When does change begin following screening and brief intervention among depressed problem drinkers?
Baker, Amanda, Kay-Lambkin, Frances, Gilligan, Conor, Kavanagh, David J., Baker, Fran, & Lewin, Terry (2013) When does change begin following screening and brief intervention among depressed problem drinkers? Journal of Substance Abuse Treatment, 44(3), pp. 264-270.
Brief interventions are effective for problem drinking and reductions are known to occur in association with screening and assessment. The present study sought to assess, among participants (N=202) in a clinical trial, how much change occurred between baseline assessment and a one-session brief intervention (S1), and the predictors of early change. The primary focus was on changes in the Beck Depression Inventory Fast Screen scores and alcohol consumption (standard drinks per week) prior to random allocation to nine further sessions addressing either depression, alcohol, or both problems. There were large and clinically significant reductions between baseline and S1, with the strongest predictors being baseline scores in the relevant domain and change in the other domain. Client engagement was also predictive of early depression changes. Monitoring progress in both domains from first contact, and provision of empathic care, followed by brief intervention appear to be useful for this high prevalence comorbidity.
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|Item Type:||Journal Article|
|Keywords:||depression, alcohol dependence, comorbidity, brief intervention, screening, assessment|
|Subjects:||Australian and New Zealand Standard Research Classification > PSYCHOLOGY AND COGNITIVE SCIENCES (170000) > PSYCHOLOGY (170100) > Health Clinical and Counselling Psychology (170106)|
|Divisions:||Current > Institutes > Institute of Health and Biomedical Innovation|
|Copyright Owner:||Copyright 2013 Elsevier Inc.|
|Copyright Statement:||NOTICE: this is the author’s version of a work that was accepted for publication in Journal of Substance Abuse Treatment. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Journal of Substance Abuse Treatment, [Volume 44, Issue 3, (March 2013)] DOI: 10.1016/j.jsat.2012.07.009|
|Deposited On:||01 Feb 2013 03:41|
|Last Modified:||07 Mar 2014 03:49|
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