title: Effects of pretreatment and posttreatment depressive symptoms on alcohol consumption following treatment in Project MATCH.
abstract: OBJECTIVE
  This study examined the associations of pretreatment and posttreatment depressive symptoms with drinking outcomes in the year following treatment in Project MATCH (Matching Alcoholism Treatments to Client Heterogeneity), a multisite clinical trial of behavioral treatments for alcohol-use disorders.
  
  
  METHODS
  Data from 1,726 participants were modeled using generalized estimating equations to examine drinking frequency and intensity, as reflected by percentage days abstinent (PDA) and average drinks per drinking day (DDD). We predicted that patients who reported more pretreatment and posttreatment depressive symptoms would report greater drinking frequency (PDA) and more intense drinking (DDD) across the 12-month follow-up period.
  
  
  RESULTS
  Pretreatment Beck Depression Inventory (BDI) scores predicted more frequent and intense drinking in the year following treatment, although not after accounting for posttreatment BDI scores, which were associated with the drinking outcomes as hypothesized. Patients who reported more depressive symptoms in the year following treatment reported less abstinence (PDA) and more intense drinking (DDD) than patients with fewer posttreatment depressive symptoms.
  
  
  CONCLUSIONS
  Our findings underscore the importance of obtaining repeated assessments of depression during the course of substance use treatment. Moreover, the data suggest the potential utility of augmenting standard chemical dependency care with depression-focused interventions for alcohol-dependent patients whose depressive symptoms do not subside during treatment.
authors.affiliation: Department of Psychiatry, School of Medicine and Dentistry, University of Rochester, 300 Crittenden Boulevard, Rochester, New York 14620, USA. stephanie_gamble@urmc.rochester.edu
authors.forename: Stephanie A
authors.initials: SA
authors.lastname: Gamble
authors.forename: Kenneth R
authors.initials: KR
authors.lastname: Conner
authors.forename: Nancy L
authors.initials: NL
authors.lastname: Talbot
authors.forename: Qin
authors.initials: Q
authors.lastname: Yu
authors.forename: Xin M
authors.initials: XM
authors.lastname: Tu
authors.forename: Gerard J
authors.initials: GJ
authors.lastname: Connors
mesh_terms: D000328:Adult; D000428:Alcohol Drinking / Q000523:psychology* / Q000628:therapy*; D019973:Alcohol-Related Disorders / Q000150:complications / Q000523:psychology* / Q000628:therapy*; D003863:Depression / Q000150:complications / Q000523:psychology* / Q000628:therapy*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D013997:Time Factors; D016896:Treatment Outcome