Examining mediators of change in traditional chemical dependency treatment.
Journal of Studies on AlcoholPublished 1 January 1996
Jon Morgenstern, Ronni M. Frey, Barbara S. McCrady, Erich W. Labouvie, Charles J. Neighbors
Citations74
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
Findings do not support prevailing practitioner views regarding how traditional treatment works and suggest that interventions in these treatments may be mismatched to patient needs.
Abstract
Findings do not support prevailing practitioner views regarding how traditional treatment works and suggest that interventions in these treatments may be mismatched to patient needs.
Keywords
Social SciencesMedicineHealth Professions
American PsychologistIn search of how people change: Applications to addictive behaviors.
8,587 Citations1992James O. Prochaska, Carlo C. DiClemente +1 more
Archives of General PsychiatryThe Global Assessment Scale
4,952 Citations1976Jean Endicott
The relative simplicity, reliability, and validity of the GAS suggests that it would be useful in a wide variety of clinical and research settings.
Behaviour Research and TherapyReliability of alcohol abusers' self-reports of drinking behavior
731 Citations1979Linda C. Sobell, Stephen A. Maisto +2 more
The test-retest reliability of alcohol abusers' self-reports of their daily drinking and daily drinking, alcohol-related incarcerations and their drinking problem history were highly reliable, and limits on the generalizability of these finclings are discussed.
Alcoholism Treatment: Context, Process, and Outcome
537 Citations1990Rudolf H. Moos, John W. Finney +1 more
Evaluating and improving alcoholism treatment programsObjectives, methods, and assessment of treatment implementation Short-term outcome and patient prognosis Gender and marital status in treatment and outcome.
Journal of Studies on AlcoholThe cost effectiveness of treatment for alcoholism: a first approximation.
404 Citations1991H D Holder, Richard Longabaugh +2 more
The results of this first effort to establish initial cost/effectiveness considerations are intended to stimulate researchers to conduct the types of clinical studies where both cost and effectiveness are carefully measured to increase the scientific basis for future cost/Effect policy considerations.
New England Journal of MedicineA Randomized Trial of Treatment Options for Alcohol-Abusing Workers
306 Citations1991Diana Chapman Walsh, Ralph W. Hingson +10 more
Even for employed problem drinkers who are not abusing drugs and who have no serious medical problems, an initial referral to AA alone or a choice of programs, although less costly than inpatient care, involves more risk than compulsory inpatient treatment and should be accompanied by close monitoring for signs of incipient relapse.
The Effectiveness of Alcoholism Treatment
283 Citations1986William R. Miller, Reid K. Hester
In 1979 the authors set out together on a journey to try to read every study that had ever been published (in languages they could understand) on the effectiveness of different approaches to treating alcohol problems.
Psychological BulletinMediators and moderators of change in cognitive therapy of depression.
217 Citations1993Mark A. Whisman
Journal of Substance Abuse TreatmentProblem drinkers: guided self-change treatment
214 Citations1995
Treatment of Problem Drinkers: The Missing Part of a Comprehensive Approach to Alcohol Problems and a Self-Management Approach to Treating Problem Drinker.
Journal of Consulting and Clinical PsychologyEffects of commitment to abstinence, positive moods, stress, and coping on relapse to cocaine use.
202 Citations1991Sharon M. Hall, Barbara E. Havassy +1 more
Results suggest that solidifying abstinence goals and enhancing positive moods may facilitate early abstinence, and use of more coping strategies predicted abstinence for Caucasian but not for African-American Ss.
Journal of Studies on AlcoholProcesses of change in Alcoholics Anonymous: maintenance factors in long-term sobriety.
158 Citations1994Matthew G. Snow, James O. Prochaska +1 more
There was a consistent, positive relationship between the use of behaviorally oriented change processes and increased involvement with AA, with current attendees and high affiliates utilizing these particular strategies more frequently than either self-changers, past attendees or the low to medium affiliate groups.
British Journal of AddictionThe Minnesota Model in the Management of Drug and Alcohol Dependency: miracle, method or myth? Part I. The Philosophy and the Programme <sup>★</sup>
142 Citations1988Christopher C. H. Cook
The Minnesota Model is an abstinence orientated, comprehensive, multi-professional approach to the treatment of the addictions, based upon the principles of Alcoholics Anonymous, which espouses a disease concept of drug and alcohol dependency with the promise of recovery, but not cure, for those who adhere to it.
Journal of Studies on AlcoholModels of alcoholism used in treatment: contrasting AA and other perspectives with which it is often confused.
139 Citations1994William R. Miller, E Kurtz
Current popular and professional conceptions of alcoholism in the United States blend four models that differ in their emphases and implications and contain mutually contradictory beliefs.
