Randomized controlled trial of MICBT for co-existing alcohol misuse and depression : outcomes to 36-months

Baker, Amanda L., Kavanagh, David J., Kay-Lambkin, Frances J., Hunt, Sally A., Lewin, Terry J., Carr, Vaughan J., & McElduff, Patrick (2014) Randomized controlled trial of MICBT for co-existing alcohol misuse and depression : outcomes to 36-months. Journal of Substance Abuse Treatment, 46(3), pp. 281-290.

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Integrated psychological treatment addressing co-existing alcohol misuse and depression has not been compared with single-focused treatment. This trial evaluates changes over 36 months following randomization of 284 outpatients to one of four motivational interviewing and cognitive-behavior therapy (MICBT) based interventions: (1) brief integrated intervention (BI); or BI plus 9 further sessions with (2) an integrated-, (3) alcohol-, or (4) depression-focus. Outcome measures included changes in alcohol consumption, depression (BDI-II: Beck Depression Inventory) and functioning (GAF: Global Assessment of Functioning), with average improvements from baseline of 21.8 drinks per week, 12.6 BDI-II units and 8.2 GAF units. Longer interventions tended to be more effective in reducing depression and improving functioning in the long-term, and in improving alcohol consumption in the short-term. Integrated treatment was at least as good as single-focused MICBT. Alcohol-focused treatment was as effective as depression-focused treatment at reducing depression and more effective in reducing alcohol misuse. The best approach seems to be an initial focus on both conditions followed by additional integrated- or alcohol-focused sessions.

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9 citations in Scopus
11 citations in Web of Science®
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ID Code: 67321
Item Type: Journal Article
Refereed: Yes
Keywords: Alcohol dependence, cognitive behavior therapy, comorbidity, depression, long-term outcomes
DOI: 10.1016/j.jsat.2013.10.001
ISSN: 07405472
Subjects: Australian and New Zealand Standard Research Classification > PSYCHOLOGY AND COGNITIVE SCIENCES (170000)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Psychology & Counselling
Copyright Owner: Copyright 2014 Elsevier Inc.
Deposited On: 13 Feb 2014 05:05
Last Modified: 11 Mar 2014 00:57

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