Reducing attrition from conjoint therapy with alcoholic couples.

Abstract:

:Premature termination of treatment by the client has been a pervasive problem in the alcohol treatment field. This drop-out problem is compounded in conjoint therapy for alcoholic couples since most clients typically do not view the drinking problem from a systemic, interactional perspective. Within a short-term communication-interaction based conjoint therapy program offered to couples with an alcohol problem on an outpatient basis, specific mechanisms were developed to deal with client-initiated attrition from treatment. These procedures involve the systematic involvement of the spouse in all aspects of intake, assessment and treatment; the use of role induction in a pretherapy interview; and formal contracting during the beginning phase of therapy. Preliminary results suggest that these efforts may be effective in retaining more socially stable alcoholic clients. For the more transient, less socially stable group of individuals with alcohol-related difficulties, the above mechanisms may not be sufficient to forestall unplanned terminations. It is suggested that the latter group may require help to reduce stresses related to concrete concerns prior to receiving conjoint therapy for their alcohol problem.

journal_name

Drug Alcohol Depend

authors

Zweben A,Pearlman S,Li S

doi

10.1016/0376-8716(83)90023-6

subject

Has Abstract

pub_date

1983-06-01 00:00:00

pages

321-31

issue

3-4

eissn

0376-8716

issn

1879-0046

pii

0376-8716(83)90023-6

journal_volume

11

pub_type

杂志文章
  • Comparison of cognitive performance in methadone maintenance patients with and without current cocaine dependence.

    abstract:BACKGROUND:There is evidence for psychomotor and cognitive performance impairment in methadone maintenance patients (MMP), as well as in individuals with current cocaine dependence. It is unknown whether MMP with concurrent cocaine dependence perform worse on tests of cognitive function than MMP without cocaine depende...

    journal_title:Drug and alcohol dependence

    pub_type: 杂志文章

    doi:10.1016/j.drugalcdep.2011.12.009

    authors: Henry PK,Umbricht A,Kleykamp BA,Vandrey R,Strain EC,Bigelow GE,Mintzer MZ

    更新日期:2012-07-01 00:00:00

  • Drug use patterns and adherence to treatment among HIV-positive patients: evidence from a large sample of French outpatients (ANRS-EN12-VESPA 2003).

    abstract:PURPOSE:To study the relationship between drug use and adherence to highly active antiretroviral therapy (HAART) among HIV-positive people, with two alternative measures of drug use: a set of drug uses considered independent and patterns capturing combinations of drug uses. METHODS:A cross-sectional survey conducted a...

    journal_title:Drug and alcohol dependence

    pub_type: 杂志文章

    doi:10.1016/s0376-8716(06)80012-8

    authors: Peretti-Watel P,Spire B,Lert F,Obadia Y,VESPA Group.

    更新日期:2006-04-01 00:00:00

  • Predictors of quit attempts and successful quit attempts among individuals with alcohol use disorders in a nationally representative sample.

    abstract:BACKGROUND:This study sought to identify predictors of attempting to quit and of successfully quitting alcohol abuse or dependence in the general population. METHODS:Data were drawn from the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC). RESULTS:Approximately 10% of individuals with alcohol...

    journal_title:Drug and alcohol dependence

    pub_type: 杂志文章

    doi:10.1016/j.drugalcdep.2014.05.019

    authors: Chiappetta V,García-Rodríguez O,Jin CJ,Secades-Villa R,Blanco C

    更新日期:2014-08-01 00:00:00

  • Cross-fading motives for simultaneous alcohol and marijuana use: Associations with young adults' use and consequences across days.

    abstract:BACKGROUND:Many young adults engage in simultaneous alcohol and marijuana (SAM) use so that their effects overlap. Little is known about motivations for dual substance use and associations with use and consequences. This study examined daily-level associations between cross-fading motives and levels of alcohol and mari...

    journal_title:Drug and alcohol dependence

    pub_type: 杂志文章

    doi:10.1016/j.drugalcdep.2020.108077

    authors: Patrick ME,Fleming CB,Fairlie AM,Lee CM

    更新日期:2020-05-24 00:00:00

  • Stimulant use and symptoms of abuse/dependence: epidemiology and associations with cannabis use--a twin study.

