Validating an Autonomous Interactive Internet-Based Delivery of an Empirically Supported Cognitive Behavioral Therapy for Comorbidity
University of Minnesota
256 participants
Jan 4, 2022
INTERVENTIONAL
Conditions
Summary
This project is designed to determine if a computer-delivered cognitive-behavioral treatment can improve the otherwise poor alcohol use disorder treatment outcomes for individuals with a co-occurring anxiety disorder. In the past, the investigators showed that this treatment does improve outcomes for these individuals when delivered by a therapist. If the present work shows that the computer-delivered version is also effective, it would provide an inexpensive program with virtually unlimited scalability to enable access to the treatment by many more individuals than is currently the case.
Eligibility
Inclusion Criteria6
- current (past 30 days) Diagnostic and Statistical Manual of Mental Disorders-IV (DSM-IV) diagnosis of panic disorder with or without agoraphobia (PD/Ag), generalized anxiety disorder (GAD) or social anxiety disorder (SAD)
- receiving treatment primarily for alcohol (vs. drug) dependence
- ability to provide informed consent
- a minimum of an eighth grade English reading level
- status as a residential patient in the Lodging Plus (LP) addiction treatment program
- sufficient time left in their residential LP care to complete the study protocol through the post-treatment assessment
Exclusion Criteria4
- cognitive or medical impairments that prohibit study participation as determined by study PI
- serious suicide risk determined by study PI
- court-ordered treatment. (The exclusion is based on its classification as a "vulnerable" population.)
- Self-reported past participation in a Kushner intervention study while in Lodging Plus
Interventions
The program provides simplified clinical, learning and neuroscience-based education about the vicious cycle in which negative affect serves to motivate drinking, which, in turn, worsens negative affect. Participants also learn how each of three skills (breathing control, cognitive restructuring, problem solving) was designed to disrupt a specific element of the vicious cycle that includes physiological, psychological and behavioral processes.
PMRT is a standard stress management coping skill that entails tensing and releasing specified muscle groups to obtain deep muscle relaxation.
Locations(1)
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NCT05117255