MOOD MANAGEMENT VS MOOD TOLERANCE IN ALCOHOL TREATMENT

本研究项目的长期目标是对比认知行为技能训练（情绪管理- MM）和暴露疗法（情绪容忍- mt）在治疗酒精滥用或依赖患者中的效果。具体目的包括：1)评估MM和MT在帮助问题饮酒者保持戒酒方面的相对疗效；3)研究情绪失调与复发之间的关系。情绪失调已成为许多酒精滥用/依赖理论中的一个突出因素，广泛使用旨在改善情绪调节的治疗模块。很少有研究评估旨在改善酒精依赖患者情绪调节的治疗方法的疗效，也没有研究直接比较针对负面情绪的认知行为和暴露治疗方法的疗效。本研究将招募128名戒酒不超过3个月的参与者。参与者将被评估并随机分配到MM或MT组。两种治疗条件下的参与者将完成每周两次90分钟的治疗组，共持续五周。在1周、3个月和6个月的随访评估中，各组（MM vs MT）在酒精使用、情感调节和当前情感状态方面存在差异。此项目将提供试验数据，以供计划于2001年提交的RO1申请提供参考。

The long-term objective of this research project is to contrast the effectiveness of cognitive behavioral skills training (Mood Management- MM) and exposure-based therapy (Mood Tolerance-MT) in the treatment of individuals diagnosed with alcohol abuse or dependence. Specific Aims include: 1) evaluating the relatively efficacy of MM and MT in helping problem drinkers to maintain abstinence from alcohol, and 3) to examine the relationship between mood dysregulation and relapse. Mood dysregulation has become a prominent factor in many theories of alcohol abuse/dependence with widespread use of treatment modules designed to improve mood regulation. Few studies have been conducted to evaluate the efficacy of therapies designed to improve mood regulation among alcohol dependent patients, and no studies have directly compared the efficacy of cognitive behavioral and exposure-based treatment approaches targeting negative mood. 128 participants with no more than three-months sobriety will be recruited for the present study. Participants will be assessed and randomly assigned to either MM or MT. Participants in both treatment conditions will complete twice-weekly 90 minute groups for a total of five weeks. Between group (MM vs. MT) differences in alcohol use, affective regulation, and current affective state are expected at a one- week, three-month, and six-month follow-up assessment. This project will provide pilot data to inform an RO1 application with a planned submission in the year 2001.