    abstract:BACKGROUND:This paper explores the magnitude of--and extent of overlap between--additive genetic, shared environmental and non-shared environmental influences on lifetime stimulant use and on stimulant abuse/dependence symptoms; the associations between stimulant use and cannabis use and the extent to which these assoc...

    journal_title:Drug and alcohol dependence

    pub_type: 杂志文章

    doi:10.1016/j.drugalcdep.2006.05.023

    authors: Lynskey MT,Grant JD,Li L,Nelson EC,Bucholz KK,Madden PA,Statham D,Martin NG,Heath AC

    更新日期:2007-01-12 00:00:00

  • Behavioral pharmacology of tandospirone in baboons: chronic administration and withdrawal, self-injection and drug discrimination.

    abstract::The behavioral pharmacology of tandospirone (SM 3997), a novel anxiolytic/antidepressant pyrimidinylpiperazine compound with selective pharmacological effects at the 5-HT1A binding site, was investigated in baboons. Animals administered 50 mg/kg/day i.g. tandospirone, showed few behavioral changes (lip droop, ataxia),...

    journal_title:Drug and alcohol dependence

    pub_type: 杂志文章

    doi:10.1016/0376-8716(93)90084-4

    authors: Sannerud CA,Ator NA,Griffiths RR

    更新日期:1993-05-01 00:00:00

  • Acute baclofen diminishes resting baseline blood flow to limbic structures: a perfusion fMRI study.

    abstract:BACKGROUND:Preclinical and clinical evidence show that the GABA B agonist, baclofen is a promising treatment for addictive disorders; however, until recently its mechanism of action in the human brain was unknown. In previous work we utilized a laboratory model that included a medication versus placebo regimen to exami...

    journal_title:Drug and alcohol dependence

    pub_type: 杂志文章

    doi:10.1016/j.drugalcdep.2012.03.016

    authors: Franklin TR,Shin J,Jagannathan K,Suh JJ,Detre JA,O'Brien CP,Childress AR

    更新日期:2012-09-01 00:00:00

  • Area-level disadvantage and alcohol use disorder in northern Mexico.

    abstract:BACKGROUND:In Mexico, the Northern States are highly impacted by alcohol consumption and associated problems. Little is known about the association between contextual social disadvantage and alcohol use disorder in this region. METHODS:Information from 1265 current drinkers surveyed in the U.S.-Mexico Study on Alcohol...

    journal_title:Drug and alcohol dependence

    pub_type: 杂志文章

    doi:10.1016/j.drugalcdep.2017.02.011

    authors: Orozco R,Benjet C,Ruiz Velasco-Acosta S,Moreno Altamirano L,Karriker-Jaffe KJ,Zemore S,Cherpitel C,Borges G

    更新日期:2017-06-01 00:00:00

  • The association between physical pain and cannabis use in daily life: An experience sampling method.

    abstract:BACKGROUND:Previous research shows that between individuals there is a positive association between medically motivated use and cannabis use frequency and quantity. While between-subjects' analyses are useful for understanding shared vulnerabilities, research has so far not examined within-subjects' relationships which...

    journal_title:Drug and alcohol dependence

    pub_type: 杂志文章

    doi:10.1016/j.drugalcdep.2018.07.014

    authors: Sznitman S,Baruch YB,Greene T,Gelkopf M

    更新日期:2018-10-01 00:00:00

  • Problems assessment for substance using psychiatric patients: development and initial psychometric evaluation.

    abstract:BACKGROUND:Persons with co-occurring Axis I mental disorders and substance use disorders often experience multiple negative consequences as a result of their substance use. Because no existing measure adequately assesses these population-specific problems, we developed the Problems Assessment for Substance Using Psychi...

    journal_title:Drug and alcohol dependence

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.drugalcdep.2004.01.010

    authors: Carey KB,Roberts LJ,Kivlahan DR,Carey MP,Neal DJ

    更新日期:2004-07-15 00:00:00

  • Who becomes cannabis dependent soon after onset of use? Epidemiological evidence from the United States: 2000-2001.

    abstract::In this paper we estimate the risk of becoming cannabis dependent within 24 months after first use of cannabis and examine subgroup variation in this risk. The study estimates are based on the National Household Survey on Drug Abuse conducted during 2000-2001, with a representative sample of U.S. residents ages 12 and...

