Evidence map›Paper›PMID 34546910›Full record

ArticleJournal of studies on alcohol and drugs2021

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).

Braden K Linn, Paul R Stasiewicz, Junru Zhao, Joseph F Lucke, Melanie U Ruszczyk, Charles LaBarre, Clara M Bradizza

Open access · greenAbstract read
In one paragraph

Article in Journal of studies on alcohol and drugs, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.4field-weighted citation impact, top 35% 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

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Trial
  2. Do posttreatment increases in social recovery capital mediate the relationship between lower internalizing symptoms and less substance use?Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2026
    Article
  3. Article
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

7 authors at 1 institution in 1 country.

Braden K LinnClinical and Research Institute on Addictions, University at Buffalo, Buffalo, New York.
Paul R StasiewiczSchool of Social Work, University at Buffalo, Buffalo, New York.
Junru ZhaoSchool of Social Work, University at Buffalo, Buffalo, New York.
Joseph F LuckeDepartment of Psychiatry, University at Buffalo, Buffalo, New York.
Melanie U RuszczykSchool of Social Work, University at Buffalo, Buffalo, New York.
Charles LaBarreSchool of Social Work, University at Buffalo, Buffalo, New York.
Clara M BradizzaSchool of Social Work, University at Buffalo, Buffalo, New York.
University at Buffalo, State University of New York · US

Funding

RESEARCH TRAINING ON ALCOHOL ETIOLOGY AND TREATMENTT32AA007583 · NIAAA · STATE UNIVERSITY OF NEW YORK AT BUFFALO · PI Gregory G Homish, KENNETH E LEONARD · 2000 to 2026
$8.5M
Pretreatment Change in Drinking: Relationship to Treatment OutcomeR01AA022080 · NIAAA · STATE UNIVERSITY OF NEW YORK AT BUFFALO · PI STASIEWICZ, PAUL R · 2014 to 2018
$2.7M
NIAAA NIH HHS R01 AA022080NIAAA NIH HHS T32 AA007583
6 · The paper itself

Abstract

objectiveResearch has identified several potential mechanisms of behavior change (MOBCs) in cognitive-behavioral therapy for alcohol use disorder, including alcohol abstinence self-efficacy (AASE), negative affect (NA), and positive affect (PA). However, little is known about when MOBCs affect clinical outcomes during alcohol use disorder treatment. Such information could advance MOBC research by identifying relationships between specific treatment content and variations in MOBCs. This study examined three MOBCs simultaneously to determine their timing and relative influence on percent days abstinent (PDA) and drinks per day (DPD).

methodData were derived from a parent study assessing pretreatment change in drinking. Participants (

resultsAll three MOBCs were associated with PDA and DPD but varied with regard to time course, strength, and direction. For PDA, AASE was positively associated throughout treatment, NA was negatively associated from Sessions 1 to 10, and PA was positively associated from Sessions 1 to 3 and 11 to 12. For DPD, AASE was positively associated from Session 5 to the end of treatment, NA was positively associated throughout treatment although the strength of the association varied and was strongest at the beginning of treatment, and PA was positively associated from Sessions 5 to 12.

conclusionsResults show that MOBCs exert their effects at different times during treatment. In addition to replicating these results, future research should attempt to manipulate MOBCs directly and examine their influence on alcohol outcomes.

Indexed as

AlcoholismCognitive Behavioral TherapyAlcohol AbstinenceAlcohol DrinkingCognitionHumansSelf EfficacyTreatment Outcome

Identifiers

PMID34546910
PMCPMC8819609
OpenAlexW3200337538

What OpenQuestion holds

Textmetadata
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.