Alcoholism treatment by disulfiram and community reinforcement therapy
Abstract
Traditional disulfiram treatment has often been ineffective because of a failure to maintain usage. The present study with 43 alcoholics compared: (1) a traditional disulfiram treatment, (2) a socially motivated Disulfiram Assurance program and (3) a Disulfiram Assurance program combined with reinforcement therapy. About five sessions were given for each program. At the 6-month follow-up, the traditional treatment clients were drinking on most days and no longer taking the medication. The Disulfiram Assurance treatment resulted in almost total sobriety for married or (cohabitating) clients but had little benefit for the single ones. The combined program produced near-total sobriety for the single and married clients. These results indicate a promising integration of chemical, psychological and social treatment of alcoholism.
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Disulfiram has been used in the treatment of alcohol dependence with consistently successful results in individuals with high compliance or when medication intake has been directly supervised.
“Disulfiram has been used in the treatment of alcohol dependence with consistently successful results in individuals with high compliance or when medication intake has been directly supervised [1], [2], [3].”
From Disulfiram Efficacy in the Treatment of Alcohol Dependence: A Meta-Analysis (2014) · cites this paper as [1]
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- Authors
- Azrin, N. H., Sisson, R. W., Meyers, R., & Godley, M.
- Affiliations
- Nova Southeastern University (US)
- Corresponding author
- Azrin, N.H.
- Sisson, R.W.
- ORCID
- Godley, M.
- Venue
- Journal of Behavior Therapy and Experimental Psychiatry
- Publisher
- Elsevier BV
- Published
- 1982-06
- Volume
- 13
- Issue
- 2
- Pages
- 105-112
- ISSN
- 0005-7916 (ISSN-L)
- OpenAlex
- W2061707789
- Cited by
- 411
- References
- 23
- Citations by year
- 2026: 4 · 2025: 4 · 2024: 2 · 2023: 2 · 2022: 4 · 2021: 7 · 2020: 11 · 2019: 1 · 2018: 6 · 2017: 7 · 2016: 9 · 2015: 6 · 2014: 10 · 2013: 10 · 2012: 7
- FWCI
- 3.31
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Behavior Therapy and Experimental Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Medicine › Pathology and Forensic Medicine › Alcohol Consumption and Health Effects
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Keywords
- alcoholism treatment, disulfiram, medication adherence, sobriety maintenance, marital status, alcoholism
- MeSH terms
- Adult, Alcohol Drinking, Alcoholism, Ambulatory Care, Behavior Therapy, Community Mental Health Services, Counseling, Disulfiram, Female, Humans, Male, Middle Aged, Outcome and Process Assessment, Health Care, Reinforcement, Psychology
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