Abstract:
:Few investigators studying alcohol abuse among individuals with a severe mental illness (SMI) have examined predictors of posttreatment alcohol outcomes. In the present study, a multivariate approach based on a theoretical model was used to study the relationship between psychosocial factors and post-treatment-initiation alcohol use. Predictors of alcohol use outcomes were examined in 278 individuals diagnosed with a current schizophrenia-spectrum or bipolar disorder and an alcohol use disorder (AUD). At 6-months follow-up, 144 of 228 available participants (63%) had good clinical outcomes. The results of structural equation modeling indicated that type of pretreatment residential setting was directly related to treatment, with participants who lived in supervised settings (41%) reporting significantly more days of treatment (beta = .34, p < .001). In addition, participants with more psychiatric symptoms, as assessed with the Brief Symptom Inventory and Structured Clinical Interview for the Positive and Negative Syndrome Scale, reported significantly fewer treatment days (beta = -.20, p < .001). Number of days that participants attended treatment was indirectly associated with alcohol use outcomes and was mediated by use of alcohol-specific coping skills, such that more frequent use of such skills was associated with less post-treatment-initiation alcohol use (beta = -.34, p < .001). This study emphasizes the favorable prognosis for alcohol outcomes among treated individuals with SMI and AUD and the importance of psychosocial interventions, particularly those that result in better alcohol-specific coping skills.
journal_name
J Consult Clin Psycholjournal_title
Journal of consulting and clinical psychologyauthors
Bradizza CM,Maisto SA,Vincent PC,Stasiewicz PR,Connors GJ,Mercer NDdoi
10.1037/a0017320subject
Has Abstractpub_date
2009-12-01 00:00:00pages
1147-58issue
6eissn
0022-006Xissn
1939-2117pii
2009-22711-013journal_volume
77pub_type
杂志文章abstract:OBJECTIVE:To test the effects of a cognitive-behavioral intervention for weight bias internalization (WBI; i.e., self-stigma) combined with behavioral weight loss (BWL). METHOD:Adults with obesity and elevated WBI were randomly assigned to BWL alone or combined with the Weight Bias Internalization and Stigma Program (...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章,随机对照试验
doi:10.1037/ccp0000480
更新日期:2020-05-01 00:00:00
abstract::The present research evaluated patients from 2 previous studies (1 conducted in Peoria, the other at Dartmouth) during a 2- to 5-year posttreatment period. Results showed that 75% of the Peoria sample and 76% of the Dartmouth sample were able to discontinue alprazolam therapy, remain abstinent of any type of treatment...
journal_title:Journal of consulting and clinical psychology
pub_type: 临床试验,杂志文章
doi:10.1037//0022-006x.67.1.151
更新日期:1999-02-01 00:00:00
abstract::In this meta-analytic study, the authors examined the efficacy of marriage and relationship education (MRE) on 2 common outcomes: relationship quality and communication skills. A thorough search produced 86 codable reports that yielded 117 studies and more than 500 effect sizes. The effect sizes for relationship quali...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章,meta分析
doi:10.1037/a0012584
更新日期:2008-10-01 00:00:00
abstract::The epidemiology and natural history of infection with the human immunodeficiency virus (HIV) is reviewed. HIV is associated with a broad spectrum of disease, including AIDS. In presenting the natural history, early and late clinical manifestations, diagnosis of infection, incubation and latency periods, and survival ...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章,评审
doi:10.1037/h0092560
更新日期:1990-02-01 00:00:00
abstract::A meta-analysis of studies on preparation for medical procedures and pain evaluated the relative effects of sensory; procedural, and combined sensory-procedural preoperational information on coping outcomes. Results indicated that, in contrast to sensory information, procedural information provided no significant bene...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章
doi:10.1037//0022-006x.57.3.372
更新日期:1989-06-01 00:00:00
abstract::Thirty-four patients with irritable bowel syndrome were randomly assigned to 1 of 3 treatment conditions: individualized cognitive treatment (CT), self-help support group (SG), or symptom-monitoring waiting-list control (WL). Each of the 3 conditions lasted approximately 8 weeks. Pre- to posttreatment analyses reveale...
