Alcohol expectancy changes over a 12-week cognitive–behavioral therapy program are predictive of treatment success

Abstract This study examines if outcome expectancies (perceived consequences of engaging in certain behavior) and self-efficacy expectancies (confidence in personal capacity to regulate behavior) contribute to treatment outcome for alcohol dependence. Few clinical studies have examined these constru...

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Bibliographic Details
Published in:Journal of substance abuse treatment 2011, Vol.40 (1), p.18-25
Main Authors: McD. Young, Ross, Ph.D, Connor, Jason P., Ph.D, Feeney, Gerald F.X., M.D
Format: Article
Language:English
Subjects:
Addictive behaviors
Adult and adolescent clinical studies
Alcohol
Alcohol consumption
Alcohol Drinking - prevention & control
Alcohol Drinking - psychology
Alcohol Drinking - therapy
Alcohol related expectations
Alcohol use
Alcoholism - prevention & control
Alcoholism - psychology
Alcoholism - therapy
Biological and medical sciences
CBT
Clinical outcomes
Cognitive behaviour therapy
Cognitive Therapy
Contracts
Desintoxication. Drug withdrawal
Discriminant analysis
Drug addiction
Expectancy
Female
Humans
Male
Medical sciences
Miscellaneous
Psychiatry
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Public health. Hygiene
Public health. Hygiene-occupational medicine
Refusal
Self Concept
Self Efficacy
Selfefficacy
Sexual Behavior
Substance abuse treatment
Surveys and Questionnaires
Temperance
Treatment
Treatments
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Summary:Abstract This study examines if outcome expectancies (perceived consequences of engaging in certain behavior) and self-efficacy expectancies (confidence in personal capacity to regulate behavior) contribute to treatment outcome for alcohol dependence. Few clinical studies have examined these constructs. The Drinking Expectancy Profile (DEP), a psychometric measure of alcohol expectancy and drinking refusal self-efficacy, was administered to 298 alcohol-dependent patients (207 males) at assessment and on completion of a 12-week cognitive–behavioral therapy alcohol abstinence program. Baseline measures of expectancy and self-efficacy were not strong predictors of outcome. However, for the 164 patients who completed treatment, all alcohol expectancy and self-efficacy factors of the DEP showed change over time. The DEP scores approximated community norms at the end of treatment. Discriminant analysis indicated that change in social pressure drinking refusal self-efficacy, sexual enhancement expectancies, and assertion expectancies successfully discriminated those who successfully completed treatment from those who did not. Future research should examine the basis of expectancies related to social functioning as a possible mechanism of treatment response and a means to enhance treatment outcome.
ISSN:0740-5472
1873-6483
DOI:10.1016/j.jsat.2010.08.003