Article

Cognitive-behavioral treatment for depression in alcoholism

Butler Hospital-Brown University School of Medicine, Providence, Rhode Island 02906, USA.
Journal of Consulting and Clinical Psychology (Impact Factor: 4.85). 10/1997; 65(5):715-26. DOI: 10.1037/0022-006X.65.5.715
Source: PubMed

ABSTRACT Alcoholics with depressive symptoms score > or = 10 on the Beck Depression Inventory (A.T. Beck, C. H. Ward, M. Mendelson, J. Mock, & J. Erbaugh, 1961) received 8 individual sessions of cognitive-behavioral treatment for depression (CBT-D, n = 19) or a relaxation training control (RTC; n = 16) plus standard alcohol treatment. CBT-D patients had greater reductions in somatic depressive symptoms and depressed and anxious mood than RTC patients during treatment. Patients receiving CBT-D had a greater percentage of days abstinent but not greater overall abstinence or fewer drinks per day during the first 3-month follow-up. However, between the 3- and 6-month follow-ups, CBT-D patients had significantly better alcohol use outcomes on total abstinence (47% vs. 13%), percent days abstinent (90.5% vs. 68.3%), and drinks per day (0.46 vs. 5.71). Theoretical and clinical implications of using CBT-D in alcohol treatment are discussed.

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Available from: Richard A Brown, Dec 19, 2014
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    • "Traditional CBT approaches have also been successful in treating co-occurring depression and substance use disorders (Hides et al. 2010). Furthermore, CBT treatment for depression alone in alcoholics has produced better reductions in somatic depressive symptoms and depressed and anxious mood than standard alcohol treatment and also better alcohol related outcomes between 3 and 6 months follow-up (Brown et al. 1997). There are only a few reported studies concerning the effects of co-varying problem gambling and other psychopathology on CBT outcomes. "
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    • "Depression in community populations is associated with premature drop-out from addiction treatment (Brown, 1997). With few exceptions (Carroll et al., 1995; Gerra et al., 2006), depression is also associated with poorer prognosis in community addiction treatment (Bottlender and Soyka, 2005; Brown et al., 1997, 1998; Kosten et al., 1986; McKay et al., 2002; O'Sullivan et al., 1988; Richardson et al., 2008; Rounsaville et al., 1987, 1986a, 1986b; Thase et al., 2001), despite higher treatment motivation (Joe et al., 1995; McKay et al., 2002; see also Rounsaville, 2004). In correctional populations, MDD and depressive symptoms strongly predict dropout from correctional substance use programs (Brady et al., 2004; Gray and Saum, 2005; Hickert et al., 2009; Hiller et al., 1999) and poorer addiction treatment outcomes (Johnson et al., 2011b). "
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