Behavioural self‐control training versus motivational enhancement therapy for individuals with alcohol use disorder with a goal of controlled drinking: A randomized controlled trial

• Published in: Addiction (Abingdon, England) England), 2024-01, Vol.119 (1), p.86-101
• Main Authors: Hammarberg, Stina Ingesson, Wallhed Finn, Sara, Rosendahl, Ingvar, Andréasson, Sven, Jayaram‐Lindström, Nitya, Hammarberg, Anders
• Format: Article
• Language: English
• Subjects: Alcohol related disorders; Alcohol use; Alcohol use disorder; Alcoholism; Behavior; behavioural self‐control training; Clinical trials; Cognitive ability; Cognitive behavioral therapy; Cognitive-behavioral factors; controlled drinking; Dependency; Drinking behavior; efficacy; Medicin och hälsovetenskap; motivational enhancement therapy; Motivational interviewing; non‐abstinence; Objectives; randomized controlled trial; reduced drinking; Self control; Treatment methods
• ISSN: 0965-2140; 1360-0443; 1360-0443
• DOI: 10.1111/add.16325

Background and aims Controlled drinking (CD) is an attractive treatment goal for a large proportion of individuals with alcohol use disorder (AUD), but the availability of treatment methods supporting a goal of CD is scarce. We tested if behavioural self‐control training (BSCT) was superior to motivational enhancement therapy (MET) for individuals with AUD with a treatment goal of CD. Design Randomized controlled two‐group trial. Follow‐ups were conducted at 12 and 26 weeks (primary end‐point) after inclusion. Setting Three specialized dependency care clinics in Stockholm, Sweden. Participants Two hundred and fifty self‐referred adults (52% men) fulfilling criteria of AUD (DSM‐5) and a stated treatment goal of CD. Intervention and comparator BSCT (n = 125), a five‐session treatment based on cognitive behavioural therapy versus the active comparator, MET (n = 125), containing four sessions based on Motivational Interviewing. Measurements Primary outcome measure was mean weekly alcohol consumption at the 26‐week follow‐up, adjusted for baseline consumption. Conclusions A randomized controlled trial found no evidence of a difference between behavioural self‐control training and motivational enhancement therapy in reducing weekly alcohol consumption. Both groups substantially reduced consumption and behavioural self‐control training was superior in reducing hazardous drinking.