Three Research Groups At The University At Buffalo Looking For New Ways To Change 'Problem Drinking'
Main Category: Alcohol / Addiction / Illegal DrugsArticle Date: 23 Oct 2007 - 13:00 PDT
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Three new grants have been received by the University at Buffalo's Research Institute on Addictions (RIA) to study "mechanisms of change" that may play a role in the process of changing problem drinking.
Each of the three is funded by a $416,000 grant from the National Institute on Alcohol Abuse and Alcoholism.
In the first project, Rebecca J. Houston, Ph.D., RIA research scientist, is principal investigator on a study of the role of impulsivity in alcohol dependence and its treatment.
According to Houston, "It is likely that, for individuals with an alcohol use disorder, a lapse in impulse control is a significant factor in the decision to initiate drinking. In this study we are investigating whether changes in impulse control during treatment are related to drinking during as well as after treatment."
It is anticipated that results from this study will better define the role of impulse control as a potential mechanism of behavioral change in alcohol use and provide information about refining existing alcohol treatments and developing new treatment methods.
Houston's co-investigators are Ronda L. Dearing , Ph.D., RIA research scientist; Gerard J. Connors, Ph.D., senior research scientist and director of RIA, as well as UB professor of psychology and research professor of psychiatry; and Gregory G. Homish, Ph.D., RIA associate research scientist and assistant professor in the Department of Health Behavior in UB's School of Public Health and Health Professions.
In the second project, Paul R. Stasiewicz, Ph.D. is examining the important mechanisms for changing behavior in alcohol-dependent men and women who report drinking heavily in situations involving negative emotions.
"Negative emotions play a prominent role in a range of mental health disorders including alcohol use disorders," he stated, "and successful treatment of these disorders must include procedures for the clinical management of these negative emotions."
Stasiewicz is a senior research scientist and director of the Institute's Clinical Research Center's outpatient clinic at RIA and a research professor in the Department of Psychiatry in the UB School of Medicine and Biomedical Sciences. His co-investigator is Clara M. Bradizza, Ph.D., RIA senior research scientist and research assistant professor in the UB Department of Psychiatry.
Stasiewicz and Bradizza are examining whether a reduction in negative emotional responses is associated with positive treatment outcomes among alcohol-dependent men and women. They will be using treatment protocols intended to bring about change in cue-elicited negative emotions as well as in alcohol craving.
The third project, led by Gerard J. Connors, Ph.D., is evaluating the perceptions of both client and therapist about the therapeutic alliance and how that relationship may influence change in drinking behavior for the client.
"We expect to provide a better understanding of the interplay of the therapeutic alliance with alcohol use during and following outpatient treatment," Connors explained.
Connors' co-investigators on the study are Kurt H. Dermen, Ph.D, RIA research scientist, and Stephen A. Maisto, Ph.D., of Syracuse University.
The Research Institute on Addictions has been a leader in the study of addictions since 1970 and a research center of the University at Buffalo since 1999.
The University at Buffalo is a premier research-intensive public university, the largest and most comprehensive campus in the State University of New York. UB's more than 28,000 students pursue their academic interests through more than 300 undergraduate, graduate and professional degree programs. Founded in 1846, the University at Buffalo is a member of the Association of American Universities.
http://www.ria.buffalo.edu
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What Is ' Problem Drinking'?
posted by Peter O'Loughlin on 24 Oct 2007 at 4:47 amIs there a universal definition for 'problem drinking'? or is it a euphemism to desc rfibe either alcohol abuse, or dependency as defined in DSM-1V?. On the other hand is it alcoholism? which carried the same criteria as 'dependency, before political correctness persuaded us that the latter was less pejorative.
Given that the American Pyshiatric Association are seriously considering the clincially inadequate use of 'dependcy' should be discontinued in favour of the more accurate alcoholism, or alcohol addiction. It is difficult to comment on how valuable this research might be, without a clear definition of the condition being researched.
If it is aloholism that is under scrutiny, then please, can we stop using vague euphemisms to describe what is a serious mental disorder, frequently accompanied by other psychiatric conditions, giving rise to comorbidity. There is a wealth of research already in existence to show that in cases of the latter, failure to address all conditions in parralel, is more likely to lead to relapse of one or more of the existing conditions. A situation this writer ventures to say is unlikely to be accurately attributed to 'Impulse Control Disorder'.
Let us be clear, apart from the physical ravages, alcoholism causes changes in the brain ,and personality, here again, there is sufficient evidence to suggest that many of the former are irreversible; whilst changes in the latter can only be brought about by a fundamental change in outloook, and attitude by those afflicted. Thus we are faced with a complex condition that is physical, mental and spiritual in make up. It follows that attempting to isolate possible contributors to this condition, will not do a great deal to bring about recovery.
The most succesful cases of long term recovery, are those peole who stopped trying to anaylise their condition, or what caused it, something that has baffled us ever since man first trod grapes, but accpeted that they had developed, or acquired an irreversible condition, which could be arrested into a state of passiveness beginning with abstinence, and progressing to recovery. A journey which asProchaska and DiClemente point out is unpredictable.
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