93580
document
Network support for drinking , Alcoholics Anonymous and long-term matching effects . AIMS ( 1 ) To examine the matching hypothesis that Twelve Step Facilitation Therapy ( TSF ) is more effective than Motivational Enhancement Therapy ( MET ) for alcohol-dependent clients with networks highly supportive of drinking 3 years following treatment ; ( 2 ) to test a causal chain providing the rationale for this effect . DESIGN Outpatients were re-interviewed 3 years following treatment . ANCOVAs tested the matching hypothesis . SETTING Outpatients from five clinical research units distributed across the United States . PARTICIPANTS Eight hundred and six alcohol-dependent clients . INTERVENTION Clients were randomly assigned to one of three 12-week , manually-guided , individual treatments : TSF , MET or Cognitive Behavioral Coping Skills Therapy ( CBT ) . MEASUREMENTS Network support for drinking prior to treatment , Alcoholics Anonymous ( AA ) involvement during and following treatment , percentage of days abstinent and drinks per drinking day during months 37-39 . FINDINGS ( 1 ) The a priori matching hypothesis that TSF is more effective than MET for clients with networks supportive of drinking was supported at the 3 year follow-up ; ( 2 ) AA involvement was a partial mediator of this effect ; clients with networks supportive of drinking assigned to TSF were more likely to be involved in AA ; AA involvement was associated with better 3-year drinking outcomes for such clients . CONCLUSIONS ( 1 ) In the long-term TSF may be the treatment of choice for alcohol-dependent clients with networks supportive of drinking ; ( 2 ) involvement in AA should be given special consideration for clients with networks supportive of drinking , irrespective of the therapy they will receive .
93581
Intervention_Physical
Twelve Step Facilitation Therapy ( TSF )
93582
Intervention_Physical
Motivational Enhancement Therapy ( MET )
93583
Intervention_Physical
manually-guided , individual treatments : TSF , MET
93584
Intervention_Psychological
Cognitive Behavioral Coping Skills Therapy ( CBT )
93585
Outcome_Mental
Network support for drinking prior to treatment , Alcoholics Anonymous ( AA ) involvement during and following treatment , percentage of days abstinent and drinks per drinking day during months 37-39
93586
Outcome_Mental
involved in AA ; AA involvement
93587
Outcome_Mental
3-year drinking outcomes
93588
Participant_Condition
alcohol-dependent
93589
Participant_Condition
Outpatients
93590
Participant_Sample-size
Eight hundred and six
93591
Participant_Condition
alcohol-dependent