Document Detail


Initial RCT of a distress tolerance treatment for individuals with substance use disorders.
MedLine Citation:
PMID:  21983476     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Psychological distress tolerance, the ability to persist in goal directed activity when experiencing psychological distress, is associated with poor substance use treatment outcomes including drug and alcohol treatment dropout and relapse.
OBJECTIVE: The current study examines if a brief distress tolerance intervention that was specifically developed as an adjunctive treatment for patients in residential substance abuse treatment shows efficacy in improving the patients' distress tolerance.
METHODS: Seventy-six individuals who were receiving treatment at a residential substance use treatment facility and indexed low distress tolerance on laboratory distress tolerance measures were randomized into three conditions: treatment-as-usual (TAU), six sessions of Supportive Counseling (SC), or six sessions of the novel distress tolerance treatment, Skills for Improving Distress Intolerance (SIDI).
MEASURES: Patients were assessed at baseline for DSM-IV psychiatric diagnoses, DSM-IV substance use disorders, distress tolerance, and depressive symptoms. Patients were again assessed at posttreatment. Therapeutic alliance and treatment expectancies and credibility were also assessed at posttreatment.
RESULTS: Patients who received SIDI (n=28) evidenced significantly greater improvements than SC (n=24) and TAU participants (n=24) on the distress tolerance laboratory measures, even when controlling for changes in negative affect (in the form of depression). Additionally, a higher percentage of patients in SIDI reached clinically significant improvement compared to patients in SC and TAU.
CONCLUSION: This study supports the efficacy of SIDI in improving distress tolerance levels among individuals with drug and alcohol use disorders currently receiving residential substance use treatment. SIDI appears to be a brief and feasible intervention for use within inpatient substance use facilities.
Authors:
Marina A Bornovalova; Kim L Gratz; Stacey B Daughters; Elizabeth D Hunt; C W Lejuez
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial; Research Support, N.I.H., Extramural     Date:  2011-10-07
Journal Detail:
Title:  Drug and alcohol dependence     Volume:  122     ISSN:  1879-0046     ISO Abbreviation:  Drug Alcohol Depend     Publication Date:  2012 Apr 
Date Detail:
Created Date:  2012-03-19     Completed Date:  2012-07-20     Revised Date:  2013-06-27    
Medline Journal Info:
Nlm Unique ID:  7513587     Medline TA:  Drug Alcohol Depend     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  70-6     Citation Subset:  IM    
Copyright Information:
Copyright © 2011 Elsevier Ireland Ltd. All rights reserved.
Affiliation:
Department of Psychology, University of South Florida, 4202 East Fowler Ave, Tampa, FL 33620, United States.bornovalova@usf.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
Anxiety / psychology,  therapy
Behavior Therapy*
Depression / psychology,  therapy
Female
Humans
Male
Middle Aged
Questionnaires
Residential Treatment
Stress, Psychological / psychology*
Substance-Related Disorders / psychology,  therapy*
Treatment Outcome
Grant Support
ID/Acronym/Agency:
P30 DA028807/DA/NIDA NIH HHS; R36 DA021820/DA/NIDA NIH HHS; R36 DA021820-01/DA/NIDA NIH HHS; R36 DA021820-02/DA/NIDA NIH HHS
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