A Pilot Study of Interpersonal Psychotherapy for Alcohol-Dependent Women With Co-Occurring Major Depression

被引:12
作者
Gamble, Stephanie A. [1 ]
Talbot, Nancy L. [1 ]
Cashman-Brown, Sarah M. [1 ]
He, Hua [2 ,3 ]
Poleshuck, Ellen L. [1 ]
Connors, Gerard J. [4 ]
Conner, Kenneth R. [1 ,3 ]
机构
[1] Univ Rochester, Dept Psychiat, Rochester, NY 14620 USA
[2] Univ Rochester, Dept Biostat & Computat Biol, Rochester, NY 14620 USA
[3] VA VISN2 Ctr Excellence Suicide Prevent, Canandaigua, NY USA
[4] SUNY Buffalo, Res Inst Addict, Buffalo, NY 14260 USA
关键词
Alcohol; depression; co-occurring disorders; treatment; women; CONSUMPTION FOLLOWING TREATMENT; NATIONAL EPIDEMIOLOGIC SURVEY; GENDER-DIFFERENCES; SUBSTANCE USE; EFFECTIVENESS TRIAL; MENTAL-DISORDERS; SOCIAL SUPPORT; UNITED-STATES; DRUG-USE; DRINKING;
D O I
10.1080/08897077.2012.746950
中图分类号
R194 [卫生标准、卫生检查、医药管理];
学科分类号
摘要
.Background: Co-occurring major depression is prevalent among alcohol-dependent women and is a risk factor for poor treatment outcomes. This uncontrolled pilot study tested the feasibility, acceptability, and initial effects of interpersonal psychotherapy (IPT) for women with co-occurring alcohol dependence and major depression (AD-MD) in an outpatient community addiction treatment program. Methods: Fourteen female patients with concurrent diagnoses of alcohol dependence and major depression participated. Assessments were conducted at baseline, midtreatment (8 and 16 weeks), posttreatment (24 weeks), and follow-up (32 weeks). Results: Participants attended a mode of 8 out of 8 possible sessions of IPT in addition to their routine addiction care, and reported high treatment satisfaction on the Client Satisfaction Questionnaire-8. Women's drinking behavior, depressive symptoms, and interpersonal functioning improved significantly over the treatment period and were sustained at follow-up. Conclusions: These preliminary findings suggest that IPT is a feasible, highly acceptable adjunctive behavioral intervention for AD-MD women.
引用
收藏
页码:233 / 241
页数:9
相关论文
共 68 条
[11]   Lifetime comorbidity of DSM-IV mood and anxiety disorders and specific drug use disorders: Results from the national epidemiologic survey on alcohol and related conditions [J].
Conway, KP ;
Compton, W ;
Stinson, FS ;
Grant, BF .
JOURNAL OF CLINICAL PSYCHIATRY, 2006, 67 (02) :247-257
[12]   GENDER EFFECTS ON THE CLINICAL PRESENTATION OF ALCOHOLICS AT A PSYCHIATRIC-HOSPITAL [J].
CORNELIUS, JR ;
JARRETT, PJ ;
THASE, ME ;
FABREGA, H ;
HAAS, GL ;
JONESBARLOCK, A ;
MEZZICH, JE ;
ULRICH, RF .
COMPREHENSIVE PSYCHIATRY, 1995, 36 (06) :435-440
[13]   Longitudinal changes in predictor profiles of abstinence from alcohol use among male veterans [J].
Curran, GM ;
Booth, BM .
ALCOHOLISM-CLINICAL AND EXPERIMENTAL RESEARCH, 1999, 23 (01) :141-143
[14]   Depression after alcohol treatment as a risk factor for relapse among male veterans [J].
Curran, GM ;
Flynn, HA ;
Kirchner, J ;
Booth, BM .
JOURNAL OF SUBSTANCE ABUSE TREATMENT, 2000, 19 (03) :259-265
[15]   Depressive symptomatology and early attrition from intensive outpatient substance use treatment [J].
Curran, GM ;
Kirchner, JE ;
Worley, M ;
Rookey, C ;
Booth, BM .
JOURNAL OF BEHAVIORAL HEALTH SERVICES & RESEARCH, 2002, 29 (02) :138-143
[16]  
ELKIN I, 1989, ARCH GEN PSYCHIAT, V46, P971
[17]  
FRANK E, 1991, ARCH GEN PSYCHIAT, V48, P1053
[18]   INTERPERSONAL PSYCHOTHERAPY FOR DEPRESSION - OVERVIEW, CLINICAL EFFICACY, AND FUTURE-DIRECTIONS [J].
FRANK, E ;
SPANIER, C .
CLINICAL PSYCHOLOGY-SCIENCE AND PRACTICE, 1995, 2 (04) :349-369
[19]   Effects of Pretreatment and Posttreatment Depressive Symptoms on Alcohol Consumption Following Treatment in Project MATCH [J].
Gamble, Stephanie A. ;
Conner, Kenneth R. ;
Talbot, Nancy L. ;
Yu, Qin ;
Tu, Xin M. ;
Connors, Gerard J. .
JOURNAL OF STUDIES ON ALCOHOL AND DRUGS, 2010, 71 (01) :71-77
[20]   PREDICTION OF RESUMPTION OF DRINKING IN POSTTREATMENT ALCOHOLICS [J].
GLENN, SW ;
PARSONS, OA .
INTERNATIONAL JOURNAL OF THE ADDICTIONS, 1991, 26 (02) :237-254