ArticleAddiction (Abingdon, England)2018
Treatment response and non-response in CBT and Network Support for alcohol disorders: targeted mechanisms and common factors.
Article in Addiction (Abingdon, England), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.
- The search for mechanisms of cognitive behavioral therapy for alcohol or other drug use disorders: A systematic review.Behaviour research and therapy · 2020Pooled it
- Individualized Assessment and Treatment Program (IATP) for alcohol use disorder: Comparison with conventional cognitive-behavioral treatment and examination of coping skills as a mediator of treatment.Journal of consulting and clinical psychology · 2024Trial
- Optimizing the length and reliability of measures of mechanisms of change to support measurement-based care in alcohol use disorder 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
- Demoralization, employment status, and early symptom reduction as correlates of treatment discontinuation in outpatient alcohol use disorder.Alcohol and alcoholism (Oxford, Oxfordshire) · 2026Article
- Relation of social network support to child health behaviors among children in treatment for overweight/obesity.Eating and weight disorders : EWD · 2022Article
- The Complex Dynamics of Resources and Maintaining Factors in Social Networks for Alcohol-Use Disorders: A Cross-Sectional Study.Frontiers in psychology · 2022Article
- The Shape of Change: Determining When Mechanisms of Behavior Change Are Active in Cognitive Behavioral Treatment for Alcohol Use Disorder Using Time-Varying Effect Modeling (TVEM).Journal of studies on alcohol and drugs · 2021Article
- Assessment of the validity of the AUDIT factor structure in parents involved with child protective services.The American journal of drug and alcohol abuse · 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
- Commentary on Litt et al. (2018): Identifying treatment-targeted mechanisms-aim and measure the bullseye.Addiction (Abingdon, England) · 2018Article
Corrections and comments
- Commented on by
Authors and funding
3 authors at 1 institution in 1 country.
Funding
Abstract
aimsTo determine whether mechanisms of drinking behavior change that are targeted by specific treatments mediate the effects of Packaged Cognitive Behavior Therapy (PCBT) and Network Support (NS) on abstinence rates throughout 27 months.
designSecondary analysis of data from two Network Support Project randomized clinical trials, in which participants were assigned to either a case management control treatment (control) or NS treatment in trial 1, or to PCBT or NS treatment in trial 2.
settingAn out-patient substance abuse treatment site at a university medical center in the United States.
participantsA total of 249 men and 154 women (n = 403) with alcohol use disorder. MEASUREMENTS: The primary outcome was membership in a treatment responder class determined by growth mixture modeling (GMM) of monthly proportion days abstinent (PDA) to 27 months. Key predictors of responder class membership included network change variables, and changes in coping scores and self-efficacy.
findingsGMM analyses indicated that a three-class solution provided the best fit to the data: a treatment responder class comprising almost 55% of patients, a late relapsing class that showed post-treatment gains followed by a return to baseline drinking (12.7% of patients) and a non-responder class (32% of patients). Analyses indicated that treatment effects on responder class membership were moderated by baseline drinking (P < 0.001). PCBT effects were mediated by changes in coping scores (P < 0.05). NS treatment effects were also mediated by coping change, as well as by increases in self-efficacy and in number of abstinent friends (P < 0.05).
conclusionsLong-term success in Packaged Cognitive Behavior Therapy and Network Support treatments for alcohol use disorder appears to be mediated by both general mechanisms (developing coping skills and self-efficacy) and treatment-targeted mechanisms (developing network strategies that emphasize social support and avoiding friends who drink).
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.