Behavioral couples therapy versus individual-based treatment for male substance-abusing patients An evaluation of significant individual change and comparison of improvement rates

Behavioral Couples Therapy for the Treatment of Substance Abuse: A Substantive and Methodological Review of O'Farrell, Fals‐Stewart, and Colleagues' Program of Research

“…BCT has consistently resulted in improvements in drinking Fals-Stewart, Klosterman, Yates, O'Farrell, & Birchler, 2005) and drug use outcomes (Fals-Stewart et al, 2000Kelley & Fals-Stewart, 2007). There is evidence that BCT is more effective at improving substance use outcomes than other individual and couple (couple education only control groups, ICT groups) comparison treatments (Fals-Stewart et al, 2005.…”

Involving significant others in the care of opioid-dependent patients receiving methadone

“…The nature of the significant-other intervention used in the program was able to accommodate this reality, and therefore, is applicable to a wider range of opioiddependent patients compared with more traditional couples approaches (Fals-Stewart et al, 1996;Fals-Stewart et al, 2000;Winters et al, 2002).…”

“…Studies have shown that spouse involvement in treatment is an effective intervention for enhancing adherence to disulfiram, for reducing total alcohol consumption, for improving partner relationships, and for maintaining treatment gains over time (McCrady, Epstein, & Hirsch, 1999;McCrady, Epstein & Kahler, 2004;McCrady, Stout, Noel, Abrams, & Nelson, 1991;O'Farrell, Choqu ette, & Cutter, 1998 ;O'Farrel l, Cutter, Choquette, Floyd , & Bayog , 199 2;O'Farrell, Van H utton, & Murphy, 1999). More recently, studies that have extended this work to illicit-drug-using individuals have shown that patients treated with BCT exhibit less drug use and better overall treatment adherence than those prescribed individual-based therapies (Fals-Stewart, Birchler, & O'Farrell, 1996;Fals-Stewart et al, 2000;Winters, FalsStewart, O'Farrell, Birchler, & Kelley, 2002).…”

Maladaptive Coping as a Mediator of Family Stress

“…Specific family behaviors that are targets of change often include expression of hostile or critical emotions and enabling (behaviors that reinforce drinking or drug use). Interventions targeting family behavior in substance-abusing or dually-disordered populations have been found to increase treatment engagement and adherence, promote psychiatric stability, reduce substance use and relapse, and increase well-being of both clients and family members (Hogarty et al, 1991; McFarlane et al, 1995; Meyers, Miller, Smith, & Tonigan, 2002; Miller, Meyers, & Tonigan, 1999; O’Farrell & Fals-Stewart, 2000; Fals-Stewart & O’Farrell, 2003; Fals-Stewart et al, 2000). …”