Congruence Couple Therapy for alcohol use and gambling disorders with comorbidities (part I): outcomes from a randomized controlled trial

Simple item page
dc.contributor.authorLee, Bonnie K.
dc.contributor.authorOfori Dei, Samuel M.
dc.contributor.authorBrown, Matthew M. R.
dc.contributor.authorAwosoga, Olu A.
dc.contributor.authorShi, Yanjun
dc.contributor.authorGreenshaw, Andrew J.
dc.date.accessioned2022-10-27T00:44:02Z
dc.date.available2022-10-27T00:44:02Z
dc.date.issued2022
dc.descriptionOpen access article. Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND 4.0) appliesen_US
dc.description.abstractA nonblinded randomized trial was conducted at two Canadian provincial outpatient addiction clinics that tested the effectiveness of a systemic congruence couple therapy (CCT) versus individual-based treatment-as-usual (TAU) on nine clinical outcomes: (1) primary outcomes—alcohol use and gambling, psychiatric symptoms, and couple adjustment; (2) secondary outcomes—emotion regulation, substance use, depression, post-traumatic stress symptoms, and life stress. Data of primary clients and partners (N = 46) were analyzed longitudinally across baseline, posttreatment (5 months), and follow-up (8 months). Alcohol use disorder (95%) and gambling disorder (5%) were in the severe range at baseline, and co-addiction was 27%. Psychiatric comorbidity was 100%, and 18% of couples were jointly addicted. Between-group comparison favored CCT in primary outcomes with medium-to-large effect sizes (Cohen's h = 0.74–1.44). Secondary outcomes were also significantly stronger for CCT (Cohen's h = 0.27–1.53). Within-group, for all primary outcomes, a significant proportion of symptomatic CCT clients and partners improved, converging with ANOVA results of large effect sizes (0.14–0.29). All secondary outcomes improved significantly in CCT with large effect sizes (0.14–0.50). TAU showed significant within-group improvement in alcohol use, other substance use, and life stress with large effect sizes (0.16–0.40). Primary clients and partners made largely equivalent improvement within CCT and within TAU. Results were triangulated with clients' satisfaction ratings and counselors' reports. Overall, significant within-group effects were detected for CCT both clinically and statistically and between-group difference favored CCT. Future trials are required to validate these promising findings.en_US
dc.description.peer-reviewYesen_US
dc.identifier.citationLee, B. K., Ofori Dei, S. M., Brown, M. M. R., Awosoga, O. A., Shi, Y., & Greenshaw. A. J. (2022). Congruence Couple Therapy for alcohol use and gambling disorders with comorbidities (part I): Outcomes from a randomized controlled trial. Family Process, 00, 1-36. https://doi.org/10.1111/famp.12813en_US
dc.identifier.urihttps://hdl.handle.net/10133/6364
dc.language.isoen_CAen_US
dc.publisherWileyen_US
dc.publisher.facultyHealth Sciencesen_US
dc.publisher.institutionUniversity of Lethbridgeen_US
dc.publisher.institutionUniversity of Albertaen_US
dc.publisher.urlhttps://doi.org/10.1111/famp.12813en_US
dc.subjectAlcohol use disorderen_US
dc.subjectComorbiditiesen_US
dc.subjectCongruence Couple Therapyen_US
dc.subjectCouple adjustmenten_US
dc.subjectEmotion regulationen_US
dc.subjectGambling disorderen_US
dc.subjectRandomized controlled trialen_US
dc.subjectSystemic therapyen_US
dc.subjectLife stressen_US
dc.subject.lcshComorbidity
dc.subject.lcshCouples therapy
dc.subject.lcshCompulsive gambling--Treatment
dc.subject.lcshAlcoholism--Treatment
dc.subject.lcshSystemic therapy (Family therapy)
dc.titleCongruence Couple Therapy for alcohol use and gambling disorders with comorbidities (part I): outcomes from a randomized controlled trialen_US
dc.typeArticleen_US
Files
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
Lee-congruence-couple-therapy.pdf
Size:
41.18 MB
Format:
Adobe Portable Document Format
Description:
Download
License bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
license.txt
Size:
1.75 KB
Format:
Item-specific license agreed upon to submission
Description:
Download
Collections
Lee, Bonnie
Awosoga, Olu