Developing and Evaluating a Fully Integrated Treatment Program for Comorbid Social Anxiety and Alcohol Use Disorders
Developing and Evaluating a Fully Integrated Treatment Program for Comorbid Social Anxiety and Alcohol Use Disorders
批准号:
9221914
负责人:
Kate Basia Wolitzky-Taylor
金额:
$15.27万
依托单位国家:
美国
项目类别:
财政年份:
2017
资助国家:
美国
项目状态:
已结题
起止时间:
2017-05-20 至 2020-04-30
关键词:
AddressAdministratorAlcohol abuseAlcohol consumptionAlcoholsAnxiety DisordersClinicClinicalCognitive TherapyCommunitiesCommunity PracticeCommunity of PracticeComorbidityDataDevelopmentDiseaseEffectivenessEmotional disorderEvidence based treatmentFocus GroupsFrightGoalsGraduation RatesGrantImpairmentIndividualInterventionInvestigationKnowledgeLeadLinkManualsMeasuresMental HealthModelingOutcomeOutcome MeasureOutpatientsParticipantPatientsProceduresProcessProtocols documentationPsyche structurePublic HealthRandomizedRandomized Clinical TrialsReportingResearchResourcesSocial Anxiety DisorderSocial InteractionSocial ProblemsStructureSubstance Use DisorderSurveysSymptomsTestingTimeTrainingTranslationsTreatment ProtocolsTreatment outcomeaddictionalcohol abuse therapyalcohol comorbidityalcohol related consequencesalcohol use disorderanxiety symptomsbasecohortcomparative efficacyevidence baseimprovedimproved outcomemedical specialtiesmeetingsnovel strategiesprogramsprotocol developmentsocial anxietytherapy developmenttreatment adherencetreatment as usualtreatment centertreatment program
中文摘要
项目总结
英文摘要
Project Summary
Alcohol use disorders and social anxiety disorder are highly comorbid and associated with significant impairment.
Social anxiety comorbidity is associated with poorer addiction treatment engagement and outcomes. Thus,
addressing underlying social anxiety symptoms that may lead to and maintain alcohol problems, as well as
undermine successful treatment for alcohol use disorders, is warranted. This proposal aims to develop and
evaluate a fully integrated outpatient program for comorbid social anxiety and alcohol use disorders that weaves
evidence-based treatment for social anxiety disorder (i.e., exposure-based cognitive behavioral therapy) into a
traditional, evidence-based treatment for alcohol use disorders.
First, we will develop the protocol for the fully integrated treatment (FIT). The overarching goal of FIT will be to
simultaneously deliver alcohol use disorder treatment and social anxiety disorder treatment. Development will
be an iterative process guided by previous research (including our own), and by input from clinicians,
administrators, and patients in an outpatient substance use disorder treatment clinic. After the protocol is
developed, we will use our established clinician training procedures to train clinicians at our community partnered
clinic to competently deliver the intervention. After protocol development and clinician training, we will conduct a
pilot randomized clinical trial (RCT) comparing the efficacy of our fully integrated treatment (FIT) for comorbid
alcohol use and social anxiety disorders to usual care (UC) in the community substance use disorder specialty
clinic. The goals of the RCT will be to gather data regarding acceptability, feasibility, and preliminary efficacy of
the FIT protocol. We will randomize treatment-seeking participants (N = 60) who have comorbid social anxiety
and alcohol use disorders. We will assess treatment engagement, social anxiety outcomes, and alcohol use
outcomes at baseline, 3-months, and 6-months from baseline. We will also gather qualitative and quantitative
acceptability data from patients after completing FIT, which may guide final refinements of FIT prior to testing in
a larger-scale grant.
The knowledge gained from this investigation has the potential to significantly improve the treatment of alcohol
use disorders and make a significant public health impact. The focus on direct translation to community practice
paradigms and the emphasis on full mental health and addiction treatment integration significantly advance the
field.
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Developing and Evaluating a Fully Integrated Treatment Program for Comorbid Social Anxiety and Alcohol Use Disorders
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Adaptation of CALM for Comorbid Anxiety and Substance Use Disorders
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负责人:Kate Basia Wolitzky-Taylor
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依托单位:
海外基金