Trial Outcomes & Findings for Dismantling the Components and Dosing of CBT for Co-Occurring Disorders (NCT NCT02161211)

NCT ID: NCT02161211

Last Updated: 2023-02-15

Results Overview

Relapse status will be assessed using categorical relapse status (yes vs. no). Count is of those who relapsed

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

300 participants

Primary outcome timeframe

4 month follow-up

Results posted on

2023-02-15

Participant Flow

Participant milestones

Participant milestones
Measure
De-coupling
Six sessions of CBT for anxiety-alcohol de-coupling De-coupling: Six sessions of CBT for anxiety-alcohol de-coupling
Anxiety Reduction
Six sessions of CBT for anxiety reduction. Anxiety Reduction: Six sessions of CBT for anxiety reduction.
Combined
Three sessions devoted to anxiety reduction and to anxiety-alcohol de-coupling each. Combined: Three sessions devoted to anxiety reduction and to anxiety-alcohol de-coupling each.
Overall Study
STARTED
92
94
93
Overall Study
COMPLETED
59
62
63
Overall Study
NOT COMPLETED
33
32
30

Reasons for withdrawal

Reasons for withdrawal
Measure
De-coupling
Six sessions of CBT for anxiety-alcohol de-coupling De-coupling: Six sessions of CBT for anxiety-alcohol de-coupling
Anxiety Reduction
Six sessions of CBT for anxiety reduction. Anxiety Reduction: Six sessions of CBT for anxiety reduction.
Combined
Three sessions devoted to anxiety reduction and to anxiety-alcohol de-coupling each. Combined: Three sessions devoted to anxiety reduction and to anxiety-alcohol de-coupling each.
Overall Study
Lost to Follow-up
21
27
21
Overall Study
Dropped
12
5
9

Baseline Characteristics

Dismantling the Components and Dosing of CBT for Co-Occurring Disorders

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
De-coupling
n=92 Participants
Six sessions of CBT for anxiety-alcohol de-coupling De-coupling: Six sessions of CBT for anxiety-alcohol de-coupling
Anxiety Reduction
n=94 Participants
Six sessions of CBT for anxiety reduction. Anxiety Reduction: Six sessions of CBT for anxiety reduction.
Combined
n=93 Participants
Three sessions devoted to anxiety reduction and to anxiety-alcohol de-coupling each. Combined: Three sessions devoted to anxiety reduction and to anxiety-alcohol de-coupling each.
Total
n=279 Participants
Total of all reporting groups
Age, Continuous
38.5 years
n=93 Participants
43 years
n=4 Participants
38 years
n=27 Participants
40 years
n=483 Participants
Sex: Female, Male
Female
34 Participants
n=93 Participants
36 Participants
n=4 Participants
35 Participants
n=27 Participants
105 Participants
n=483 Participants
Sex: Female, Male
Male
58 Participants
n=93 Participants
58 Participants
n=4 Participants
58 Participants
n=27 Participants
174 Participants
n=483 Participants
Race (NIH/OMB)
American Indian or Alaska Native
3 Participants
n=93 Participants
2 Participants
n=4 Participants
6 Participants
n=27 Participants
11 Participants
n=483 Participants
Race (NIH/OMB)
Asian
1 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
1 Participants
n=483 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
Race (NIH/OMB)
Black or African American
4 Participants
n=93 Participants
5 Participants
n=4 Participants
8 Participants
n=27 Participants
17 Participants
n=483 Participants
Race (NIH/OMB)
White
82 Participants
n=93 Participants
81 Participants
n=4 Participants
71 Participants
n=27 Participants
234 Participants
n=483 Participants
Race (NIH/OMB)
More than one race
1 Participants
n=93 Participants
6 Participants
n=4 Participants
8 Participants
n=27 Participants
15 Participants
n=483 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
1 Participants
n=483 Participants
Region of Enrollment
United States
92 participants
n=93 Participants
94 participants
n=4 Participants
93 participants
n=27 Participants
279 participants
n=483 Participants

PRIMARY outcome

Timeframe: 4 month follow-up

Relapse status will be assessed using categorical relapse status (yes vs. no). Count is of those who relapsed

Outcome measures

Outcome measures
Measure
De-coupling
n=63 Participants
Six sessions of CBT for anxiety-alcohol de-coupling De-coupling: Six sessions of CBT for anxiety-alcohol de-coupling
Anxiety Reduction
n=78 Participants
Six sessions of CBT for anxiety reduction. Anxiety Reduction: Six sessions of CBT for anxiety reduction.
Combined
n=67 Participants
Three sessions devoted to anxiety reduction and to anxiety-alcohol de-coupling each. Combined: Three sessions devoted to anxiety reduction and to anxiety-alcohol de-coupling each.
Number of Participants That Relapsed to Drinking at 4 Months
30 Participants
43 Participants
35 Participants

