Brief Intervention for Socially Anxious Alcohol Abusers

描述（由申请人提供）：发作性酒精滥用在大学生中很常见。最近，简短的干预措施，重点是动机策略和行为技能，以减少大量饮酒和酒精相关的问题已经显示出有益的小到中等的影响，在大学饮酒者谁报告大量饮酒和/或酒精相关的问题。然而，由于没有使用诊断措施，这种有效的时间与DSM诊断酒精滥用的学生干预措施的有效性仍然未知。此外，大多数干预措施没有考虑到精神科合并症，特别是社交焦虑，这是大学生常见的问题，与过度饮酒有关。本项目将通过以下方式扩展对简单干预的认识：（a）使用标准化的DSM-IV诊断措施来选择大学酒精滥用者;（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。通过干预研究的探索性发展补助金的资金要求实现这里详细介绍的研究目标。 将开发和测试一种新的综合治疗方法-社交焦虑饮酒者短期干预（BISAD）的疗效。所有参与者都必须符合DSM-IV酒精滥用标准，并在标准化措施中报告大量饮酒和高度社交焦虑。该研究的第一阶段将侧重于开发BISAD及其对照药物的治疗手册和治疗完整性措施，这是一种扩展的常规治疗，重点是酒精技能和心理教育。在此阶段，将对治疗师进行培训，以向研究受试者（N=20）实施手动干预。II期将包括进一步完善治疗完整性指标和初步研究的数据收集（N=56）。受试者将被随机分配至BISAD（n=28）或扩展常规治疗（n=28）条件。试点研究将提供初步数据，说明拟议干预措施在减少重度饮酒、社交焦虑及其在治疗终止后1个月和4个月随访时的负面后果方面的有效性。这些数据将为BISAD在全面临床试验中的未来测试提供估计的效应量。此外，研究结果将有助于针对其他药物使用和精神问题的综合干预措施的概念化和方法学发展。

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.