Can emotion acceptance-based interventions alleviate depression symptoms and alcohol consumption?

Abstract

Depression and alcohol abuse are interrelated disorders. Many people use alcohol to suppress their negative emotions and feel better in stressful situation. However, alcohol abuse has negative impacts that can lead to alcohol dependence and health problems. The current study was a single-case study with repeated measurements (n=1) in which intervention used couseling methods adapted concepts of Acceptance and Commitment Therapy (ACT), including being present, acceptance, and commitment. The intervention was conducted infour sessions. The study examined the effectiveness of the intervention in a client who had reported various depression symptoms along with alcohol abuse as a means to suppress negative emotions. The participant was B, a 20-year-old woman, with a history of bulimia and alcohol abuse who came to the counseling center with complaints of stress and feelings of prolonged sadness. The results of the intervention included a decrease of depression symptoms as reflected in ad reduction of Beck Depression Inventory (BDI) measurements from 25 to eight and ad decrease of self-reported alcohol consumption from eight to zero times per month. Mindfulness breathing helped her to cope with perceived negative emotion. Counseling technique helped B to understand herself and her primary emotions. Moreover, observation tasks given as homework helped B to be more clearly aware of her emotions, thoughts, and situation. These conditions helped B to enhance her mood and re-engage in daily activities, which was followed by a desire to take action in improving her interpersonal relationships, particularly with her parents. Her success in dealing with her negative emotions and improving her interpersonal relationships reduced B's use of alcohol consumption as emotional coping. Nevertheless, difficulties with decision-making that were reported in a follow-up session should be the focus of future interventions.