Recent advances in behavioral addiction treatments: Focusing on mechanisms of change

Current Psychiatry Reports

Volumn 13, Issue 5, 2011, Pages 382-389

  Longabaugh, Richard ^a   Magill, Molly ^a  

^a BROWN UNIVERSITY   (United States)

Author keywords

Active ingredients of treatment; Addictions; Behavioral treatment; Mechanisms of behavioral change

Indexed keywords

ADDICTION; ARTICLE; BEHAVIOR CHANGE; BEHAVIOR THERAPY; COGNITIVE THERAPY; COPING BEHAVIOR; DOCTOR PATIENT RELATION; HEALTH BEHAVIOR; HUMAN; MEDICAL RESEARCH; OUTCOME ASSESSMENT; PARTICIPATORY MANAGEMENT; PATIENT PARTICIPATION; PSYCHOLOGICAL MODEL; PSYCHOSOCIAL CARE; SELF CONCEPT; SUPPORT GROUP; THERAPY EFFECT; TREATMENT PLANNING; TREATMENT RESPONSE;

BEHAVIOR THERAPY; EVIDENCE-BASED MEDICINE; HUMANS; MODELS, PSYCHOLOGICAL; SUBSTANCE-RELATED DISORDERS;

EID: 80755133548     PISSN: 15233812     EISSN: 15351645     Source Type: Journal    
DOI: 10.1007/s11920-011-0220-4     Document Type: Article

References (44)