American Journal of PsychiatryTreatment goals, continuity of care, and outcome in a day hospital substance abuse rehabilitation program
132 Citations1994James R. McKay, Arthur I. Alterman +2 more
Patients who complete day hospital substance abuse rehabilitation and then continue to participate in self-help groups are likely to have lower rates of alcohol and cocaine use during follow-up.
British Journal of AddictionThe Minnesota Model in the Management of Drug and Alcohol Dependency: miracle, method or myth? Part II. Evidence and Conclusions*
72 Citations1988Christopher C. H. Cook
Claims of impressive outcome figures for the Minnesota Model find some support in published studies, but methodological criticisms of these studies indicate the need for further research incorporating control or comparison treatment groups, longer follow-up, more rigorous assessment procedures, and clearly defined diagnostic/outcome criteria.
Journal of Substance AbuseEnhancing substance abuse treatment evaluations: Examining mediators and moderators of treatment effects
71 Citations1995John W. Finney
British Journal of AddictionCurative factors in alcohol and drug treatment: behavioral and disease model perspectives
63 Citations1992Jon Morgenstern, Barbara S. McCrady
A national survey of treatment expert's views on treatment processes indicated that experts tend to rate certain processes as most important in the resolution of alcohol and drug problems, and suggests that it is possible to identify core disease model and behavioral treatment processes.
Journal of Studies on AlcoholDevelopment of a "Steps Questionnaire".
63 Citations1991Francis Gilbert
The dichotomization of Steps Questionnaire scores into total agreement versus partial agreement with Step 1, and the reduction of uncertainty in the prediction of abstention over a lengthy follow-up period, provides support for AA's contention that total surrender to one's powerlessness over alcohol is part of the process of achieving abstention.
Journal of Addictive DiseasesResearch on Matching Alcoholic Patients to Treatments:
47 Citations1992Margaret E. Mattson, John P. Allen
Medical Entomology and ZoologyDiagnosing and treating co-dependence : a guide for professionals who work with chemical dependents, their spouses, and children
45 Citations1986Timmen L. Cermak
For every chemical dependent, there may be from five to ten co-dependents, and more and more, professionals are being called on to help them in treatment centers, family counseling clinics, mental health agencies, doctor's offices, school settings, even in business and industry.
Working with the Preferred Defense Structure of the Recovering Alcoholic
44 Citations1978John Wallace
Despite the increasing concentration of effort upon rehabilitation of alcoholic drinkers, a systematic and specific theory of alcoholism therapy remains to be formulated.
Journal of Studies on Alcohol SupplementIssues in the selection and development of therapies in alcoholism treatment matching research.
37 Citations1994Dennis M. Donovan, Ronald M. Kadden +5 more
The recent book by Beutler and Clarkin on systematic treatment selection in general psychotherapy provides a framework within which to discuss alcoholism treatment matching and the criteria applied to decisions concerning modes of treatment, treatment format, specific therapeutic strategies and the treatment setting.
International Journal of Group PsychotherapyAddiction and the Vulnerable Self
34 Citations1991Norman A. Neiberg
Journal of Studies on Alcohol SupplementIssues in the development of client-treatment matching hypotheses.
32 Citations1994Richard Longabaugh, Philip W. Wirtz +2 more
Observations and insights that were gained in the course of critiquing the a priori client-treatment matching hypothesis that were developed for Project MATCH are discussed.
Clinical Psychology ReviewPsychotherapy of depression research at a crossroads: Directions for the 1990s
31 Citations1990Ernest Edward Beckham
Psychological ReportsAn Empirical Test of ‘A Cultural Delusion of Alcoholics’
25 Citations1982Nick Heather, Maurice Winton +1 more
It is demonstrated that alcoholics who believed in the “first drink, then drunk” dictum were less likely to be classified as harmfree drinkers 6 mo. following termination of abstinence-oriented treatment.
Journal of Studies on AlcoholAttitudes toward alcoholism among psychologists and marriage, family and child counselors.
10 Citations1991Douglas Kahle, Robert M. White
This study examines the attitudes of 589 randomly chosen licensed California psychologists and marriage, family and child counselors toward alcoholism to reveal that the two professional groups were relatively homogeneous in nature.
Journal of Substance Abuse TreatmentInpatient treatment of alcoholism: A behavioral approach
4 Citations1987Timothy J. O’Farrell, James Langenbucher
Antabuse (including behavioral contracting procedures to increase compliance with this drug), along with psychotropic medication for additional psychopathology, are pharmacological interventions that often can be used to stabilize change.
