Heavy Drinking, Sexual Assault
Conditions
Brief summary
The goal of this study is to empirically evaluate a web-based intervention to reduce heavy drinking among college women with a history of sexual assault who display elevated levels of psychological distress. College women with a history of sexual assault often report more heavy drinking and psychological distress than women without a history of assault. Moreover, women with assault histories often have difficulty regulating their emotions and tolerating distress which can lead to a pattern of drinking to cope distress. Trauma exposure, negative mood, and poor coping strategies have been associated with poor treatment outcomes and relapse following alcohol treatment. Incorporating distress tolerance and emotion regulation skills with an alcohol intervention may enhance treatment effects among women with a history of sexual assault by decreasing their motivation to drink to cope with depression or anxiety and by building adaptive coping strategies. Therefore, the web-based intervention will include cognitive behavioral skills for reducing alcohol consumption and incorporate emotion regulation and distress tolerance skills from Dialectical Behavior Therapy.
Detailed description
For the small randomized controlled trial, heavy drinking college women with a history of sexual assault will be recruited and randomized to receive the intervention or an assessment only control. Online surveys will be administered at baseline, and post-treatment as well as 1-month and 6-months post-treatment.
Interventions
Web-based cognitive behavioral skills-based alcohol intervention that incorporates emotion regulation and distress tolerance skills
Sponsors
Study design
Masking description
The intervention and assessments are all completed online and therefore masking is not necessary.
Eligibility
Inclusion criteria
* Enrollment at the University of Washington, * female, * 18 or older, * lifetime history of sexual assault (defined as unwanted attempted or completed oral, vaginal, or anal penetration but excluding unwanted sexual contact only), * at least 2 instances of heavy episodic drinking (defined as 4 or more drinks in 2 hours) in the past 30 days, * average consumption equal or greater than 7 drinks per week in the past 30 days.
Exclusion criteria
* None
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Changes in Daily Drinking Questionnaire | Baseline (pre-treatment), Immediately upon completion of the intervention (post-treatment), 1-month and 6-month follow-up | Assesses typical alcohol consumption over the course of a typical week in the past month |
Countries
United States
Contacts
University of Washington
Baseline characteristics
| Characteristic | — |
|---|---|
| Age, Continuous | 20.8 years STANDARD_DEVIATION 1.6 |
| Daily Drinking Questionnaire (DDQ) | 14.0 Number of standard drinks per week STANDARD_DEVIATION 6.4 |
| Difficulties in Emotion Regulation Scale (DERS) | 93.9 units on a scale STANDARD_DEVIATION 24.9 |
| Distress Tolerance Scale (DTS) | 3.0 units on a scale STANDARD_DEVIATION 0.8 |
| Ethnicity (NIH/OMB) Hispanic or Latino | 10 Participants |
| Ethnicity (NIH/OMB) Not Hispanic or Latino | 90 Participants |
| Ethnicity (NIH/OMB) Unknown or Not Reported | 0 Participants |
| Heavy episodic drinking (HED) frequency | 4.9 Episodes per month STANDARD_DEVIATION 3.6 |
| Posttraumatic Stress Disorder Checklist for DSM-5 (PCL-5) | 21.1 units on a scale STANDARD_DEVIATION 15.7 |
| Race (NIH/OMB) American Indian or Alaska Native | 1 Participants |
| Race (NIH/OMB) Asian | 15 Participants |
| Race (NIH/OMB) Black or African American | 2 Participants |
| Race (NIH/OMB) More than one race | 25 Participants |
| Race (NIH/OMB) Native Hawaiian or Other Pacific Islander | 0 Participants |
| Race (NIH/OMB) Unknown or Not Reported | 4 Participants |
| Race (NIH/OMB) White | 138 Participants |
| Region of Enrollment United States | 100 participants |
| Revised Sexual Experiences Survey (RSES) | 26.9 units on a scale STANDARD_DEVIATION 15.2 |
| Sex: Female, Male Female | 100 Participants |
| Sex: Female, Male Male | 0 Participants |
| Traumatic Life Events Questionnaire | 16 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | 0 / 100 | 0 / 100 |
| other Total, other adverse events | 0 / 100 | 0 / 100 |
| serious Total, serious adverse events | 0 / 100 | 0 / 100 |