Alcohol Dependence
Conditions
Keywords
alcoholism, naltrexone, motivational enhancement therapy
Brief summary
The purpose of this study was to compare the effects of two psychosocial treatments that differed in scope and intensity (Broad Spectrum Treatment and Motivational Enhancement Treatment) combined with 3 or 6 months of treatment with naltrexone on alcohol drinking behaviors in alcohol dependent patients.
Interventions
50 mg naltrexone daily for 3 months
8-14, one hour sessions over 6 months
4, 20 minute sessions over 3 months
Sponsors
Study design
Eligibility
Inclusion criteria
* men and women between the ages of 21-65 * current DSM-IV diagnosis of alcohol dependence * abstinent for a minimum of 3 and maximum of 21 days prior to treatment initiation * able to participate in an 18-month outpatient study * live within a one hour or less commute to Fairbanks * fluent in English * women of child-bearing potential must have a negative pregnancy test and use effective contraceptive methods. * score as contemplators or greater on the Readiness For Change Scale
Exclusion criteria
* severe hepatic disease (gGGT, SGOT or other liver functions greater than 4 times normal) * opiate use (for any reason) in the last 14 days or a history of opioid dependence in the past year * pregnant or lactating females or those unwilling to use birth control * inability, according to the opinion of the interviewer, to follow medication instructions and safety precautions * comorbid substance dependence (but not abuse) diagnosis in the past 6 months, excluding nicotine or marijuana dependence * concomitant use of medications intended to decrease drinking (e.g. disulfiram) * meeting current DSM criteria for bipolar disorder, schizophrenia, bulimia/anorexia, dementia, major depression
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Percent Days Abstinent | 18 months |
Secondary
| Measure | Time frame |
|---|---|
| Percent Heavy Drinking Days | 18 months |
Countries
United States