Evidence map›Paper›PMID 23276124›Full record

Trial reportJournal of consulting and clinical psychology2013

Hybrid cognitive behavioral therapy versus relaxation training for co-occurring anxiety and alcohol disorder: a randomized clinical trial.

Matt G Kushner, Eric W Maurer, Paul Thuras, Chris Donahue, Brenda Frye, Kyle R Menary, Jennifer Hobbs, Angela M Haeny, Joani Van Demark

Erratum issuedOpen access · greenAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of consulting and clinical psychology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 30 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 4 pooled it
2.9field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 4 syntheses or guidelines pooled it, 61 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. World Health Organization (WHO) risk level reductions in inpatients with alcohol use disorder and comorbid anxiety disorders.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2023
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  10. Review
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  17. Negative affect and alcohol craving in trauma-exposed young adult drinkers.Alcoholism, clinical and experimental research · 2021
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  18. Article
  19. Assessing the collective utility of multiple analyses on clinical alcohol use disorder data.Journal of the American Medical Informatics Association : JAMIA · 2019
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  20. Article
4 · The record

Corrections and comments

  • Erratum issued
5 · Who and what money

Authors and funding

9 authors at 1 institution in 1 country.

Matt G KushnerDepartment of Psychiary, University of Minnesota, MN 55454, USA. kushn001@umn.edu
Eric W Maurer
Paul Thuras
Chris Donahue
Brenda Frye
Kyle R Menary
Jennifer Hobbs
Angela M Haeny
Joani Van Demark
University of Minnesota · US

Funding

Psychology of Alcohol Use and Dependence TrainingT32AA013526 · NIAAA · UNIVERSITY OF MISSOURI-COLUMBIA · PI DENIS M MCCARTHY, KENNETH JAMES SHER · 2002 to 2026
$9.0M
Dismantling the Components and Dosing of CBT for Co-Occurring DisordersR01AA015069 · NIAAA · UNIVERSITY OF MINNESOTA TWIN CITIES · PI KUSHNER, MATT G · 2005 to 2018
$3.8M
Applying Latent Variable Modeling to Cormorbidity Treatment ResearchK02AA017886 · NIAAA · UNIVERSITY OF MINNESOTA · PI KUSHNER, MATT G · 2009 to 2013
$573k
NIAAA NIH HHS K02-AA0017886NIAAA NIH HHS K02 AA017886NIAAA NIH HHS R01 AA015069NIAAA NIH HHS R01-AA015069NIAAA NIH HHS T32 AA013526
6 · The paper itself

Abstract

objectiveTreatment for alcohol use disorder (AUD) is far less effective for those with a co-occurring anxiety disorder. Surprisingly, adding an independent anxiety treatment to AUD treatment does not substantially improve the poor alcohol outcomes of these patients. This may reflect the lack of attention from independent treatments to the dynamic interaction of anxiety symptoms with alcohol use and drinking motivation. On the basis of this view, we assembled a cognitive behavioral therapy (CBT) program designed to both reduce anxiety symptoms and weaken the links between the experience of anxiety and the motivation to drink.

method344 patients undergoing residential AUD treatment with current social phobia, generalized anxiety disorder, or panic disorder were randomly assigned to receive either the CBT or an active comparison treatment, progressive muscle relaxation training (PMRT). Assessments took place immediately following treatment and 4 months later (n = 247).

resultsAs predicted, the CBT group demonstrated significantly better alcohol outcomes 4 months following treatment than did the PMRT group. Although both groups experienced a substantial degree of anxiety reduction following treatment, there were no significant group differences immediately after treatment and only a slight advantage for the CBT group 4 months after treatment.

conclusionsThese findings suggest that specific interventions aimed at weakening the association between the experience of anxiety and drinking motivation play an important role in improving the alcohol outcomes of these difficult-to-treat patients beyond that of anxiety reduction alone.

Indexed as

AdultAlcoholismAnxiety DisordersCognitive Behavioral TherapyComorbidityFemaleFollow-Up StudiesHumansMaleRelaxation TherapyTreatment Outcome

Identifiers

PMID23276124
PMCPMC3756682
OpenAlexW2170214170

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.