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Cited by 47Substance Abuse Treatment and OutcomesAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesMental Health Treatment and Access

Initial depression and subsequent drinking during alcoholism treatment

Conner, Kenneth R, Sorensen, Silva, Leonard, Kenneth E·2005·Journal of Studies on Alcohol
DOI 10.15288/jsa.2005.66.401
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Abstract

OBJECTIVE: Individuals entering treatment for alcoholism have elevated depressive symptoms that in turn may affect response to treatment, including drinking outcomes. The purpose of the study is to examine the impact of depression at treatment entry on drinking over the course of treatment. METHOD: The Project MATCH (Matching Alcoholism Treatment to Client Heterogeneity) data set, a randomized, multisite psychosocial treatment trial for alcoholism, was analyzed. The sample consisted of 1,450 subjects, of whom 1,102 (76.0%) were male and 348 (24.0%) were female. Cross-lagged analyses of (1) depression and drinking intensity and (2) depression and drinking frequency were conducted using path analysis. Covariates were age, gender, race, and treatment assignment. Analyses focused on the 3-month active treatment phase of the trial. RESULTS: Depression at treatment entry predicted more intense drinking and more frequent drinking, respectively, in the first month of treatment but showed little association with drinking in Months 2 and 3. CONCLUSIONS: Individuals entering treatment for alcoholism with elevated levels of depression may be slower to benefit from treatment. Because the initial phase of treatment may be crucial to successful engagement and retention, the development of interventions to improve early success in treatment among individuals with elevated levels of depression may be beneficial. Future studies should examine the long-term, bidirectional relationship of depression and drinking following treatment.

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Authors
Conner, K. R., Sorensen, S., & Leonard, K. E.
Affiliations
  • University of Rochester Medicine (US)
  • Center for the Study and Prevention of Suicide, University of Rochester School of Medicine and Dentistry, 300 Crittenden Boulevard, Rochester, New York 14642, USA. kenneth_conner@urmc.rochester.edu
ORCID
Venue
Journal of Studies on Alcohol
Publisher
Alcohol Research Documentation, Inc.
Published
2005-05
Volume
66
Issue
3
Pages
401-406
ISSN
  • 0096-882X (ISSN-L)
  • 1934-2683
DOI
10.15288/jsa.2005.66.401
OpenAlex
W2165587211
Cited by
47
References
35
Citations by year
2025: 1 · 2024: 1 · 2023: 1 · 2020: 2 · 2019: 3 · 2017: 2 · 2015: 2 · 2014: 2 · 2013: 1 · 2012: 1
FWCI
0.96
Type
journal article
Language
en
Open access
closed
Locations
  • Journal of Studies on Alcohol (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • National Institute on Alcohol Abuse and Alcoholism (K23AA000318, K23 AA 00318)
  • National Institute on Aging (K01AG022072)
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 › Social Psychology › Mental Health Treatment and Access
Keywords
alcoholism, depression, drinking intensity, drinking frequency, Project MATCH, psychosocial interventions, treatment engagement and retention, treatment response
MeSH terms
Adolescent, Adult, Age Factors, Alcohol Drinking, Depression, Female, Humans, Male, Motivation, Sex Factors, Cognitive Behavioral Therapy

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