Matching alcoholics to treatment. Failure to replicate finding of an earlier study.
The purpose of the present study was to investigate whether sociopathic alcoholics respond differentially to different types of treatment. An earlier study found that alcoholics with antisocial personality disorder had somewhat better outcomes if treated in individually focused versus relationship-focused cognitive-behavioral treatment. The present study was designed to attempt to replicate these findings. One hundred and forty-nine alcoholics (42 of whom scored high on a measure of sociopathy) were randomly assigned to receive either individually focused cognitive-behavioral treatment or a relationship-focused community reinforcement approach. Follow-up evaluations were conducted every 4 months for 2 years. Results failed to support the study hypothesis. Drinking outcomes were similar for sociopathic alcoholics in both treatment conditions. Directions for future research are identified.
Kalman
D
D
Center for Alcohol and Addiction Studies, Brown University, 02912, Providence, RI, USA. Kalman.David@bedford.va.gov
Longabaugh
R
R
Clifford
P R
PR
Beattie
M
M
Maisto
S A
SA
D000328:Adult; D000368:Aged; D000437:Alcoholism / Q000628:therapy*; D001521:Behavior Therapy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012054:Reinforcement, Psychology; D017211:Treatment Failure