PRIMARY outcome

Timeframe: 4-months

Negative binomial regression with offset for possible drinking days exposure in 4 months post treatment

Outcome measures

Outcome measures
Measure
De-coupling
n=63 Participants
Six sessions of CBT for anxiety-alcohol de-coupling De-coupling: Six sessions of CBT for anxiety-alcohol de-coupling
Anxiety Reduction
n=78 Participants
Six sessions of CBT for anxiety reduction. Anxiety Reduction: Six sessions of CBT for anxiety reduction.
Combined
n=67 Participants
Three sessions devoted to anxiety reduction and to anxiety-alcohol de-coupling each. Combined: Three sessions devoted to anxiety reduction and to anxiety-alcohol de-coupling each.
Number of Drinking Days in 4 Months Post Treatment
8.44 drinking days
Standard Error 1.13
13.04 drinking days
Standard Error 1.53
11.34 drinking days
Standard Error 1.45

PRIMARY outcome

Timeframe: 4 months

Drinks per drinking day among those who relapsed by 4 months. Standard Drink is defined as 12oz beer, 4ox wine, 3oz fortified wine, 1oz hard liquor

Outcome measures

Outcome measures
Measure
De-coupling
n=30 Participants
Six sessions of CBT for anxiety-alcohol de-coupling De-coupling: Six sessions of CBT for anxiety-alcohol de-coupling
Anxiety Reduction
n=43 Participants
Six sessions of CBT for anxiety reduction. Anxiety Reduction: Six sessions of CBT for anxiety reduction.
Combined
n=35 Participants
Three sessions devoted to anxiety reduction and to anxiety-alcohol de-coupling each. Combined: Three sessions devoted to anxiety reduction and to anxiety-alcohol de-coupling each.
Number of Standard Drinks Per Drinking Day
17.17 drinks per drinking day
Standard Error 2.50
17.72 drinks per drinking day
Standard Error 2.08
17.67 drinks per drinking day
Standard Error 2.31

SECONDARY outcome

Timeframe: 4 months

Relapse to Diagnostic and Statistical Manual (DSM)-IV alcohol dependence criteria based on Structured Clinical Interview for DSM-IV (SCID) at 4 months

Outcome measures

Outcome measures
Measure
De-coupling
n=63 Participants
Six sessions of CBT for anxiety-alcohol de-coupling De-coupling: Six sessions of CBT for anxiety-alcohol de-coupling
Anxiety Reduction
n=78 Participants
Six sessions of CBT for anxiety reduction. Anxiety Reduction: Six sessions of CBT for anxiety reduction.
Combined
n=67 Participants
Three sessions devoted to anxiety reduction and to anxiety-alcohol de-coupling each. Combined: Three sessions devoted to anxiety reduction and to anxiety-alcohol de-coupling each.
Number of Participants Who Met SCID-IV Criteria for Alcohol Dependence at 4 Months
13 Participants
21 Participants
16 Participants

SECONDARY outcome

Timeframe: 4 months

Relapse to hazardous drinking (hazardous drinking is defined as 3 or more per occasion for women or more than 7 drinks per week, 4 or more per occasion for men or more than 14 drinks per week) at 4 months

Outcome measures

Outcome measures
Measure
De-coupling
n=63 Participants
Six sessions of CBT for anxiety-alcohol de-coupling De-coupling: Six sessions of CBT for anxiety-alcohol de-coupling
Anxiety Reduction
n=78 Participants
Six sessions of CBT for anxiety reduction. Anxiety Reduction: Six sessions of CBT for anxiety reduction.
Combined
n=67 Participants
Three sessions devoted to anxiety reduction and to anxiety-alcohol de-coupling each. Combined: Three sessions devoted to anxiety reduction and to anxiety-alcohol de-coupling each.
Number of Participants Who Relapsed to Hazardous Drinking
27 Participants
39 Participants
34 Participants

Adverse Events

De-coupling

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Anxiety Reduction

Serious events: 0 serious events
Other events: 0 other events
Deaths: 1 deaths

Combined

Serious events: 0 serious events
Other events: 0 other events
Deaths: 1 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Matt Kushner, Ph.D.

University of Minnesota

Phone: 612-625-7546

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place