Evidence map›Paper›PMID 31054421›Full record

Observational studyDrug and alcohol dependence2019

The role of craving in the treatment of alcohol use disorders: The importance of competing desires and pretreatment changes in drinking.

Robert C Schlauch, Cory A Crane, Gerard J Connors, Ronda L Dearing, Stephen A Maisto

Open access · greenAbstract readObservational Study
In one paragraph

Observational study in Drug and alcohol dependence, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.9field-weighted citation impact, top 14% 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

10 citing papers in PubMed, 20 citations in OpenAlex.

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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

5 authors at 4 institutions in 1 country.

Robert C SchlauchDepartment of Psychology, University of South Florida, 4202 East Fowler Ave, Tampa, FL 33620, USA. Electronic address: rschlauch@usf.edu.
Cory A CraneRochester Institute of Technology, Department of Biomedical Sciences, 180 Lomb Memorial Drive, Rochester, NY 14623, USA.
Gerard J ConnorsResearch Institute on Addictions, University at Buffalo, 1021 Main St., Buffalo, NY 14203, USA.
Ronda L DearingBrené Brown Education and Research Group, Houston, TX, USA.
Stephen A MaistoDepartment of Psychology, Syracuse University, 430 Huntington Hall, Syracuse, NY 13244, USA.
Rochester Institute of Technology · USSyracuse University · USUniversity at Buffalo, State University of New York · USUniversity of South Florida · US

Funding

Research and Mentoring on Alcohol Clinical and Human Laboratory ResearchK05AA016928 · NIAAA · SYRACUSE UNIVERSITY · PI MAISTO, STEPHEN A · 2008 to 2017
$2.1M
Ambivalence Model of Craving: Re-examining the Craving-Drinking RelationshipK23AA021768 · NIAAA · UNIVERSITY OF SOUTH FLORIDA · PI SCHLAUCH, ROBERT CHARLES · 2013 to 2017
$629k
Therapeutic Alliance as a Change Mechanism in Alcoholism TreatmentR21AA017112 · NIAAA · STATE UNIVERSITY OF NEW YORK AT BUFFALO · PI CONNORS, GERARD J · 2007 to 2008
$416k
NIAAA NIH HHS K05 AA016928NIAAA NIH HHS K23 AA021768NIAAA NIH HHS R21 AA017112
6 · The paper itself

Abstract

backgroundThe current study aimed to contribute to the understanding of the session to session relationship between craving and drinking during the course of treatment via the incorporation into the analysis of both a) motivation to avoid alcohol and 2) pretreatment change, given that half of all individuals entering treatment change their drinking prior to the first session.

methodsSixty-three treatment-seeking participants received 12 weeks of CBT for alcohol dependence and completed assessments of approach inclinations, avoidance inclinations and drinking behaviors at the end of each session.

resultsConsistent with our hypothesis, motivations to avoid alcohol and pretreatment change significantly interacted with craving to predict both number of drinking days and heavy drinking days during the interval between sessions. Specifically, among lower pretreatment changers, motivation to avoid alcohol moderated the effect of craving on number of drinking days and number of heavy drinking days, such that craving positively predicted drinking among those lower on motivations to avoid only. In contrast, among higher pretreatment changers, cravings positively predicted drinking among those higher on motivations to avoid alcohol.

conclusionsThese findings highlight the importance of measuring both desire to consume and desire to avoid consuming alcohol simultaneously, and suggest that ambivalence may function differently depending on whether one is initiating (low pretreatment change) versus maintaining change (high pretreatment change).

Indexed as

AdolescentAdultAffectAgedAlcoholismCognitive Behavioral TherapyCravingFemaleFollow-Up StudiesHumansMaleMiddle AgedMotivationSubstance Abuse Treatment CentersTreatment OutcomeYoung AdultAlcoholCravingMotivationPretreatment change

Identifiers

PMID31054421
PMCPMC6561501
OpenAlexW2941898049

What OpenQuestion holds

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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.