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What happens to drinking after therapeutic intervention?

F Duckert1, A Amundsen, J Johnsen

  • 1National Institute for Alcohol and Drug Research, Oslo, Norway.

British Journal of Addiction
|October 1, 1992
PubMed
Summary

Both brief counseling and short-term group therapy effectively reduced alcohol consumption long-term. While group therapy showed initial greater reductions, both interventions yielded similar outcomes at 21 months.

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Area of Science:

  • Addiction Medicine
  • Clinical Psychology
  • Public Health

Background:

  • Alcohol use disorder is a significant public health concern.
  • Effective treatment interventions are crucial for reducing alcohol consumption and related harms.

Purpose of the Study:

  • To compare the long-term effectiveness of brief counseling versus short-term group therapy for alcohol consumption reduction.
  • To assess treatment outcomes at multiple follow-up points.

Main Methods:

  • 135 participants (84 men, 51 women) recruited via newspaper ads were matched and randomly assigned to brief counseling or group therapy.
  • Follow-up assessments included personal interviews and medical examinations at 3, 9, 15, and 21 months.
  • Outcomes measured included alcohol consumption, Gamma-Glutamyl Transferase (GGT) levels, mortality, and alcohol-related hospitalizations.

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Main Results:

  • Initially, group therapy showed greater alcohol reduction, but this group experienced more setbacks.
  • At 21 months, no significant differences were found between groups in alcohol consumed, GGT levels, deaths, or hospitalizations.
  • The overall sample maintained significant alcohol reduction, with 50% reducing consumption by over 50%.

Conclusions:

  • Both brief counseling and short-term group therapy are effective for sustained alcohol consumption reduction.
  • Treatment gains are maintained over a 21-month period, regardless of the intervention type.
  • Reductions in alcohol consumption were primarily achieved through less frequent drinking and fewer heavy drinking episodes.