Brief group-delivered motivational interviewing is equally effective as brief group-delivered cognitive-behavioral therapy at reducing alcohol use in risky college drinkers

被引:9
|
作者
Martin-Perez, Cristina [1 ]
Navas, Juan F. [2 ]
Perales, Jose C. [1 ,3 ]
Lopez-Martin, Angela [4 ]
Cordovilla-Guardia, Sergio [5 ]
Portillo, Monica [6 ]
Maldonado, Antonio [1 ,3 ]
Vilar-Lopez, Raquel [1 ,7 ]
机构
[1] Univ Granada, Mind Brain & Behav Res Ctr, Granada, Spain
[2] Autonomous Univ Madrid, Dept Expt Psychol, Madrid, Spain
[3] Univ Granada, Dept Expt Psychol, Granada, Spain
[4] Biomed Res Management Fdn, Cadiz, Spain
[5] Univ Extremadura, Nursing & Occupat Therapy Coll, Nursing Dept, Caceres, Spain
[6] Ribera Hosp, Mental Hlth Serv, Valencia, Spain
[7] Univ Granada, Dept Personal Evaluat & Psychol Treatment, Granada, Spain
来源
PLOS ONE | 2019年 / 14卷 / 12期
关键词
HEAVY-DRINKING; TREATMENT ENGAGEMENT; BRIEF INTERVENTION; MENTAL-HEALTH; USE DISORDERS; STUDENTS; ADOLESCENTS; IDENTIFICATION; METAANALYSIS; READINESS;
D O I
10.1371/journal.pone.0226271
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
College students are particularly vulnerable to risky alcohol use, which increases their likelihood of developing an alcohol use disorder in the future. As such, preventing and reducing alcohol use among college students should be a priority for health and social policies. This work was aimed to show that brief group-delivered MI is as effective as brief-group CBT at reducing alcohol use in college students. Eighty-nine college students (69 females; mean age = 21.01, SD = 2.85) with risky alcohol use, as measured by the AUDIT-C, were assigned to two groups, receiving three sessions of either brief group-delivered MI or CBT (bMI/bCBT). Alcohol use was assessed 3 and 6 months after the interventions, and analyzed according to an Intention-to-treat design. Changes in alcohol use at both points (relative to baseline) as well as post-intervention scores of intention to continue treatment and satisfaction with the psychologist were compared across groups, using one-sided Bayesian t-tests. Alcohol use decreased in both groups at the 3- and 6-months measurement points (relative to baseline). However, using bCBT superiority as an alternative hypothesis and the absence of such superiority as a point-null hypothesis, the Bayes factors supported the null at both the 3- and the 6-months follow-up (BF01 = 7.13, and BF01 = 5.22 respectively). Furthermore, the intention to continue treatment was substantially higher in the bMI group (BF10 = 9.77). These results are considerably robust to changes in analyses' priors. This study suggests that bCBT is not more effective than bMI at reducing alcohol use in our college student group (in which females are overrepresented). Additionally, bMI showed higher intention to continue treatment scores. The comparable results of brief and group-delivered CBT and MI interventions in alcohol use reduction allows clinicians to select treatments based on their own skills or preferences without any detriment to efficacy.
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页数:17
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