) and self- efficacy expectancies (confidence in personal capacity to regulate behavior) contribute to treatment outcome for alcohol dependence. Few clinical studies have examined these constructs. The Drinking Expectancy Profile (DEP), a psychometric measure of alcohol expectancy and drinking refusal selfefficacy, was administered to 298 alcohol-dependent patients (207 males) at assessment and on completion of a 12-week cognitive–behavioral therapy alcohol abstinence program. Baseline measures of expectancy and self-efficacy were not strong predictors of outcome. However, for the 164 patients who completed treatment, all alcohol expectancy and self-efficacy factors of the DEP showed change over time. The DEP scores approximated community norms at the end of treatment. Discriminant analysis indicated that change in social pressure drinking refusal self-efficacy, sexual enhancement expectancies, and assertion expectancies successfully discriminated those who successfully completed treatment from those who did not. Future research should examine the basis of expectancies related to social functioning as a possible mechanism of treatment response and a means to enhance treatment outcome.

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ID Code: 40602
Item Type: Journal Article
Refereed: Yes
Additional URLs:
Keywords: CBT, Expectancy, Alchohol, Self-efficacy, Treatment
DOI: 10.1016/j.jsat.2010.08.003
ISSN: 0740-5472
Subjects: Australian and New Zealand Standard Research Classification > PSYCHOLOGY AND COGNITIVE SCIENCES (170000) > PSYCHOLOGY (170100)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Exercise & Nutrition Sciences
Copyright Owner: Crown Copyright © 2011 Published
by Elsevier Inc. All rights reserved.
Deposited On: 10 Mar 2011 03:29
Last Modified: 29 Feb 2012 14:20

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