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- Title
Behavioural self‐control training versus motivational enhancement therapy for individuals with alcohol use disorder with a goal of controlled drinking: A randomized controlled trial.
- Authors
Hammarberg, Stina Ingesson; Wallhed Finn, Sara; Rosendahl, Ingvar; Andréasson, Sven; Jayaram‐Lindström, Nitya; Hammarberg, Anders
- Abstract
Background and aims: Controlled drinking (CD) is an attractive treatment goal for a large proportion of individuals with alcohol use disorder (AUD), but the availability of treatment methods supporting a goal of CD is scarce. We tested if behavioural self‐control training (BSCT) was superior to motivational enhancement therapy (MET) for individuals with AUD with a treatment goal of CD. Design: Randomized controlled two‐group trial. Follow‐ups were conducted at 12 and 26 weeks (primary end‐point) after inclusion. Setting: Three specialized dependency care clinics in Stockholm, Sweden. Participants: Two hundred and fifty self‐referred adults (52% men) fulfilling criteria of AUD (DSM‐5) and a stated treatment goal of CD. Intervention and comparator: BSCT (n = 125), a five‐session treatment based on cognitive behavioural therapy versus the active comparator, MET (n = 125), containing four sessions based on Motivational Interviewing. Measurements Primary outcome measure was mean weekly alcohol consumption at the 26‐week follow‐up, adjusted for baseline consumption. Conclusions: A randomized controlled trial found no evidence of a difference between behavioural self‐control training and motivational enhancement therapy in reducing weekly alcohol consumption. Both groups substantially reduced consumption and behavioural self‐control training was superior in reducing hazardous drinking.
- Subjects
SWEDEN; SUBSTANCE abuse prevention; SELF-control; MOTIVATIONAL interviewing; HEALTH outcome assessment; TREATMENT effectiveness; RANDOMIZED controlled trials; ALCOHOL drinking; HEALTH behavior; RESEARCH funding; STATISTICAL sampling; COGNITIVE therapy
- Publication
Addiction, 2024, Vol 119, Issue 1, p86
- ISSN
0965-2140
- Publication type
Article
- DOI
10.1111/add.16325