Substance Dependence
Conditions
Brief summary
Despite recent advances in substance abuse interventions, a large percentage of clients entering residential treatment for substance use will drop out of treatment prematurely, and of the remaining, many will relapse soon after treatment completion. Previous research indicates that an individual's ability to withstand psychological distress is a key factor necessary to maintain drug and alcohol abstinence and to remain in substance use treatment without absconding. In previous work, Dr. Bornovalova developed a specific distress tolerance treatment called Skills for Improving Distress Intolerance (SIDI). This intervention features skills training in behavioral and acceptance strategies and intentional clinical exposure to emotional distress. SIDI was developed and piloted with a sample of urban drug users seeking treatment in a residential facility. Individuals receiving SIDI exhibited greater improvement in distress tolerance than those in two comparison groups (receiving treatment-as-usual and supportive counseling). Current study. The investigators received NIDA funding to conduct a randomized clinical trial with 325 clients entering a residential substance use treatment facility. Study participants will be randomized into two treatment groups: (1) those receiving SIDI and (2) those receiving Supportive Counseling (SC). Participants will receive 10 treatment sessions over a period of 4 months. Then, the investigators will follow clients for one year to examine treatment retention and abstinence.
Interventions
BEHAVIORALSIDI
BEHAVIORALSC
Sponsors
University of South Florida
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* 18-65 years of age * Not evidencing severe cognitive deficits * Ability to give informed consent
Exclusion criteria
* \<18 years of age or \> 65 years of age * Not evidencing severe cognitive deficits (site designation of 'not competent to stand trial') * Unable to give informed consent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| abstinence at 1, 3, 6 & 12 month follow-up | 1, 3, 6 month follow-up post-treatment | Measured via biological verification and timeline follow-back |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| distress tolerance | 1, 3, 6 month follow-up | ability to tolerate psychological distress |
Other
| Measure | Time frame | Description |
|---|---|---|
| successful/unsuccessful completion of residential addictions treatment | Baseline, post-treatment (at 3 month mark in residential facility), successful discharge within 6 months from residential facility | successful/unsuccessful completion of residential addictions treatment |
| time in jail | 1, 3, 6 month follow-up in community | measured by public records (# of days in jail by each timepoint) |
| psychiatric distress | post-treatment at 3 month mark in residential facility, 1, 3, 6 month follow-up in community | psychiatric distress on brief symptom inventory |
| maladaptive personality | post-treatment (at 3 month mark in residential facility), 1, 3, 6 month follow-up in community | change in maladaptive personality on the Personality Inventory for DSM5 |
Countries
United States
Contacts
Primary ContactKelly Lane, BA
Backup ContactMarina Bornovalova, PhD
Outcome results
None listed