Depressive symptoms moderate treatment response to brief intervention for prevention of alcohol exposed pregnancy

Abstract The previously published randomized controlled trial, EARLY, tested the efficacy of a motivational interviewing (MI) plus feedback condition against a video information (VI) condition and an informational brochure (IB) condition in reducing drinking and/or increasing contraception effective...

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Veröffentlicht in:Journal of substance abuse treatment 2013-10, Vol.45 (4), p.335-342
Hauptverfasser: Penberthy, J. Kim, Ph.D, Hook, Joshua N., Ph.D, Hettema, Jennifer, Ph.D, Farrell-Carnahan, Leah, Ph.D, Ingersoll, Karen, Ph.D
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container_end_page 342
container_issue 4
container_start_page 335
container_title Journal of substance abuse treatment
container_volume 45
creator Penberthy, J. Kim, Ph.D
Hook, Joshua N., Ph.D
Hettema, Jennifer, Ph.D
Farrell-Carnahan, Leah, Ph.D
Ingersoll, Karen, Ph.D
description Abstract The previously published randomized controlled trial, EARLY, tested the efficacy of a motivational interviewing (MI) plus feedback condition against a video information (VI) condition and an informational brochure (IB) condition in reducing drinking and/or increasing contraception effectiveness, and found that drinking and rates of effective contraception improved in all conditions. In this reanalysis of the data from EARLY, potential moderating effects of depressive, global distress, and anxiety symptoms in response to the three brief interventions to reduce alcohol exposed pregnancy risk were examined. Women with higher levels of depression at baseline reported greater improvements in the MI plus feedback condition versus the VI and IB conditions with depression moderating both drinking and contraceptive effectiveness. Global distress moderated only drinking behavior in the MI plus feedback but not other groups and anxiety was not a moderator of outcome in any of the intervention groups. Depressed or distressed women at risk for AEP may benefit from an AEP risk reduction intervention that incorporates interaction with a treatment provider versus educational information provided via video or written materials.
doi_str_mv 10.1016/j.jsat.2013.05.002
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Kim, Ph.D ; Hook, Joshua N., Ph.D ; Hettema, Jennifer, Ph.D ; Farrell-Carnahan, Leah, Ph.D ; Ingersoll, Karen, Ph.D</creator><creatorcontrib>Penberthy, J. Kim, Ph.D ; Hook, Joshua N., Ph.D ; Hettema, Jennifer, Ph.D ; Farrell-Carnahan, Leah, Ph.D ; Ingersoll, Karen, Ph.D</creatorcontrib><description>Abstract The previously published randomized controlled trial, EARLY, tested the efficacy of a motivational interviewing (MI) plus feedback condition against a video information (VI) condition and an informational brochure (IB) condition in reducing drinking and/or increasing contraception effectiveness, and found that drinking and rates of effective contraception improved in all conditions. In this reanalysis of the data from EARLY, potential moderating effects of depressive, global distress, and anxiety symptoms in response to the three brief interventions to reduce alcohol exposed pregnancy risk were examined. Women with higher levels of depression at baseline reported greater improvements in the MI plus feedback condition versus the VI and IB conditions with depression moderating both drinking and contraceptive effectiveness. Global distress moderated only drinking behavior in the MI plus feedback but not other groups and anxiety was not a moderator of outcome in any of the intervention groups. 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Drug withdrawal ; Drug addiction ; Feedback ; Female ; Fetal Alcohol Spectrum Disorders - prevention &amp; control ; Fetal alcohol syndrome ; Humans ; Medical sciences ; Mental depression ; Miscellaneous ; Motivational Interviewing ; Pregnancy ; Prevention ; Prevention programs ; Psychiatry ; Psychological distress ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Risk Reduction Behavior ; Treatment Outcome ; Treatments</subject><ispartof>Journal of substance abuse treatment, 2013-10, Vol.45 (4), p.335-342</ispartof><rights>Elsevier Inc.</rights><rights>2013 Elsevier Inc.</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2013 Elsevier Inc. All rights reserved.</rights><rights>Copyright Pergamon Press Inc. Oct 2013</rights><rights>2013 Elsevier Inc. 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Kim, Ph.D</creatorcontrib><creatorcontrib>Hook, Joshua N., Ph.D</creatorcontrib><creatorcontrib>Hettema, Jennifer, Ph.D</creatorcontrib><creatorcontrib>Farrell-Carnahan, Leah, Ph.D</creatorcontrib><creatorcontrib>Ingersoll, Karen, Ph.D</creatorcontrib><title>Depressive symptoms moderate treatment response to brief intervention for prevention of alcohol exposed pregnancy</title><title>Journal of substance abuse treatment</title><addtitle>J Subst Abuse Treat</addtitle><description>Abstract The previously published randomized controlled trial, EARLY, tested the efficacy of a motivational interviewing (MI) plus feedback condition against a video information (VI) condition and an informational brochure (IB) condition in reducing drinking and/or increasing contraception effectiveness, and found that drinking and rates of effective contraception improved in all conditions. 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Depressed or distressed women at risk for AEP may benefit from an AEP risk reduction intervention that incorporates interaction with a treatment provider versus educational information provided via video or written materials.</description><subject>Addictive behaviors</subject><subject>Adult</subject><subject>Adult and adolescent clinical studies</subject><subject>Alcohol consumption</subject><subject>Alcohol Drinking - prevention &amp; control</subject><subject>Alcohol Drinking - psychology</subject><subject>Alcohol use</subject><subject>Anxiety-Depression</subject><subject>Biological and medical sciences</subject><subject>Brief intervention: motivational interviewing</subject><subject>Brief interventions</subject><subject>Depression</subject><subject>Depression - psychology</subject><subject>Desintoxication. Drug withdrawal</subject><subject>Drug addiction</subject><subject>Feedback</subject><subject>Female</subject><subject>Fetal Alcohol Spectrum Disorders - prevention &amp; control</subject><subject>Fetal alcohol syndrome</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Mental depression</subject><subject>Miscellaneous</subject><subject>Motivational Interviewing</subject><subject>Pregnancy</subject><subject>Prevention</subject><subject>Prevention programs</subject><subject>Psychiatry</subject><subject>Psychological distress</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Public health. Hygiene</subject><subject>Public health. 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subjects Addictive behaviors
Adult
Adult and adolescent clinical studies
Alcohol consumption
Alcohol Drinking - prevention & control
Alcohol Drinking - psychology
Alcohol use
Anxiety-Depression
Biological and medical sciences
Brief intervention: motivational interviewing
Brief interventions
Depression
Depression - psychology
Desintoxication. Drug withdrawal
Drug addiction
Feedback
Female
Fetal Alcohol Spectrum Disorders - prevention & control
Fetal alcohol syndrome
Humans
Medical sciences
Mental depression
Miscellaneous
Motivational Interviewing
Pregnancy
Prevention
Prevention programs
Psychiatry
Psychological distress
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Public health. Hygiene
Public health. Hygiene-occupational medicine
Risk Reduction Behavior
Treatment Outcome
Treatments
title Depressive symptoms moderate treatment response to brief intervention for prevention of alcohol exposed pregnancy
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