Evidence map›Paper›PMID 29606224›Full record

ArticleJournal of substance abuse treatment2018

Individual versus group female-specific cognitive behavior therapy for alcohol use disorder.

Elizabeth E Epstein, Barbara S McCrady, Kevin A Hallgren, Ayorkor Gaba, Sharon Cook, Noelle Jensen, Thomas Hildebrandt, Cathryn Glanton Holzhauer, Mark D Litt

Open access · greenAbstract read
In one paragraph

Article in Journal of substance abuse treatment, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
3.1field-weighted citation impact, top 8% 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

18 citing papers in PubMed, 69 citations in OpenAlex.

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  16. Treatment Interventions for Women With Alcohol Use Disorder.Alcohol research : current reviews · 2020
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 5 institutions in 2 countries.

Elizabeth E EpsteinCenter of Alcohol Studies, Rutgers University, 607 Allison Road, Piscataway, NJ 08854, United States; Department of Psychiatry, University of Massachusetts Medical School, 365 Plantation Street, Worcester, MA, 01605, United States. Electronic address: elizabeth.epstein@umassmed.edu.
Barbara S McCradyCenter of Alcohol Studies, Rutgers University, 607 Allison Road, Piscataway, NJ 08854, United States; Center on Alcoholism, Substance Abuse, and Addictions, University of New Mexico, 2650 Yale Blvd. SE, Albuquerque, NM 87106, United States. Electronic address: bmccrady@unm.edu.
Kevin A HallgrenDepartment of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, 1959 NE Pacific St., Box 356560, Seattle, WA 98195, United States.
Ayorkor GabaCenter of Alcohol Studies, Rutgers University, 607 Allison Road, Piscataway, NJ 08854, United States; Department of Psychiatry, University of Massachusetts Medical School, 365 Plantation Street, Worcester, MA, 01605, United States. Electronic address: Ayorkor.Gaba@umassmed.edu.
Sharon CookCenter of Alcohol Studies, Rutgers University, 607 Allison Road, Piscataway, NJ 08854, United States. Electronic address: sharonc@scarletmail.rutgers.edu.
Noelle JensenCenter of Alcohol Studies, Rutgers University, 607 Allison Road, Piscataway, NJ 08854, United States. Electronic address: nkj@rci.rutgers.edu.
Thomas HildebrandtDepartment of Psychiatry, Mt. Sinai School of Medicine, 1425 Madison Ave, Floor 6, Room 30, New York, NY 10029, United States. Electronic address: tom.hildebrandt@mssm.edu.
Cathryn Glanton HolzhauerDepartment of Psychiatry, University of Massachusetts Medical School, 365 Plantation Street, Worcester, MA, 01605, United States; Veterans Affairs VISN 1 Central Western Massachusetts, 421 North Main St Leeds MA 01053, United States. Electronic address: cathryn.holzhauer@va.gov.
Mark D LittUniversity of Connecticut Health Center, Division of Behavioral Sciences and Community Health, 263 Farmington Avenue, MC 3910, Farmington, CT 06030-3910, United States. Electronic address: litt@uchc.edu.
Rutgers, The State University of New Jersey · USIcahn School of Medicine at Mount Sinai · USUConn Health · USUniversity of Massachusetts Chan Medical School · USUniversity of Washington · US

Funding

Testing CBT models and change mechanisms for Alcohol Dependent WomenR01AA017163 · NIAAA · RUTGERS, THE STATE UNIV OF N.J. · PI EPSTEIN, ELIZABETH ELLEN · 2008 to 2012
$3.5M
Developing a tool to assess, provide feedback, and facilitate discussion of mechanisms of change in frontline addiction treatmentK01AA024796 · NIAAA · UNIVERSITY OF WASHINGTON · PI HALLGREN, KEVIN A. · 2016 to 2020
$870k
NIAAA NIH HHS K01 AA024796NIAAA NIH HHS R01 AA017163
6 · The paper itself

Abstract

objectivesTo test group-based Female-Specific Cognitive Behavioral Therapy (G-FS-CBT) for women with Alcohol Use Disorder (AUD) against an individual Female-Specific Cognitive Behavioral Therapy (I-FS-CBT). This aims of this paper are to describe G-FS-CBT development, content, feasibility, acceptability, group process, engagement in treatment, and within- and post-treatment outcomes.

methodsWomen with AUD (n=155) were randomly assigned to 12 manual-guided sessions of G-FS-CBT or I-FS-CBT; 138 women attended at least one treatment session.

resultsWomen in G-FS-CBT attended fewer sessions (M=7.6) than women in I-FS-CBT (M=9.7; p<.001). Women in both conditions reported high satisfaction with the treatments. Independent coders rated high fidelity of delivery of both G-FS-CBT and I-FS-CBT. Therapeutic alliance with the therapist was high in both conditions, with I-FS-CBT being slightly but significantly higher than G-FS-CBT. In the first six weeks of treatment, women in both treatment conditions significantly reduced their percent drinking days (PDD) and percent heavy days drinking (PHD) by equivalent amounts, maintained through the rest of treatment and the 12month follow up with no treatment condition effects. Women reported significant improvement in all but one of the secondary outcomes during treatment; gains made during treatment in depression, anxiety, autonomy, and interpersonal problems were maintained during the follow-up period, while gains made during treatment in use of coping skills, self-efficacy for abstinence, self-care, and sociotropy deteriorated over follow up but remained improved compared to baseline.

conclusionsFindings support the feasibility, acceptability, and efficacy of a group format for female-specific CBT for AUD, a new 12-session, single gender, community friendly, group therapy with programming specifically for women. Similar, positive outcomes for individual and group treatment formats were found for drinking, mood, coping skills, self-confidence, interpersonal functioning, and self-care.

Indexed as

Cognitive Behavioral TherapyTreatment OutcomeAdultAlcoholismFemaleHumansMiddle AgedPsychotherapy, GroupYoung AdultAlcohol use disorderCognitive behavior therapyFemale specific therapyGroup therapyWomen

Identifiers

PMID29606224
PMCPMC6424104
OpenAlexW2790309038

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.