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Behavioral marital therapy with and without additional couples relapse prevention sessions for alcoholics and their wives.
J Stud Alcohol. 1993 Nov; 54(6):652-66.JS

Abstract

This study evaluated whether alcoholics who received couples relapse prevention (RP) sessions in the year after short-term behavioral marital therapy (BMT) did better than those who did not receive additional RP. Couples (n = 59) with an alcoholic husband, after participating in weekly BMT couples sessions for 5 months, were assigned randomly to receive or not receive 15 additional conjoint couples relapse prevention (RP) sessions over the next 12 months. Outcome measures were collected before and after BMT and at quarterly intervals for the year after BMT. Significant improvements in the alcoholics' drinking and the couple's marital adjustment occurred from before to after BMT replicating results of our own and other's earlier studies of BMT with alcoholics, and outcomes remained significantly improved through 12-months follow-up independent of the amount of aftercare received. Given these favorable outcomes overall, the present study provided a stringent test of the hypothesized utility of RP. As predicted, alcoholics who received RP after BMT had more days abstinent and fewer days drinking, maintained their improved marriages better and used behaviors targeted by BMT more than those who received BMT alone. The prediction that greater continued use of behaviors targeted by BMT would be associated with better outcomes irrespective of the amount of aftercare received also was supported. The final prediction that couples with more severe alcohol and marital problems at study entry would show the greatest additional benefit from RP was not supported. The relatively clear-cut findings favoring RP may be due to the fact that RP in this study was an intensive, multifaceted booster maintenance intervention delivered in a couples format over a lengthy period of time. Moreover, the present results occurred during the time that couples were still getting RP. Limitations to the generalizability and interpretation of the results are discussed.

Authors+Show Affiliations

Alcohol and Family Studies Laboratory, Veterans Affairs Medical Center, Brockton, Massachusetts.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Clinical Trial
Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, Non-P.H.S.
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

8271800

Citation

O'Farrell, T J., et al. "Behavioral Marital Therapy With and Without Additional Couples Relapse Prevention Sessions for Alcoholics and Their Wives." Journal of Studies On Alcohol, vol. 54, no. 6, 1993, pp. 652-66.
O'Farrell TJ, Choquette KA, Cutter HS, et al. Behavioral marital therapy with and without additional couples relapse prevention sessions for alcoholics and their wives. J Stud Alcohol. 1993;54(6):652-66.
O'Farrell, T. J., Choquette, K. A., Cutter, H. S., Brown, E. D., & McCourt, W. F. (1993). Behavioral marital therapy with and without additional couples relapse prevention sessions for alcoholics and their wives. Journal of Studies On Alcohol, 54(6), 652-66.
O'Farrell TJ, et al. Behavioral Marital Therapy With and Without Additional Couples Relapse Prevention Sessions for Alcoholics and Their Wives. J Stud Alcohol. 1993;54(6):652-66. PubMed PMID: 8271800.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Behavioral marital therapy with and without additional couples relapse prevention sessions for alcoholics and their wives. AU - O'Farrell,T J, AU - Choquette,K A, AU - Cutter,H S, AU - Brown,E D, AU - McCourt,W F, PY - 1993/11/1/pubmed PY - 1993/11/1/medline PY - 1993/11/1/entrez SP - 652 EP - 66 JF - Journal of studies on alcohol JO - J. Stud. Alcohol VL - 54 IS - 6 N2 - This study evaluated whether alcoholics who received couples relapse prevention (RP) sessions in the year after short-term behavioral marital therapy (BMT) did better than those who did not receive additional RP. Couples (n = 59) with an alcoholic husband, after participating in weekly BMT couples sessions for 5 months, were assigned randomly to receive or not receive 15 additional conjoint couples relapse prevention (RP) sessions over the next 12 months. Outcome measures were collected before and after BMT and at quarterly intervals for the year after BMT. Significant improvements in the alcoholics' drinking and the couple's marital adjustment occurred from before to after BMT replicating results of our own and other's earlier studies of BMT with alcoholics, and outcomes remained significantly improved through 12-months follow-up independent of the amount of aftercare received. Given these favorable outcomes overall, the present study provided a stringent test of the hypothesized utility of RP. As predicted, alcoholics who received RP after BMT had more days abstinent and fewer days drinking, maintained their improved marriages better and used behaviors targeted by BMT more than those who received BMT alone. The prediction that greater continued use of behaviors targeted by BMT would be associated with better outcomes irrespective of the amount of aftercare received also was supported. The final prediction that couples with more severe alcohol and marital problems at study entry would show the greatest additional benefit from RP was not supported. The relatively clear-cut findings favoring RP may be due to the fact that RP in this study was an intensive, multifaceted booster maintenance intervention delivered in a couples format over a lengthy period of time. Moreover, the present results occurred during the time that couples were still getting RP. Limitations to the generalizability and interpretation of the results are discussed. SN - 0096-882X UR - https://www.unboundmedicine.com/medline/citation/8271800/Behavioral_marital_therapy_with_and_without_additional_couples_relapse_prevention_sessions_for_alcoholics_and_their_wives_ L2 - https://www.jsad.com/doi/10.15288/jsa.1993.54.652 DB - PRIME DP - Unbound Medicine ER -