    journal_title:Drug and alcohol dependence

    pub_type: 杂志文章

    doi:10.1016/j.drugalcdep.2004.11.014

    authors: Chen CY,O'Brien MS,Anthony JC

    更新日期:2005-07-01 00:00:00

  • A partner's drug-using status impacts women's drug treatment outcome.

    abstract::The role that male sexual partners play in the treatment outcome of drug dependent pregnant women deserves greater attention. Pregnant women enrolled in a comprehensive treatment program with drug-free (n=85) or drug-using (n=82) male sexual partners completed a relationship survey and were compared on partner and psy...

    journal_title:Drug and alcohol dependence

    pub_type: 杂志文章

    doi:10.1016/s0376-8716(03)00030-9

    authors: Tuten M,Jones HE

    更新日期:2003-06-05 00:00:00

  • Smokeless tobacco brand switching: a means to reduce toxicant exposure?

    abstract::The purpose of this study was to examine the effects of smokeless tobacco (ST) brand switching on biomarkers of ST exposure and on ST use. Subjects seeking treatment to reduce their use were randomized to ST brand switching with controlled ST topography, brand switching with ad libitum ST use, or a waitlist control wi...

    journal_title:Drug and alcohol dependence

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.drugalcdep.2006.08.021

    authors: Hatsukami DK,Ebbert JO,Anderson A,Lin H,Le C,Hecht SS

    更新日期:2007-03-16 00:00:00

  • Cognitive group therapy for wives of alcoholics--a pilot study.

    abstract::This paper reports on the results of group therapy for the wives of alcoholics where the alcoholics themselves were offered no treatment. The reason for running such a group is based on the idea that wives might seek help before their husbands, might attend sessions regularly and by acquiring better knowledge of alcoh...

    journal_title:Drug and alcohol dependence

    pub_type: 杂志文章

    doi:10.1016/0376-8716(86)90084-0

    authors: Farid B,el Sherbini M,Raistrick D

    更新日期:1986-07-01 00:00:00

  • The practice of office-based buprenorphine treatment of opioid dependence: is it associated with new patients entering into treatment?

    abstract::Office-based buprenorphine holds the promise of bringing patients who have never received pharmacotherapy into treatment. In a cross-sectional and longitudinal analysis, we compared patients entering a clinical trial of buprenorphine in a Primary Care Clinic (PCC) and those entering a local Opioid Treatment Program (O...

    journal_title:Drug and alcohol dependence

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/j.drugalcdep.2004.12.008

    authors: Sullivan LE,Chawarski M,O'Connor PG,Schottenfeld RS,Fiellin DA

    更新日期:2005-07-01 00:00:00

  • Development and validation of a self-rating scale for betel quid chewers based on a male-prisoner population in Taiwan: the Betel Quid Dependence Scale.

    abstract:BACKGROUND:Betel quid is a substance that commonly used among male labor in Taiwan, and the dependence potential has been reported in some studies, but no instrument has been developed specifically to assess areca/betel quid dependence. OBJECTIVE:To develop a reliable and valid research instrument/screening tool for t...

    journal_title:Drug and alcohol dependence

    pub_type: 杂志文章

    doi:10.1016/j.drugalcdep.2011.07.027

    authors: Lee CY,Chang CS,Shieh TY,Chang YY

    更新日期:2012-02-01 00:00:00

  • Poly-tobacco use among adults in 44 countries during 2008-2012: evidence for an integrative and comprehensive approach in tobacco control.

    abstract:INTRODUCTION:The concurrent use of multiple tobacco products (i.e., poly-tobacco use) might hinder efforts to reduce overall tobacco use, particularly considering that use of some non-cigarette tobacco products may be popular in some regions due to social, cultural, or economic reasons. This study assessed poly-tobacco...

    journal_title:Drug and alcohol dependence

    pub_type: 杂志文章

    doi:10.1016/j.drugalcdep.2014.03.003

    authors: Agaku IT,Filippidis FT,Vardavas CI,Odukoya OO,Awopegba AJ,Ayo-Yusuf OA,Connolly GN

    更新日期:2014-06-01 00:00:00

  • Functional magnetic resonance imaging of the acute effect of intravenous heroin administration on visual activation in long-term heroin addicts: results from a feasibility study.

