Brief Intervention for Socially Anxious Alcohol Abusers

描述（由申请人提供）：间歇性酒精滥用在大学生中很常见。最近，针对减少酗酒和酒精相关问题的动机策略和行为技巧的简短干预，在报告酗酒和/或酒精相关问题的大学饮酒者中显示出有益的中小型效果。然而，由于没有使用诊断措施，这种有效的干预措施对dsm诊断为酒精滥用的学生的有效性仍然未知。此外，大多数干预措施没有考虑到精神疾病的共病，特别是社交焦虑，这是大学生经常遇到的问题，与过度饮酒有关。该项目将通过(a)使用标准化的DSM-IV诊断措施来选择大学酗酒者，以及(b)将社交焦虑的认知行为治疗策略与现有的针对大学生的酒精干预相结合，来扩展有关简短干预的知识。通过干预研究探索性发展基金申请资金，以实现这里详述的研究目标。

DESCRIPTION (provided by applicant): Episodic alcohol abuse is common among college students. Recently, brief interventions focusing on motivational strategies and behavior skills to reduce heavy drinking and alcohol-related problems have shown beneficial small to medium effects in college drinkers who reported heavy drinking and/or alcohol-related problems. However, because diagnostic measures were not used, the effectiveness of such time-efficient interventions for students with DSM-diagnosed alcohol abuse remains unknown. Furthermore, most interventions have not taken into account psychiatric comorbidity, in particular social anxiety, a frequent problem for college students that has been linked to excessive alcohol use. This project will extend knowledge on brief interventions by (a) use of a standardized DSM-IV diagnostic measure to select college alcohol abusers and (b) integration of cognitive-behavioral therapeutic strategies for social anxiety with an existing alcohol intervention designed for college students. Funding through an Exploratory Development Grant for Intervention Research is requested to achieve the study goals detailed here. The efficacy of a new integrated treatment, the Brief Intervention for Socially Anxious Drinkers (BISAD) will be developed and tested. All participants must meet DSM-IV criteria for alcohol abuse and report heavy drinking and high social anxiety on standardized measures. Phase I of the study will focus on the development of the treatment manuals and measures of therapy integrity for BISAD and its control comparator, an extended treatment-as-usual focusing on alcohol skills and psychoeducation. During this phase therapists will be trained to administer the manualized interventions to study participants (N=20). Phase II will include further refinement of the therapy integrity measures and data collection for the pilot study (N=56). Participants will be randomized to either BISAD (n=28) or an extended treatment-as-usual (n=28) condition. The pilot study will provide preliminary data on the efficacy of the proposed intervention in reducing heavy drinking, social anxiety, and their negative consequences at 1-month and 4-month follow-ups after treatment termination. These data will provide estimated effect sizes for future testing of BISAD in a full-scale clinical trial. Furthermore, the study results will contribute to the conceptualization and methodological development of combined interventions for other substance use and psychiatric problems.