scholarly journals Deficits in emotion-regulation skills predict alcohol use during and after cognitive–behavioral therapy for alcohol dependence.

2011 ◽  
Vol 79 (3) ◽  
pp. 307-318 ◽  
Author(s):  
Matthias Berking ◽  
Matthias Margraf ◽  
David Ebert ◽  
Peggilee Wupperman ◽  
Stefan G. Hofmann ◽  
...  
Keyword(s):  
Emotion Regulation ◽  
Alcohol Use ◽  
Cognitive Behavioral Therapy ◽  
Alcohol Dependence ◽  
Behavioral Therapy ◽  
Cognitive Behavioral

scholarly journals Mechanisms of change in female-specific and gender-neutral cognitive behavioral therapy for women with alcohol use disorder.

2020 ◽  
Vol 88 (6) ◽  
pp. 541-553
Author(s):  
Cathryn Glanton Holzhauer ◽  
Thomas Hildebrandt ◽  
Elizabeth Epstein ◽  
Barbara McCrady ◽  
Kevin A. Hallgren ◽  
...  
Keyword(s):  
Alcohol Use ◽  
Cognitive Behavioral Therapy ◽  
Alcohol Use Disorder ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Mechanisms Of Change ◽  
Gender Neutral ◽  
And Gender ◽  
Female Specific

scholarly journals Cognitive behavioral therapy for insomnia among young adults who are actively drinking: a randomized pilot trial

SLEEP ◽  
2020 ◽  
Author(s):  
Mary Beth Miller ◽  
Chelsea B Deroche ◽  
Lindsey K Freeman ◽  
Chan Jeong Park ◽  
Nicole A Hall ◽  
...  
Keyword(s):  
Young Adults ◽  
Alcohol Use ◽  
Cognitive Behavioral Therapy ◽  
Binge Drinking ◽  
Behavioral Therapy ◽  
Pilot Trial ◽  
Cognitive Behavioral ◽  
Wrist Actigraphy ◽  
Insomnia Severity

Abstract Study Objectives More than half of young adults at risk for alcohol-related harm report symptoms of insomnia. Insomnia symptoms, in turn, have been associated with alcohol-related problems. Yet one of the first-line treatments for insomnia (Cognitive Behavioral Therapy for Insomnia or CBT-I) has not been tested among individuals who are actively drinking. This study tested (1) the feasibility and short-term efficacy of CBT-I among binge-drinking young adults with insomnia and (2) improvement in insomnia as a predictor of improvement in alcohol use outcomes. Methods Young adults (ages 18–30 years, 75% female, 73% college students) who met criteria for Insomnia Disorder and reported 1+ binge drinking episode (4/5+ drinks for women/men) in the past month were randomly assigned to 5 weekly sessions of CBT-I (n = 28) or single-session sleep hygiene (SH, n = 28). All participants wore wrist actigraphy and completed daily sleep surveys for 7+ days at baseline, posttreatment, and 1-month follow-up. Results Of those randomized, 43 (77%) completed posttreatment (19 CBT-I, 24 SH) and 48 (86%) completed 1-month follow-up (23 CBT-I, 25 SH). CBT-I participants reported greater posttreatment decreases in insomnia severity than those in SH (56% vs. 32% reduction in symptoms). CBT-I did not have a direct effect on alcohol use outcomes; however, mediation models indicated that CBT-I influenced change in alcohol-related consequences indirectly through its influence on posttreatment insomnia severity. Conclusions CBT-I is a viable intervention among individuals who are actively drinking. Research examining improvement in insomnia as a mechanism for improvement in alcohol-related consequences is warranted. Trial Registration U.S. National Library of Medicine, https://clinicaltrials.gov/ct2/show/NCT03627832, registration #NCT03627832

Neural predictors and effects of cognitive behavioral therapy for depression: the role of emotional reactivity and regulation

2019 ◽  
Vol 50 (1) ◽  
pp. 146-160 ◽  
Author(s):  
Harry Rubin-Falcone ◽  
Jochen Weber ◽  
Ronit Kishon ◽  
Kevin Ochsner ◽  
Lauren Delaparte ◽  
...  
Keyword(s):  
Emotion Regulation ◽  
Treatment Outcome ◽  
Cognitive Behavioral Therapy ◽  
Emotional Reactivity ◽  
Behavioral Therapy ◽  
Occipital Cortex ◽  
Neural Correlates ◽  
Cognitive Behavioral ◽  
Longitudinal Change ◽  
Bold Signal

AbstractBackgroundCognitive behavioral therapy (CBT) is an effective treatment for many patients suffering from major depressive disorder (MDD), but predictors of treatment outcome are lacking, and little is known about its neural mechanisms. We recently identified longitudinal changes in neural correlates of conscious emotion regulation that scaled with clinical responses to CBT for MDD, using a negative autobiographical memory-based task.MethodsWe now examine the neural correlates of emotional reactivity and emotion regulation during viewing of emotionally salient images as predictors of treatment outcome with CBT for MDD, and the relationship between longitudinal change in functional magnetic resonance imaging (fMRI) responses and clinical outcomes. Thirty-two participants with current MDD underwent baseline MRI scanning followed by 14 sessions of CBT. The fMRI task measured emotional reactivity and emotion regulation on separate trials using standardized images from the International Affective Pictures System. Twenty-one participants completed post-treatment scanning. Last observation carried forward was used to estimate clinical outcome for non-completers.ResultsPre-treatment emotional reactivity Blood Oxygen Level-Dependent (BOLD) signal within hippocampus including CA1 predicted worse treatment outcome. In contrast, better treatment outcome was associated with increased down-regulation of BOLD activity during emotion regulation from time 1 to time 2 in precuneus, occipital cortex, and middle frontal gyrus.ConclusionsCBT may modulate the neural circuitry of emotion regulation. The neural correlates of emotional reactivity may be more strongly predictive of CBT outcome. The finding that treatment outcome was predicted by BOLD signal in CA1 may suggest overgeneralized memory as a negative prognostic factor in CBT outcome.

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