journal_title:Journal of consulting and clinical psychology
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1037//0022-006x.63.5.779
更新日期:1995-10-01 00:00:00
abstract:OBJECTIVE:Identifying treatments to improve functioning and reduce negative symptoms in consumers with schizophrenia is of high public health significance. METHOD:In this randomized clinical trial, participants with schizophrenia or schizoaffective disorder (N = 149) were randomly assigned to cognitive behavioral soci...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章,随机对照试验
doi:10.1037/a0037098
更新日期:2014-12-01 00:00:00
abstract::The Lifestyle Management Class (LMC) was evaluated as a universal and targeted alcohol prevention program among voluntary and mandated college students. The relative efficacy of peer- and professional-led group interventions was also tested in this randomized, controlled design. LMC participants showed decreases in dr...
journal_title:Journal of consulting and clinical psychology
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1037/0022-006X.72.6.1038
更新日期:2004-12-01 00:00:00
abstract:OBJECTIVE:Young gay and bisexual men (YGBM) are disproportionally at risk of HIV infection due to sexual risk behaviors, which are often exacerbated by recreational drug use. However, there have been no evidence-based interventions targeting substance-using YGBM. This study was designed to test a brief motivational int...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章,随机对照试验
doi:10.1037/a0035311
更新日期:2014-02-01 00:00:00
abstract:OBJECTIVE:This study was designed to quantitatively evaluate the effectiveness of motivational interviewing (MI) interventions for adolescent substance use behavior change. METHOD:Literature searches of electronic databases were undertaken in addition to manual reference searches of identified review articles. Databas...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章,meta分析,评审
doi:10.1037/a0023992
更新日期:2011-08-01 00:00:00
abstract:OBJECTIVE:The relationships between the occupational, educational, and verbal-cognitive characteristics of health care professionals and their motivational interviewing (MI) skills before, during, and after training were investigated. METHOD:Fifty-eight community-based addiction clinicians (M = 42.1 years, SD = 10.0; ...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章,随机对照试验
doi:10.1037/a0028362
更新日期:2012-08-01 00:00:00
abstract::Although most reviews of comparative psychotherapy literature have failed to find significant differences among treatments, it is premature to give up the search for differential effects. There are a large number of patient, therapist, and treatment variables that may mediate the effects of treatments. Given the enorm...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章,评审
doi:10.1037//0022-006x.59.2.226
更新日期:1991-04-01 00:00:00
abstract::Recent studies in animals and humans have begun to provide insight into the neuropsychopharmacologic basis of alcohol consumption and dependence. Studies involving the serotonergic and opioidergic neurotransmitter systems have shown the most consistent results. Concurrent nosologic developments have led to the identif...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章,评审
doi:10.1037//0022-006x.62.6.1116
更新日期:1994-12-01 00:00:00
abstract::One hundred four clients completed a mailed follow-up 1 year after completing 8 of 16 sessions of treatment, either cognitive-behavioral (CB) or psychodynamic-interpersonal (PI) psychotherapy. Although mean scores on outcome measures at 1 year suggested that gains were, in general, well maintained, only 29% of clients...
journal_title:Journal of consulting and clinical psychology
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1037//0022-006x.63.3.378
更新日期:1995-06-01 00:00:00
abstract::Philip Kendall's (1997) editorial encouraged authors in the Journal of Consulting and Clinical Psychology (JCCP) to report effect sizes and clinical significance. The present authors assessed the influence of that editorial--and other American Psychological Association initiatives to improve statistical practices--by ...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章
doi:10.1037/0022-006X.73.1.136
更新日期:2005-02-01 00:00:00
abstract::Depression, burnout, and perceived job control (PJC) were assessed in 162 nurses. Depression accounted for over 19% of the variance associated with emotional exhaustion--an index of burnout--and PJC accounted for another 6%. Factor analysis of the scales used to measure depression and burnout documented their discrimi...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章
doi:10.1037//0022-006x.61.1.147
更新日期:1993-02-01 00:00:00
abstract:OBJECTIVE:To investigate the association between posttreatment motivation to change as measured by the Readiness to Change Questionnaire Treatment Version and drinking outcomes 9 months after the conclusion of treatment for alcohol problems. METHOD:Data from 392 participants in the United Kingdom Alcohol Treatment Tri...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1037/a0037981
更新日期:2015-02-01 00:00:00
abstract:OBJECTIVE:Cigarette smoking is the leading cause of preventable death in the United States. In addition, smoking rates among depressed and anxious smokers are higher than in the population at large. Furthermore, treating depressed and anxious smokers effectively is particularly challenging because of their significant ...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章,评审
doi:10.1037/a0027793
更新日期:2013-04-01 00:00:00
abstract:OBJECTIVE:To determine whether pro-social treatment change in sexual offenders would predict reductions in recidivism beyond static and dynamic risk factors measured at pretreatment and whether different methods for assessing change based on self-reports and structured clinical rating systems would show convergent vali...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章
doi:10.1037/a0022900
更新日期:2011-04-01 00:00:00
abstract::This study evaluated the efficacy of cognitive-behavioral therapy (CBT) and interpersonal psychotherapy (IPT) with depressed adolescents in Puerto Rico. Seventy-one adolescents meeting Diagnostic and Statistical Manual of Mental Disorders (3rd ed., rev.; American Psychiatric Association, 1987) criteria for a diagnosis...
