Random assignment to abstinence and controlled drinking: evaluation of a cognitive-behavioral program for problem drinkers.

Abstract

Assessed cognitive-behavioral program with a goal of either abstinence or controlled drinking using 70 early-stage problem drinkers who were randomly assigned to 1 of 2 goal conditions and within each condition to 1 of 2 therapists. Ss averaged 6 individual weekly sessions, each lasting approximately 90 min. Both groups were taught to identify risk situations and existing competencies, to develop cognitive and behavioral coping, and to assess their progress objectively. The controlled-drinking group was also taught procedures for moderate drinking. Over the 2-yr follow-up period, no significant differences were found between the groups in reported alcohol consumption. Six months after treatment, drinking had been reduced from an average of about 51 drinks/week to 13, and this reduction was maintained throughout the 2nd year. Reports of drinking were corroborated by independent measures. Although the outcomes of the groups were similar, controlled drinking was considered to be a more suitable goal; it was more acceptable to the majority of the clients, and most of those assigned to abstinence developed moderate drinking on their own. (51 ref) (PsycINFO Database Record (c) 2006 APA, all rights reserved)