1. Miller WR, Wilbourne PL. Mesa Grande: a methodological analysis of clinical trials of treatments for alcohol use disorders. Addiction. 2002;97:265-77. (Pubitemid 34250721)
2. Wampold BE. The great psychotherapy debate: models, methods, and findings. Mahwah: Lawrence Erlbaum Associates; 2001.
3. Longabaugh R, Magill M, Morgenstern J, Huebner, R.: Mechanisms of behavior change. In Addictions: A Comprehensive Guidebook. Edited by McCrady BS, & Esptein EE. Oxford University Press, 2011 (in press).
4. Longabaugh R. The search for mechanisms of change in behavioral treatments for alcohol use disorders: a commentary. Alcohol Clin Exp Res. 2007;31:21S-32S. (Pubitemid 47437798)
5. Moos RH, Finney JW. Expanding the scope of alcoholism treatment. Am Psychol. 1983;38(10):1036-44.
6. Chambless DL, Hollon SD. Defining empirically supported therapies. J Consult Clin Psych. 1998;66(1):7-18. (Pubitemid 28086807)
7. Dunn C, DeRoo L, Rivara FP. The use of brief interventions adapted from motivational interviewing across behavioral domains: a systematic review. Addiction. 2001;96(12):1725-42. (Pubitemid 34014247)
8. Apodaca TR, Longabaugh R. Mechanisms of change in motivational interviewing: a review and preliminary evaluation of the evidence. Addiction. 2009;104(5):705-15.
9. Morgenstern J, Longabaugh R. Cognitive-behavioral treatment for alcohol dependence: a review of evidence for its hypothesized mechanisms of action. Addiction. 2000;95(10):1475-90.
10. Huebner RB, Tonigan JS. The search for mechanisms of behavior change in evidence-based behavioral treatments for alcohol use disorders: overview. Alcohol Clin Exp Res. 2007;31(S3):1S-3S. (Pubitemid 47437795)
11. Kazdin AE, Nock MK. Delineating mechanisms of change in child and adolescent therapy: methodological issues and research recommendation. J Child Psychol Psyc. 2003;44(8):1116-29. (Pubitemid 37461054)
12. Nock MK. Conceptual and design essentials for evaluating mechanisms of change. Alcohol Clin Exp Res. 2007;31(S3):4S-12S. (Pubitemid 47437796)
13. Baron RM, Kenney DA. The moderator-mediator variable distinction in social psychological research: conceptual, strategic and statistical considerations. J Pers Soc Psychol. 1986;51:1173-82.
14. • MacKinnon DP: Introduction to Statistical Mediation Analysis. NY: Lawrence Erlbaum Associates, 2008. This book provides a comprehensive verbal and mathematical exposition of basic and advanced applications of mediation analysis. Mediation analysis is an essential pillar of mechanisms of behavioral change research.
15. Kelly JF, Magill M, Stout RL. How do people recover from alcohol dependence? A systematic review of the research on mechanisms of behavior change in Alcoholics Anonymous. Addict Res Theory. 2009;17(3):236-59.
16. Longabaugh R: Involvement of support networks in treatment. In Recent Developments in Alcoholism, Volume 16: Research on Alcoholism Treatment. Edited by Galanter. New York: Plenum Publishers; 2003, 133-147.
17. Kelly JF. Spirituality in recovery: a lagged mediational analysis of Alcoholics Anonymous' principal theoretical mechanism of behavior change. Alcohol Clin Exp Res. 2011;35(3):454-63.
18. Kiluk BD, Nich C, Babuscio T, et al.: Quality versus quantity: acquisition of coping skills following computerized cognitivebehavioral therapy for substance use disorders. Addiction 2010, advance online publication.
19. Litt MD, Kadden RM, Kabela-Cormier E, et al. Coping skills training and contingency management treatments for marijuana dependence: exploring mechanisms of behavior change. Addiction. 2009;103:638-48. (Pubitemid 351389279)
20. Gaume J, Gmel G, Faouzi M, et al. Counsellor behaviours and patient language during brief motivational interventions: a sequential analysis of speech. Addiction. 2008;103(11):1793-800.
21. Moyers TB, Martin T. Therapist influence on client language during motivational interviewing sessions. J Subst Abuse Treat. 2006;30(3):245-51.
22. Amrhein PC, Miller WR, Yahne CE, et al. Client commitment language during motivational interviewing predicts drug use outcomes. J Consult Clin Psych. 2003;71(5):862-78. (Pubitemid 37151549)
23. Vader AM, Walters ST, Prabhu GC, et al. The language of motivational interviewing and feedback: counselor language, client language, and client drinking outcomes. Psychol Addict Behav 2010;24(2):190-7.
24. Baer JS, Beadnell B, Garrett S, et al. Adolescent change language within a brief motivational intervention and substance use outcomes. Psychol Addict Behav. 2008;22(4):570-5.
25. • Karno MP, Longabaugh R, & Herbeck D: What explains the relationship between the therapist structure × patient reactance interaction and drinking outcome? An examination of potential mediators. Psychol Addict Behav 2010, advance online publication. This study demonstrates an example of a CIE across three behavioral therapies in which client trait reactance moderates the conditional effect of therapist structure on the client taking steps toward abstinence, which in turn predicts drinking outcome.
26. Moyers TB, Martin T, Christopher PJ, et al. Client language as a mediator of motivational interviewing efficacy: where is the evidence? Alcohol Clin Exp Res. 2007;31(S3):40S-7S. (Pubitemid 47437800)
27. • Moyers TB, Martin T, Houck JM, et al.: From in-session behaviors to drinking outcomes: a causal chain for motivational interviewing. J Consult Clin Psych 2009, 77(6):1113-1124. This study provides the only example of an unconditional indirect effect in which client change talk, the mechanism of change, partially mediates the relationship of therapist MI behaviors to posttreatment outcome.
28. Higgins ST, Wong CJ, Badger JG, et al. Contingent reinforcement increases cocaine abstinence during outpatient treatment and 1 year of follow-up. J Consult Clin Psych. 2000;68:64-72. (Pubitemid 30120951)
29. Beutler LE, Williams RE, Wakefield PJ, et al. Bridging scientist and practitioner perspectives in clinical psychology. Am Psychol. 1995;50(12):984-94.
30. Mattson ME, Allen JP, Longabaugh R, et al. A chronological review of empirical studies matching alcoholic clients to treatment. J Stud Alcohol. 1994; S12:16-29.
31. Project MATCH Research Group. Alcoholism treatment matching research: methodological and clinical approaches. J Stud Alcohol, 1994, SUPPL.ement 12.
32. Project MATCH Research Group. Matching alcoholism treatments to client heterogeneity: Project MATCH three year drinking outcomes. Alcohol Clin Exp Res. 1998;22(6):1300-11.
33. Project MATCH Research Group. Matching alcoholism treatments to client heterogeneity: treatment main effects and matching effects on drinking during treatment. J Stud Alcohol. 1998;59(6):631-9.
34. Project MATCH Hypotheses: Results and Causal Chain Analyses. Edited by Longabaugh R. & Wirtz PW. NIAAA Project MATCH Monograph Series Washington, DC: Government Printing Office, 2001, Vol. 8, Publication No. (ADM) 01-4238).
35. Muller D, Judd CM, Yzerbyt VY. When moderation is mediated and mediation is moderated. J Pers Soc Psychol. 2005;89(6):852-63. (Pubitemid 43083772)
36. Longabaugh R, & Wirtz PW: Substantive review and critique. In Project MATCH Hypotheses: Results and Causal Chain Analyses. Edited by Longabaugh, R. & Wirtz, P. W. National Institute on Alcohol Abuse and Alcoholism. Bethesda, MD: US Department of Health and Human Services, NIH 2001, Vol. 8:305-325.
37. Cooney NL, Babor TF, & Litt MD: Matching clients to alcoholism treatment based on severity of alcohol dependence. In Project MATCH Hypotheses: Results and Causal Chain Analyses. Edited by Longabaugh RH & Wirtz PW. NIAAA Project MATCH Monograph Series. Rockville, MD: NIAAA 2001, Vol. 8:30-43.
38. Longabaugh R, Wirtz PW, Zweben A, Stout RL. Network support for drinking, alcoholics anonymous and long term matching effects. Addiction. 1998;93(9):1313-33. (Pubitemid 28430039)
39. Karno MP, Longabaugh R. What do we know? Process analysis and the search for a better understanding of project MATCH's anger-bytreatment matching effect. J Stud Alcohol. 2004;65(4):501-12. (Pubitemid 39100925)
40. Preacher KJ, Rucker DD, Hayes AF. Addressing moderated mediation hypotheses: theory, methods, and prescriptions. Multivar Behav Res. 2007;42(1):185-227.
41. Witkiewitz K, Bowen S, Donovan DM. Moderating effects of a craving intervention on the relation between negative mood and heavy drinking following treatment for alcohol dependence. J Consult Clin Psych. 2011;79(1):54-63.
42. Anton RF, O'Malley SS, Ciraulo DA, et al. Combined Pharmacotherapies and Behavioral Interventions for Alcohol Dependence: the COMBINE study: a randomized controlled trial. JAMA. 2006;295(17):2003-17. (Pubitemid 44794003)
43. Marlatt GA, Gordon JR. Relapse Prevention. New York: Guilford; 1985.
44. Preacher, K. J. Calculations for the test of conditional indirect effects [computer software]. Available at http://www.quantpsy.org. Accessed March 2011.