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)和基于暴露的治疗(情绪耐受-MT)在治疗被诊断为酗酒或依赖的个人方面的有效性。具体目标包括：1)评估MM和MT在帮助问题饮酒者保持戒酒方面的相对有效性；3)检查情绪调节障碍与复发的关系。随着旨在改善情绪调节的治疗模块的广泛使用，情绪调节失调已成为许多酒精滥用/依赖理论中的一个重要因素。很少有研究评估旨在改善酒精依赖患者情绪调节的疗法的有效性，也没有研究直接比较针对负面情绪的认知行为治疗方法和基于暴露的治疗方法的疗效。128名戒酒不超过三个月的受试者将被招募参加本研究。参与者将被评估并随机分配到MM或MT。在两种治疗条件下的参与者将完成为期五周的每周两次90分钟的小组训练。预计在一周、三个月和六个月的后续评估中，两组(MM和MT)在酒精使用、情感调节和当前情感状态方面的差异。该项目将提供试点数据，以便为计划在2001年提交的RO1申请提供信息。

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.