title: A randomized controlled trial of goal choice interventions for alcohol use disorders among men who have sex with men.
abstract: This study tested the efficacy of behavioral treatments for alcohol use disorders (AUD) among men who have sex with men (MSM) and who are at risk for HIV transmission. HIV-negative MSM with current AUD (N = 198) were recruited, offered treatment focused on reducing drinking and HIV risk, and followed during treatment and 12 months posttreatment. Participants (n = 89) accepted treatment and were randomized to either 4 sessions of motivational interviewing (MI) or 12 sessions of combined MI and coping skills training (MI + CBT). Other participants (n = 109) declined treatment but were followed, forming a non-help-seeking group (NHS). MI yielded significantly better drinking outcomes during the 12-week treatment period than MI + CBT, but posttreatment outcomes were equivalent. NHS participants significantly reduced their drinking as well. Service delivery and treatment research implications are discussed.
authors.affiliation: Department of Psychiatry, Columbia University, New York, NY 10032, USA. jm977@columbia.edu
authors.forename: Jon
authors.initials: J
authors.lastname: Morgenstern
authors.forename: Thomas W
authors.initials: TW
authors.lastname: Irwin
authors.forename: Milton L
authors.initials: ML
authors.lastname: Wainberg
authors.forename: Jeffrey T
authors.initials: JT
authors.lastname: Parsons
authors.forename: Frederick
authors.initials: F
authors.lastname: Muench
authors.forename: Donald A
authors.initials: DA
authors.lastname: Bux
authors.forename: Christopher W
authors.initials: CW
authors.lastname: Kahler
authors.forename: Susan
authors.initials: S
authors.lastname: Marcus
authors.forename: Jay
authors.initials: J
authors.lastname: Schulz-Heik
mesh_terms: D000328:Adult; D000437:Alcoholism / Q000453:epidemiology / Q000523:psychology / Q000628:therapy; D002755:Choice Behavior; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D006040:Goals; D018451:Homosexuality, Male / Q000523:psychology* / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D009042:Motivation