ArticleJournal of studies on alcohol and drugs2018
Broad Coping Repertoire Mediates the Effect of the Combined Behavioral Intervention on Alcohol Outcomes in the COMBINE Study: An Application of Latent Class Mediation.
Article in Journal of studies on alcohol and drugs, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
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Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The search for mechanisms of cognitive behavioral therapy for alcohol or other drug use disorders: A systematic review.Behaviour research and therapy · 2020Pooled it
- Momentary coping and marijuana use in treated adults: Exploring mechanisms of treatment.Journal of consulting and clinical psychology · 2021Trial
- Short- and long-term changes in substance-related coping as mediators of in-person and computerized CBT for alcohol and drug use disorders.Drug and alcohol dependence · 2020Trial
- Individualized assessment and treatment program (IATP) for cannabis use disorder: Randomized controlled trial with and without contingency management.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2020Trial
- Longitudinal association between having stress-coping strategy and hypertension in a community-based Japanese study: the Circulatory Risk in Communities Study (CIRCS).Hypertension research : official journal of the Japanese Society of Hypertension · 2026Article
- Explaining Performance Gaps with Problem-Solving Process Data via Latent Class Mediation Analysis.Psychometrika · 2025Article
- Exploring heterogeneity in recovery from substance use disorder following mindfulness-based relapse prevention: A latent profile analysis.Journal of substance use and addiction treatment · 2025Article
- Behavioral therapies targeting reward mechanisms in substance use disorders.Pharmacology, biochemistry, and behavior · 2024Review
- Latent profiles of regulatory flexibility in alcohol use disorder: Associations with delay discounting and symptoms of depression, anxiety, and stress.Alcohol, clinical & experimental research · 2024Article
- The Phenotype of Recovery X: Associations between delay discounting, regulatory flexibility, and remission from substance use disorder.Journal of substance use and addiction treatment · 2023Article
- Precision medicine in alcohol use disorder: Mapping etiologic and maintenance mechanisms to mechanisms of behavior change to improve patient outcomes.Experimental and clinical psychopharmacology · 2023Article
- Mechanisms of Behavior Change in Substance Use Disorder With and Without Formal Treatment.Annual review of clinical psychology · 2022Review
- The Impact of Coping Styles and Gender on Situational Coping: An Ecological Momentary Assessment Study With the mHealth Application TrackYourStress.Frontiers in psychology · 2022Article
- Heterogeneity in DSM-5 Symptom Criteria: Phenotypes of Alcohol Use Disorder in a Sample Seeking Alcohol Treatment.Alcohol and alcoholism (Oxford, Oxfordshire) · 2021Article
- Latent class mediator for multiple indicators of mediation.Statistics in medicine · 2021Article
- Approach coping and substance use outcomes following mindfulness-based relapse prevention among individuals with negative affect symptomatology.Mindfulness · 2020Article
- Changes in Hypothesized Mechanisms of Change Before and After Initiating Abstinence in Cognitive-Behavioral Therapy for Women With Alcohol Use Disorder.Behavior therapy · 2019Article
- Design of a randomized controlled trial examining the efficacy of oxytocin to enhance alcohol behavioral couple therapy.Contemporary clinical trials · 2019Article
- Mediation analysis with binary outcomes: Direct and indirect effects of pro-alcohol influences on alcohol use disorders.Addictive behaviors · 2019Article
- Commentary on Litt et al. (2018): Identifying treatment-targeted mechanisms-aim and measure the bullseye.Addiction (Abingdon, England) · 2018Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
objectiveFew studies have found support for coping as a mechanism of behavior change (MOBC) following coping skills training interventions for alcohol use disorder (AUD). One potential reason for null findings is heterogeneity in the patterns of coping skills acquired during treatment. This study sought to identify latent classes of coping and to test the latent class variable as a mediator of the effect of a combined behavioral intervention for AUD.
methodSecondary analyses of data from the Combined Pharmacotherapies and Behavioral Interventions for Alcohol Dependence (COMBINE) Study (N = 1,124; mean age = 44.4 years; 69.1% male; 23.2% non-White), a multisite study of medication and behavioral treatments for individuals with AUD. Latent class mediation models were estimated to test whether patterns of alcohol-specific coping mediated the effect of combined behavioral intervention with medication management, as compared with medication management only, on drinking outcomes 12 months following treatment.
resultsThree classes were identified, which differed in repertoire broadness, or the degree in which a wide range of different skills were used. Coping repertoire class was a significant mediator of the effect of the combined behavioral intervention on drinking outcomes. Receiving the combined behavioral intervention, in addition to medication management, predicted a greater likelihood of expected classification in the broad coping repertoire class, which in turn was associated with significant improvements in drinking outcomes.
conclusionsUsing the novel methodological approach of latent class mediation, this study identified coping repertoire as a significant mediator of behavioral intervention efficacy for AUD. Future work examining heterogeneity in mediators and outcomes may help refine AUD treatment to be maximally effective.
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