A randomized controlled trial of goal choice interventions for alcohol use disorders among men who have sex with men.
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.
Morgenstern
Jon
J
Department of Psychiatry, Columbia University, New York, NY 10032, USA. jm977@columbia.edu
Irwin
Thomas W
TW
Wainberg
Milton L
ML
Parsons
Jeffrey T
JT
Muench
Frederick
F
Bux
Donald A
DA
Kahler
Christopher W
CW
Marcus
Susan
S
Schulz-Heik
Jay
J
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