Does enhanced social support improve outcomes for problem drinkers in guided self-change treatment?

Sobell, Mark B.; Sobell, Linda C.; Leo, Gloria I.

doi:10.1016/s0005-7916(00)00007-0

Cited by 84 publications

(91 citation statements)

References 35 publications

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“…Sexual partners were those with whom the participant engaged in any sexual contact that could lead to an orgasm. All eligibility criteria were confirmed at the baseline appointment, with sex criteria being confirmed using the timeline follow-back (TLFB) interview in which a calendar is used to recall one's daily sexual behavior (Sobell & Sobell, 1992). …”

Section: Methodsmentioning

confidence: 99%

A minority stress—emotion regulation model of sexual compulsivity among highly sexually active gay and bisexual men.

Pachankis¹,

Rendina²,

Restar³

et al. 2015

Health Psychology

148

121

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Objective Sexual compulsivity represents a significant public health concern among gay and bisexual men given its co-occurrence with other mental health problems and HIV infection. The purpose of this study was to examine a model of sexual compulsivity based on minority stress theory and emotion regulation models of mental health among gay and bisexual men. Method Gay and bisexual men in New York City reporting at least nine past-90-day sexual partners (n = 374) completed measures of distal minority stressors (i.e., boyhood gender nonconformity and peer rejection, adulthood perceived discrimination), hypothesized proximal minority stress mediators (i.e., rejection sensitivity, internalized homonegativity), hypothesized universal mediators (i.e., emotion dysregulation, depression and anxiety), and sexual compulsivity. Results The hypothesized model fit the data well (RMSEA = 0.05, CFI = 0.98, TLI = 0.95, SRMR = 0.03). Distal minority stress processes (e.g., peer rejection) were generally found to confer risk for both proximal minority stressors (e.g., internalized homonegativity) and emotion dysregulation. Proximal minority stressors and emotion dysregulation, in turn, generally predicted sexual compulsivity both directly and indirectly through anxiety and depression. Conclusions The final model suggests that gay-specific (e.g., internalized homonegativity) and universal (e.g., emotion dysregulation) processes represent potential treatment targets to attenuate the impact of minority stress on gay and bisexual men's sexual health. Tests of interventions that address these targets to treat sexual compulsivity among gay and bisexual men represent a promising future research endeavor.

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Section: Methodsmentioning

confidence: 99%

A minority stress—emotion regulation model of sexual compulsivity among highly sexually active gay and bisexual men.

Pachankis¹,

Rendina²,

Restar³

et al. 2015

Health Psychology

148

121

View full text Add to dashboard Cite

show abstract

“…On Mondays, participants received verbal feedback concerning last week's drinking goals and set goals for the coming week. On Fridays, they could listen to 1-2 minute IVR-delivered education modules patterned after guided self-change materials (e.g., goal-setting, relapse prevention) (Sobell and Sobell, 1993). Daily and weekly surveys averaged 4.6 and 2.3 minutes, respectively.…”

Section: Methodsmentioning

confidence: 99%

Predictors of utilization of an IVR self-monitoring program by problem drinkers with recent natural resolutions

Simpson¹,

Huang²,

Roth³

et al. 2012

Drug and Alcohol Dependence

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BACKGROUND As part of a randomized controlled trial, problem drinkers who recently initiated natural recovery on their own were offered access to an Interactive Voice Response (IVR) self-monitoring (SM) system as a sobriety maintenance tool during early recovery when relapse risk is high. Because observed IVR utilization was variable, predictors of utilization were evaluated to inform knowledge of populations likely to access and use IVR services. METHODS Participants were 87 untreated community-dwelling adults who recently initiated sobriety following longstanding high-risk drinking practices and alcohol-related problems (M = 16.58 years, SD = 10.95). Baseline interviews assessed pre-resolution drinking practices and problems, and behavioral economic (BE) measures of reward preferences (delay discounting, pre-resolution monetary allocation). Participants had IVR access for 24 weeks to report daily drinking and to hear weekly recovery-focused messages. RESULTS IVR use ranged from 0 to 100%. Frequent (n = 28), infrequent (n = 42), and non-caller (n = 17) groups were identified. Non-callers tended to be younger and to report heavier pre-resolution drinking. Frequent callers (≥ 70% of IVR days) tended to be older, male non-smokers with higher/stable socio-economic status and lower delay discounting compared to infrequent callers. Premature drop-out typically occurred fairly abruptly and was related to extended binge drinking. CONCLUSIONS Characteristics common in the untreated problem drinker population were associated with higher IVR utilization. This large under-served population segment can be targeted for lower intensity alcohol interventions using an IVR platform.

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“…VetChange allows veterans to work toward a goal of either moderation or abstinence; this flexibility should address different levels of problem severity and readiness of OIF and OEF veterans to change. Components of cognitive-behavioral treatments with well documented evidence of effectiveness for problem drinkers (Miller and Wilbourne 2002), such as Behavioral Self-Control Training (BSCT; Hester and Delaney 1997) and Guided Self-Change (Sobell and Sobell 1996,) are incorporated into the intervention. Some of these strategies include goal setting, self-monitoring, rate control, and relapse prevention.…”

Section: Vetchangementioning

confidence: 99%

Web-Based Intervention for Returning Veterans with Symptoms of Posttraumatic Stress Disorder and Risky Alcohol Use

Brief

Rubin

Enggasser

et al. 2011

J Contemp Psychother

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A substantial number of military personnel who have served in Iraq (Operation Iraqi Freedom; OIF) and Afghanistan (Operating Enduring Freedom; OEF) develop symptoms of posttraumatic stress disorder (PTSD) in response to their military experiences and many of these same individuals will drink in a risky or problematic manner following deployment. If left untreated, PTSD symptoms and alcohol problems can become chronic and have a significant, negative impact on the lives of veterans, their families and communities. Further, OIF and OEF service members are often reluctant to seek treatment for mental health symptoms or alcohol problems secondary to stigma. In order to reach this population it is essential that new strategies and venues for delivering evidence-based care are explored. Web-based interventions are uniquely suited to this cohort of veterans in that they have the potential to reach a significant number of veterans who commonly use the Web and who might not otherwise receive care. This article will review the prevalence of PTSD and alcohol problems among OIF and OEF veterans, common barriers they experience with accessing care in traditional mental health settings, and what is known about the effectiveness of Web-based approaches for PTSD and alcohol problems. It also describes the components of a new Web-based intervention, developed by the authors, that uses motivational enhancement and cognitive-behavioral strategies to intervene with returning veterans who report PTSD symptoms and problem drinking. Recommendations for future directions in working with returning veterans with PTSD and alcohol problems will be offered.

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Does enhanced social support improve outcomes for problem drinkers in guided self-change treatment?

Cited by 84 publications

References 35 publications

A minority stress—emotion regulation model of sexual compulsivity among highly sexually active gay and bisexual men.

A minority stress—emotion regulation model of sexual compulsivity among highly sexually active gay and bisexual men.

Predictors of utilization of an IVR self-monitoring program by problem drinkers with recent natural resolutions

Web-Based Intervention for Returning Veterans with Symptoms of Posttraumatic Stress Disorder and Risky Alcohol Use

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