Randomized controlled trial of online interventions for co-occurring depression and hazardous alcohol consumption: Primary outcome results

Cunningham, John A.; Godinho, Alexandra; Hendershot, Christian S.; Kay‐Lambkin, Frances; Neighbors, Clayton; Griffiths, Kathleen M; Schell, Christina

doi:10.1016/j.invent.2021.100477

Cited by 5 publications

(3 citation statements)

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“…Findings from this study are consistent with a randomized controlled trial that examined the inclusion of a brief web-based alcohol use intervention in conjunction with a web-based depression intervention [ 7 ]. Similar to that trial, we found no additional alcohol-related benefits associated with alcohol consumption, including a brief resource focused on reducing alcohol use.…”

Section: Discussionsupporting

confidence: 83%

“…In the literature, we identified only 1 study in which participants completing a self-guided ICBT program for depression received a brief intervention related to alcohol use [ 7 ]. In this study, participants were randomized to receive either a self-guided ICBT program for depression (MoodGYM; Australian National University) or the same program with a normative feedback intervention for alcohol use (Check Your Drinking).…”

Section: Introductionmentioning

confidence: 99%

“…In this study, participants were randomized to receive either a self-guided ICBT program for depression (MoodGYM; Australian National University) or the same program with a normative feedback intervention for alcohol use (Check Your Drinking). The Check Your Drinking screener was administered at baseline, and participants received a report summarizing their drinking compared with others of the same age, sex, and country (ie, Canada), which could be accessed at any point while clients completed the ICBT program [ 7 ]. Adding a brief feedback intervention did not predict drinking or depression outcomes.…”

Section: Introductionmentioning

confidence: 99%

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The Impacts of a Psychoeducational Alcohol Resource During Internet-Delivered Cognitive Behavioral Therapy for Depression and Anxiety: Observational Study

Peynenburg¹,

Sapkota²,

Lozinski³

et al. 2023

JMIR Ment Health

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Background Problematic alcohol use is common among clients seeking transdiagnostic internet-delivered cognitive behavioral therapy (ICBT) for depression or anxiety but is not often addressed in these treatment programs. The benefits of offering clients a psychoeducational resource focused on alcohol use during ICBT for depression or anxiety are unknown. Objective This observational study aimed to elucidate the impacts of addressing comorbid alcohol use in ICBT for depression and anxiety. Methods All patients (N=1333) who started an 8-week transdiagnostic ICBT course for depression and anxiety received access to a resource containing information, worksheets, and strategies for reducing alcohol use, including psychoeducation, reasons for change, identifying risk situations, goal setting, replacing drinking with positive activities, and information on relapse prevention. We assessed clients’ use and perceptions of the resource; client characteristics associated with reviewing the resource; and whether reviewing the resource was associated with decreases in clients’ alcohol use, depression, and anxiety at posttreatment and 3-month follow-up among clients dichotomized into low-risk and hazardous drinking categories based on pretreatment Alcohol Use Disorders Identification Test (AUDIT) scores. Results During the 8-week course, 10.8% (144/1333) of clients reviewed the resource, and those who reviewed the resource provided positive feedback (eg, 127/144, 88.2% of resource reviewers found it worth their time). Furthermore, 18.15% (242/1333) of clients exhibited hazardous drinking, with 14.9% (36/242) of these clients reviewing the resources. Compared with nonreviewers, resource reviewers were typically older (P=.004) and separated, divorced, or widowed (P<.001). Reviewers also consumed more weekly drinks (P<.001), scored higher on the AUDIT (P<.001), and were more likely to exhibit hazardous drinking (P<.001). Regardless of their drinking level (ie, low risk vs hazardous), all clients showed a reduction in AUDIT-Consumption scores (P=.004), depression (P<.001), and anxiety (P<.001) over time; in contrast, there was no change in clients’ drinks per week over time (P=.81). Reviewing alcohol resources did not predict changes in AUDIT-Consumption scores or drinks per week. Conclusions Overall, ICBT appeared to be associated with a reduction in alcohol consumption scores, but this reduction was not greater among alcohol resource reviewers. Although there was some evidence that the resource was more likely to be used by clients with greater alcohol-related difficulties, the results suggest that further attention should be given to ensuring that those who could benefit from the resource review it to adequately assess the benefits of the resource.

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Section: Discussionsupporting

confidence: 83%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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