    abstract::This preliminary report is the first demonstration of the acute effects of diacetylmorphine (heroin) administration on functional activation in the human brain using functional magnetic resonance imaging (fMRI). Four opiate addicts who received regular prescriptions for heroin, underwent fMRI using a visual activation...

    journal_title:Drug and alcohol dependence

    pub_type: 杂志文章

    doi:10.1016/s0376-8716(97)00140-3

    authors: Sell LA,Simmons A,Lemmens GM,Williams SC,Brammer M,Strang J

    更新日期:1997-12-01 00:00:00

  • Alcohol abuse in a rural community in India. Part I: Epidemiological study.

    abstract::By systematic sampling of households after two stage proportionate random sampling of villages, a total of 4670 persons above 15 years of age were selected from the rural areas of Ajmer district in Rajasthan, India, to estimate the prevalence rate of alcohol abuse and to study its socio-demographic correlates (Part I)...

    journal_title:Drug and alcohol dependence

    pub_type: 杂志文章

    doi:10.1016/0376-8716(84)90016-4

    authors: Sundaram KR,Mohan D,Advani GB,Sharma HK,Bajaj JS

    更新日期:1984-09-01 00:00:00

  • Child maltreatment increases sensitivity to adverse social contexts: neighborhood physical disorder and incident binge drinking in Detroit.

    abstract:INTRODUCTION:Exposure to child maltreatment is associated with elevated risk for behavioral disorders in adulthood. One explanation for this life-course association is that child maltreatment increases vulnerability to the effects of subsequent stressors; however, the extent to which maltreatment increases sensitivity ...

    journal_title:Drug and alcohol dependence

    pub_type: 杂志文章

    doi:10.1016/j.drugalcdep.2011.09.013

    authors: Keyes KM,McLaughlin KA,Koenen KC,Goldmann E,Uddin M,Galea S

    更新日期:2012-04-01 00:00:00

  • Mortality in patients with dependence on prescription drugs.

    abstract::In 1974 we started a follow-up of patients with different psychoactive substance use disorders (PSUD) according to DSM-III; 2082 cases out of 2127 were analyzed; 1370 patients had taken legal drugs (i.e. prescription drugs and/or over-the-counter drugs); 444 patients suffered from abuse or dependence of legal drugs al...

    journal_title:Drug and alcohol dependence

    pub_type: 杂志文章

    doi:10.1016/0376-8716(92)90035-b

    authors: Poser W,Poser S,Eva-Condemarin P

    更新日期:1992-04-01 00:00:00

  • Short-term stability of different drinking patterns over the course of four weeks among adults. A latent transition analysis.

    abstract:OBJECTIVE:The purpose of the present study was to identify drinking patterns and determine their intraindividual stability over the course of four weeks among a sample of adults from the general population. METHODS:The sample comprised 288 adults who reported drinking alcohol at least once per month (49% female; mean ...

    journal_title:Drug and alcohol dependence

    pub_type: 杂志文章

    doi:10.1016/j.drugalcdep.2018.06.031

    authors: Staudt A,Freyer-Adam J,Meyer C,John U,Baumann S

    更新日期:2018-10-01 00:00:00

  • Age trends in alcohol use behavior patterns among U.S. adults ages 18-65.

    abstract:INTRODUCTION:Although much of the work on risky alcohol use behaviors, such as heavy drinking, focuses on adolescence and young adulthood, these behaviors are associated with negative health consequences across all ages. Existing studies on age trends have focused on a single alcohol use behavior across many ages, usin...

    journal_title:Drug and alcohol dependence

    pub_type: 杂志文章

    doi:10.1016/j.drugalcdep.2019.107689

    authors: Bray BC,Dziak JJ,Lanza ST

    更新日期:2019-12-01 00:00:00

  • Depressive symptoms and substance use: Changes overtime among a cohort of HIV-positive and HIV-negative MSM.

    abstract:BACKGROUND:The objective of this study was to examine depressive symptoms overtime and quantify the variance in symptoms attributable to substance use among a cohort of HIV-positive and HIV-negative men. METHODS:Participants were enrolled in an NIH/NIDA funded cohort, with 534 men resulting in 1,888 visits between Aug...

