Naltrexone and Coping Skills Therapy for Alcohol Dependence: A Controlled Study

Stephanie S. O'malley, Adam J. Jaffe, Grace Chang, Richard S. Schottenfeld, Roger E. Meyer, Bruce Rounsaville

Research output: Contribution to journalArticlepeer-review

1224 Scopus citations

Abstract

Ninety-seven alcohol-dependent patients were treated for 12 weeks in a double-blind, placebo-controlled study evaluating naltrexone and two manual guided psychotherapies in the treatment of alcohol dependence. Patients were randomized to receive either naltrexone or placebo and either coping skills/relapse prevention therapy or a supportive therapy designed to support the patient's own efforts at abstinence without teaching specific coping skills. Naltrexone proved superior to placebo in measures of drinking and alcohol-related problems, including abstention rates, number of drinking days, relapse, and severity of alcohol-related problems. Medication interacted with the type of psychotherapy received. The cumulative rate of abstinence was highest for patients treated with naltrexone and supportive therapy. For those patients who initiated drinking, however, patients who received naltrexone and coping skills therapy were the least likely to relapse.

Original languageEnglish (US)
Pages (from-to)881-887
Number of pages7
JournalArchives of General Psychiatry
Volume49
Issue number11
DOIs
StatePublished - Nov 1992

All Science Journal Classification (ASJC) codes

  • Arts and Humanities (miscellaneous)
  • Psychiatry and Mental health

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