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Cited by 94Substance Abuse Treatment and OutcomesAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesPsychotherapy Techniques and Applications

Affect regulation training (ART) for alcohol use disorders: Development of a novel intervention for negative affect drinkers

Open access
Stasiewicz, Paul R., Bradizza, Clara M., Schlauch, Robert C., Coffey, Scott F., Gulliver, Suzy B., Gudleski, Gregory D., Bole, Christopher W.·2013·Journal of Substance Abuse Treatment
DOI 10.1016/j.jsat.2013.05.012PMC PMC3773302
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Abstract

Although negative affect is a common precipitant of alcohol relapse, there are few interventions for alcohol dependence that specifically target negative affect. In this stage 1a/1b treatment development study, several affect regulation strategies (e.g., mindfulness, prolonged exposure, distress tolerance) were combined to create a new treatment supplement called affect regulation training (ART), which could be added to enhance cognitive-behavioral therapy (CBT) for alcohol dependence. A draft therapy manual was given to therapists and treatment experts before being administered to several patients who also provided input. After two rounds of manual development (stage 1a), a pilot randomized clinical trial (N=77) of alcohol-dependent outpatients who reported drinking often in negative affect situations was conducted (stage 1b). Participants received 12-weekly, 90-minute sessions of either CBT for alcohol dependence plus ART (CBT+ART) or CBT plus a healthy lifestyles control condition (CBT+HLS). Baseline, end-of-treatment, and 3- and 6-month posttreatment interviews were conducted. For both treatment conditions, participant ratings of treatment satisfaction were high, with CBT+ART rated significantly higher. Drinking outcome results indicated greater reductions in alcohol use for CBT+ART when compared to CBT+HLS, with moderate effect sizes for percent days abstinent, drinks per day, drinks per drinking day, and percent heavy drinking days. Overall, findings support further research on affect regulation interventions for negative affect drinkers.

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  • For some patients with alcohol use disorder, addressing emotion regulation difficulties could be an effective and efficient way to improve treatment results and lower relapse risk.

    “For some AUD patients, targeting emotion regulation difficulties may be an effective and efficient strategy for improving treatment outcomes and decreasing relapse risk (Barlow, Allen, & Choate, 2004; Stasiewicz et al., 2013).”

    From Difficulties in emotion regulation in treatment-seeking alcoholics with and without co-occurring mood and anxiety disorders. (2018) · cites this paper as Stasiewicz et al., 2013

    The Discussion reports that adding affect regulation training to CBT reduced drinking in alcohol-dependent patients who often drank in negative emotional situations. The Introduction links poor affect regulation to relapse risk, but the study does not establish that the approach is efficient or directly show a reduction in relapse risk. (LLM, conf=0.86)

    Experimental — accuracy not yet measured

  • In the Stage 1a/1b treatment development study, an emotionally-focused treatment supplement was developed and added to standard CBT for alcohol use disorder.

    “in the Stage 1a/1b treatment development study, we developed an emotionally-focused treatment supplement that was added to standard CBT for alcohol use disorder (Stasiewicz et al., 2013).”

    From Difficulties in emotion regulation in treatment-seeking alcoholics with and without co-occurring mood and anxiety disorders. (2018) · cites this paper as Stasiewicz et al., 2013

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2 of the 79 references couldn’t be matched to a known paper.

Research works printed but not linked: 1

  1. Lowman C Allen J Stout RL the Relapse Research Group Section II. Marlatt’s Taxonomy of High-Risk Situations for Relapse: Replication and Extension Addiction 1996 91 S51 S71 8997781

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Authors
Stasiewicz, P. R., Bradizza, C. M., Schlauch, R. C., Coffey, S. F., Gulliver, S. B., Gudleski, G. D., & Bole, C. W.
Affiliations
  • University at Buffalo, State University of New York (US)
  • University of Mississippi Medical Center (US)
  • VA Heart of Texas Health Care Network (US)
Corresponding author
Stasiewicz, Paul R.
ORCID
Venue
Journal of Substance Abuse Treatment
Publisher
Elsevier BV
Published
2013-11
Volume
45
Issue
5
Pages
433-443
ISSN
0740-5472 (ISSN-L)
DOI
10.1016/j.jsat.2013.05.012
PMC
PMC3773302
OpenAlex
W1977839382
Cited by
94
References
79
Citations by year
2026: 4 · 2025: 5 · 2024: 7 · 2023: 10 · 2022: 10 · 2021: 6 · 2020: 7 · 2019: 5 · 2018: 13 · 2017: 14 · 2016: 4 · 2015: 4 · 2014: 3 · 2013: 2
FWCI
3.16
Type
journal article
Language
en
Open access
Licence
Locations
  • Journal of Substance Abuse Treatment (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • National Institutes of Health
  • National Institute on Alcohol Abuse and Alcoholism (R01AA015064, T32AA007583)
Topics
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
  • Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
Keywords
alcoholism, negative affect, alcohol relapse, mindfulness, prolonged exposure, distress tolerance, cognitive behavioral therapy, treatment development, treatment manual development, treatment satisfaction, alcohol abstinence, heavy drinking
MeSH terms
Adult, Affect, Alcohol Drinking, Alcoholism, Female, Follow-Up Studies, Humans, Life Style, Male, Middle Aged, Pilot Projects, Time Factors, Health Behavior, Cognitive Behavioral Therapy, Treatment Outcome, Patient Satisfaction

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