    journal_title:Drug and alcohol dependence

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.drugalcdep.2019.107770

    authors: Javanbakht M,Shoptaw S,Ragsdale A,Brookmeyer R,Bolan R,Gorbach PM

    更新日期:2020-02-01 00:00:00

  • Effects of ethanol in vitro on some parameters of the immune response.

    abstract::The action of ethanol (ETH) on murine lymphocyte subpopulations and on human peripheral blood mononuclear cells (PBMC) stimulated in vitro by mitogens was studied. ETH caused a concentration-dependent decrease in DNA synthesis in the different murine cell types. ETH was more immunosuppressive for T lymphocytes than fo...

    journal_title:Drug and alcohol dependence

    pub_type: 杂志文章

    doi:10.1016/0376-8716(89)90061-6

    authors: Levallois C,Rouahi N,Balmes JL,Mani JC

    更新日期:1989-12-01 00:00:00

  • Prefrontal cortex modulation using transcranial DC stimulation reduces alcohol craving: a double-blind, sham-controlled study.

    abstract:BACKGROUND:Functional neuroimaging studies have shown that specific brain areas are associated with alcohol craving including the dorsolateral prefrontal cortex (DLPFC). We tested whether modulation of DLPFC using transcranial direct current stimulation (tDCS) could alter alcohol craving in patients with alcohol depend...

    journal_title:Drug and alcohol dependence

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.drugalcdep.2007.06.011

    authors: Boggio PS,Sultani N,Fecteau S,Merabet L,Mecca T,Pascual-Leone A,Basaglia A,Fregni F

    更新日期:2008-01-01 00:00:00

  • Proximal and distal social influence on alcohol consumption and marijuana use among middle school adolescents.

    abstract:OBJECTIVES:This study assesses the independent and combined effects of (1) perceived peer norms, (2) best friend use, and (3) being in the presence of others who use on middle school adolescents' consumption of marijuana and alcohol, and how the effects of these sources of social influence evolve over time as youth pro...

    journal_title:Drug and alcohol dependence

    pub_type: 杂志文章

    doi:10.1016/j.drugalcdep.2014.08.012

    authors: Salvy SJ,Pedersen ER,Miles JN,Tucker JS,D'Amico EJ

    更新日期:2014-11-01 00:00:00

  • Can oral fluid cannabinoid testing monitor medication compliance and/or cannabis smoking during oral THC and oromucosal Sativex administration?

    abstract:OBJECTIVES:We characterize cannabinoid disposition in oral fluid (OF) after dronabinol, synthetic oral Δ(9)-tetrahydrocannabinol (THC), and Sativex, a cannabis-extract oromucosal spray, and evaluate whether smoked cannabis relapse or Sativex compliance can be identified with OF cannabinoid monitoring. METHODS:5 and 15...

    journal_title:Drug and alcohol dependence

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.drugalcdep.2012.10.011

    authors: Lee D,Karschner EL,Milman G,Barnes AJ,Goodwin RS,Huestis MA

    更新日期:2013-06-01 00:00:00

  • Needle sharing in regular sexual relationships: an examination of serodiscordance, drug using practices, and the gendered character of injecting.

    abstract:BACKGROUND:This paper examines correlates of needle and other equipment sharing among injecting drug users (IDU) in regular heterosexual relationships. METHODS:A cross-sectional survey collected data from people obtaining sterile needles and syringes from pharmacies in New South Wales, Australia. 181 IDU in regular he...

    journal_title:Drug and alcohol dependence

    pub_type: 杂志文章

    doi:10.1016/j.drugalcdep.2009.10.007

    authors: Bryant J,Brener L,Hull P,Treloar C

    更新日期:2010-03-01 00:00:00

  • Desipramine treatment of cocaine-dependent patients with depression: a placebo-controlled trial.

    abstract:OBJECTIVE:The aim of this study was to test the hypothesis that desipramine would be an effective treatment in cocaine abusers with current depressive disorders. METHOD:This was a randomized, 12-week, double-blind, 'placebo-controlled trial of outpatients (N = 111) meeting DSM-III-R criteria for cocaine dependence and...

    journal_title:Drug and alcohol dependence

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.drugalcdep.2005.03.026

    authors: McDowell D,Nunes EV,Seracini AM,Rothenberg J,Vosburg SK,Ma GJ,Petkova E

    更新日期:2005-11-01 00:00:00