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Related Experiment Video

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A Prediction Error-driven Retrieval Procedure for Destabilizing and Rewriting Maladaptive Reward Memories in Hazardous Drinkers
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CBT for high anxiety sensitivity: alcohol outcomes.

Janine V Olthuis1, Margo C Watt2, Sean P Mackinnon3

  • 1Department of Psychology and Neuroscience, Dalhousie University, Halifax, Nova Scotia B3H 4R2, Canada.

Addictive Behaviors
|March 11, 2015
PubMed
Summary

This study shows that a telephone-delivered cognitive behavioral treatment (CBT) effectively reduced anxiety sensitivity (AS) and problematic drinking motives. The intervention lowered drinking to cope with anxiety and physical alcohol-related issues.

Keywords:
Alcohol useAnxiety sensitivityCBTDrinking motivesProblem drinking

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Area of Science:

  • Psychology
  • Clinical Psychology
  • Behavioral Science

Background:

  • High anxiety sensitivity (AS) is linked to increased alcohol consumption and related problems.
  • Individuals with high AS show greater sensitivity to alcohol's anxiety-reducing effects and negative reinforcement drinking motives.

Purpose of the Study:

  • To assess the alcohol-related outcomes of a telephone-delivered cognitive behavioral treatment (CBT) specifically designed to reduce high anxiety sensitivity (AS).

Main Methods:

  • Eighty individuals with high AS were randomly assigned to an 8-week telephone CBT program or a waitlist control.
  • Participants completed measures of drinking motives and problem drinking pre- and post-treatment.

Main Results:

  • The CBT intervention successfully reduced anxiety sensitivity (AS).
  • Treatment led to significant reductions in drinking to cope with anxiety motives and physical alcohol-related problems.
  • Anxiety sensitivity changes mediated reductions in drinking motives, which in turn mediated reductions in physical alcohol problems.

Conclusions:

  • Anxiety sensitivity-targeted interventions show promise for reducing risky alcohol use cognitions and behaviors.
  • Further research is warranted in problem drinker populations.