TY - JOUR
T1 - Dose of Psychotherapy and Long-Term Recovery Outcomes
T2 - An Examination of Attendance Patterns in Alcohol Use Disorder Treatment
AU - Pfund, Rory A.
AU - Hallgren, Kevin A.
AU - Maisto, Stephen A.
AU - Pearson, Matthew R.
AU - Witkiewitz, Katie
N1 - Funding Information:
This work was supported by the National Institute on Alcohol Abuse and Alcoholism of the National Institutes of Health, award numbers L30AA029551, T32AA018108, R01AA022328, K05AA016928, K01AA024796, and K01AA023233. The content is the sole responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.
Publisher Copyright:
© 2021 American Psychological Association
PY - 2021
Y1 - 2021
N2 - Objectives: The purpose of this study was to examine associations between psychotherapy session attendance, alcohol treatment outcomes, and Alcoholics Anonymous (AA) attendance. Method: Using data from Project MATCH, repeated measures latent class analyses of psychotherapy session attendance were conducted among participants in the outpatient arm who were randomly assigned to complete 12-session cognitive-behavioral therapy (CBT; n = 301), 12-session twelve-step facilitation (TSF; n = 335), or 4-session motivational enhancement therapy (MET; n = 316). Associations between psychotherapy attendance classes, heavy drinking, alcohol-related consequences, psychosocial functioning, and AA attendance were examined at posttreatment (97% retention), 1-year posttreatment (92% retention), and 3-years posttreatment (85% retention). Results: In general, participants who attended all 12 CBT/TSF sessions had significantly fewer heavy drinking days and alcohol-related consequences at all posttreatment time points than participants who attended 0–2 CBT/TSF sessions. Participants who attended all four MET sessions generally had significantly fewer heavy drinking days and alcohol-related consequences at posttreatment and 1-year posttreatment than participants who attended 0–1 MET sessions. Participants who attended more TSF and MET sessions generally attended more AA meetings, and participants who attended less CBT sessions generally attended fewer AA meetings. Conclusions: With some exceptions, attending all sessions in CBT, TSF, and MET was related to the most favorable heavy drinking and alcoholrelated consequences outcomes. Alcoholics’ Anonymous and other mutual help groups may be attended differently based on the form and dose of psychotherapy
AB - Objectives: The purpose of this study was to examine associations between psychotherapy session attendance, alcohol treatment outcomes, and Alcoholics Anonymous (AA) attendance. Method: Using data from Project MATCH, repeated measures latent class analyses of psychotherapy session attendance were conducted among participants in the outpatient arm who were randomly assigned to complete 12-session cognitive-behavioral therapy (CBT; n = 301), 12-session twelve-step facilitation (TSF; n = 335), or 4-session motivational enhancement therapy (MET; n = 316). Associations between psychotherapy attendance classes, heavy drinking, alcohol-related consequences, psychosocial functioning, and AA attendance were examined at posttreatment (97% retention), 1-year posttreatment (92% retention), and 3-years posttreatment (85% retention). Results: In general, participants who attended all 12 CBT/TSF sessions had significantly fewer heavy drinking days and alcohol-related consequences at all posttreatment time points than participants who attended 0–2 CBT/TSF sessions. Participants who attended all four MET sessions generally had significantly fewer heavy drinking days and alcohol-related consequences at posttreatment and 1-year posttreatment than participants who attended 0–1 MET sessions. Participants who attended more TSF and MET sessions generally attended more AA meetings, and participants who attended less CBT sessions generally attended fewer AA meetings. Conclusions: With some exceptions, attending all sessions in CBT, TSF, and MET was related to the most favorable heavy drinking and alcoholrelated consequences outcomes. Alcoholics’ Anonymous and other mutual help groups may be attended differently based on the form and dose of psychotherapy
KW - Alcohol use disorder
KW - Attendance patterns
KW - Dose-response
KW - Long-term outcomes
KW - Repeated measures latent class analysis
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U2 - 10.1037/ccp0000703
DO - 10.1037/ccp0000703
M3 - Article
C2 - 35025543
AN - SCOPUS:85123459027
VL - 89
SP - 1026
EP - 1034
JO - Journal of Consulting Psychology
JF - Journal of Consulting Psychology
SN - 0022-006X
IS - 12
ER -