Pilot CBT trial for anxiety in alcohol use disorders treatment

Fielder, Andrea Louise, Mikocka-Walus, Antonina, McCallum, Stacey, Stewart, Benjamin, Alvaro, Pasquale and Esterman, Adrian 2015, Pilot CBT trial for anxiety in alcohol use disorders treatment, Advances in dual diagnosis, vol. 8, no. 4, pp. 179-192, doi: 10.1108/ADD-05-2015-0008.

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Title Pilot CBT trial for anxiety in alcohol use disorders treatment
Author(s) Fielder, Andrea Louise
Mikocka-Walus, AntoninaORCID iD for Mikocka-Walus, Antonina orcid.org/0000-0003-4864-3956
McCallum, Stacey
Stewart, Benjamin
Alvaro, Pasquale
Esterman, Adrian
Journal name Advances in dual diagnosis
Volume number 8
Issue number 4
Start page 179
End page 192
Total pages 14
Publisher Emerald
Place of publication Bingley, Eng.
Publication date 2015-01-01
ISSN 1757-0972
Keyword(s) anxiety
cognitive behavioural therapy
alcohol use disorder
Summary Purpose – The purpose of this paper is to test the effectiveness of a self-directed cognitive behavioural therapy (CBT) booklet allowing immediate access to treatment for anxiety during alcohol use disorder (AUD) interventions. Design/methodology/approach – Parallel pilot randomised controlled trial: 69 individuals in AUD treatment, continued to receive treatment alone (control: n=29) or in addition, a self-directed, four week CBT booklet to manage anxiety (intervention: n=40). Primary outcome measures were changes in state (SAnx) and trait anxiety (TAnx) at four weeks. Secondary outcome measures were changes in adaptive (ACop), maladaptive (MCop) coping and quality of life (QoL, physical (PHQoL), psychological (PSQoL), social (SQoL), environment (EQoL)) at four weeks. Findings – Participants had significantly higher SAnx (p<0.01) and TAnx (p<0.01) baseline scores compared to the general population. There were no statistically significant group changes in SAnx or TAnx (p>0.05). Control group allocation predicted improvement in ACop (p<0.01), MCop (p<0.05), PHQoL (p<0.01), PSQoL (p<0.05) and SQoL (p<0.01); CBT group allocation predicted improvement in EQoL (p=0.05). All effect sizes were small to moderate (Cohen’s d<0.50). Percentage of book completion did not determine changes in anxiety, coping or quality of life. Originality/value – A four week self-directed CBT booklet did not significantly reduce anxiety during AUD treatment. Larger sample sizes will determine the most suitable treatment delivery mode for this type of CBT.
Language eng
DOI 10.1108/ADD-05-2015-0008
Field of Research 170199 Psychology not elsewhere classified
Socio Economic Objective 929999 Health not elsewhere classified
HERDC Research category C1.1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2015, Emerald
Persistent URL http://hdl.handle.net/10536/DRO/DU:30088632

Document type: Journal Article
Collections: Faculty of Health
School of Psychology
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