title: Alcohol-Focused Behavioral Couple Therapy.
abstract: Alcohol Behavioral Couple Therapy (ABCT) has emerged over the last 30 years as a highly efficacious treatment for those with alcohol use disorders. This review highlights the historical and conceptual underpinnings of ABCT, as well as the specific treatment elements and structure. Proposed active ingredients, moderators, and mediators of treatment outcome are discussed. Efficacy is evaluated for reductions in identified patient drinking, improved relationship functioning, and reductions in intimate partner violence. Adaptations of ABCT for substances other than alcohol are described. Other adaptations, including brief interventions, interventions addressing PTSD and TBI along with alcohol use, and interventions deliverable via technology platforms are described. Additional cost-benefit and cost-effectiveness findings supporting the economic value of ABCT are noted. Future directions for research in this area include possible adaptations for female identified patients, nontraditional couples, LGBT partners and dyads involving nonintimate partner relationships. The development of more flexible models and enhanced dissemination strategies may improve clinical uptake and utility as well as increasing the feasibility of this treatment for integrated healthcare settings.
authors.affiliation: Center on Alcoholism, Substance Abuse, and Addictions, University of New Mexico, Albuquerque, NM. bmccrady@unm.edu.
authors.forename: Barbara S
authors.initials: BS
authors.lastname: McCrady
authors.affiliation: Center on Alcoholism, Substance Abuse, and Addictions, University of New Mexico, Albuquerque, NM.
authors.forename: Adam D
authors.initials: AD
authors.lastname: Wilson
authors.affiliation: Center on Alcoholism, Substance Abuse, and Addictions, University of New Mexico, Albuquerque, NM.
authors.forename: Rosa E
authors.initials: RE
authors.lastname: Muñoz
authors.affiliation: University of New Mexico School of Medicine, Albuquerque, NM.
authors.forename: Brandi C
authors.initials: BC
authors.lastname: Fink
authors.affiliation: Center on Alcoholism, Substance Abuse, and Addictions, University of New Mexico, Albuquerque, NM.
authors.forename: Kathryn
authors.initials: K
authors.lastname: Fokas
authors.affiliation: Center on Alcoholism, Substance Abuse, and Addictions, University of New Mexico, Albuquerque, NM.
authors.forename: Adrienne
authors.initials: A
authors.lastname: Borders
mesh_terms: D019973:Alcohol-Related Disorders / Q000523:psychology / Q000628:therapy*; D001521:Behavior Therapy / Q000379:methods*; D019546:Couples Therapy / Q000379:methods*; D005191:Family Characteristics; D005260:Female; D006801:Humans; D007398:Interpersonal Relations; D008297:Male; D013179:Spouse Abuse / Q000523:psychology / Q000628:therapy; D016896:Treatment Outcome
keywords: Alcohol; Behavioral; Couple Therapy; Review; alcohol; análisis; conductual; terapia de pareja; 伴侣心理治疗; 回顾; 行为的; 酒精