journal_title:Journal of consulting and clinical psychology
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1037//0022-006x.67.5.734
更新日期:1999-10-01 00:00:00
abstract::Asian Americans encounter barriers to mental health care, some of which are structural, whereas others may be cultural. Using data from a probability sample (N = 490) drawn from the largest Cambodian refugee community in the United States, the authors assessed the extent to which structural and cultural barriers were ...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章
doi:10.1037/0022-006X.74.6.1116
更新日期:2006-12-01 00:00:00
abstract::Although comorbidity with specific learning disabilities is less frequent than commonly reported, externalizing behavior disorders--particularly attention-deficit hyperactivity disorder (ADHD)--often overlap with various indices of academic underachievement during childhood. Furthermore, by adolescence, delinquency is...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章,评审
doi:10.1037//0022-006x.60.6.893
更新日期:1992-12-01 00:00:00
abstract::This study evaluated the impact of pretreatment depression severity and functional impairment on the response of 2 samples of older depressed adolescents to 2 group cognitive-behavioral treatments. Differences between the 2 active treatments and between active treatment and a waiting-list control condition were expect...
journal_title:Journal of consulting and clinical psychology
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1037//0022-006x.62.4.851
更新日期:1994-08-01 00:00:00
abstract::A prospective design was used to determine the outcomes associated with unaided smoking cessation and the influence of stress on cessation. Heavy smokers (N = 308) completed stress-related measures and were then recontacted at 1, 6, and 12 months. At each follow-up, they indicated their smoking status (which was confi...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章
doi:10.1037//0022-006x.61.5.831
更新日期:1993-10-01 00:00:00
abstract::It has been suggested that people engage in nonsuicidal self-injury (NSSI) because they (a) experience heightened physiological arousal following stressful events and use NSSI to regulate experienced distress and (b) have deficits in their social problem-solving skills that interfere with the performance of more adapt...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章
doi:10.1037/0022-006X.76.1.28
更新日期:2008-02-01 00:00:00
abstract:OBJECTIVE:Through intensive experience sampling, we studied the practice and development of mindfulness as a dynamic process in time and context. We focused on role(s) and salutary function(s) of mindfulness and decentering for emotional experience over the course of mindfulness practice and development. METHOD:Eighty...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章
doi:10.1037/ccp0000154
更新日期:2017-02-01 00:00:00
abstract::The purpose of this investigation was to study the affect, psychophysiology, and violent content of arguments in couples with a violent husband. On the basis of self-reports of violent arguments, there were no wife behaviors that successfully suppressed husband violence once it began; moreover, husband violence escala...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章
doi:10.1037//0022-006x.62.5.982
更新日期:1994-10-01 00:00:00
abstract::Clinical depression is frequently unrecognized, even in health care settings. This study (a) reports high levels of major depressive episodes (MDEs) and depressive symptoms in a public sector women's clinic, (b) compares computerized voice recognition with live interviews, and (c) compares Spanish and English versions...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章
doi:10.1037//0022-006x.67.4.502
更新日期:1999-08-01 00:00:00
abstract::A family systems model is presented for understanding adaptation and coping in childhood chronic illness. The importance of a systems perspective in work with children and families who may not display psychopathology is stressed. A general overview of systems and social-ecological theories relevant to children with ch...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章,评审
doi:10.1037//0022-006x.57.1.25
更新日期:1989-02-01 00:00:00
abstract::Antisocial personality disorder (APD) is a serious public and mental health concern. Understanding how well conduct disorder (CD) and other mental disorders predict the development of APD among youths involved in the juvenile justice system is critical for prevention. The authors used a stratified random sample of 1,1...
journal_title:Journal of consulting and clinical psychology
pub_type: 杂志文章
doi:10.1037/0022-006X.75.2.221
更新日期:2007-04-01 00:00:00