About this trial
This study has two objectives. First, to evaluate the effectiveness of psychotherapy sessions based on self-concept and autobiographical memory in patients suffering from alcohol use disorders (AUD). Second, investigate the relationship between drinking identity and AUD. These objectives will be investigated according to a longitudinal design.
In this study, the drinking identity is evaluated on its implicit dimension and on its explicit dimension. Levels of alcohol use and dependence are assessed by the amount and frequency of drinking, the duration of abstinence, and the intensity of AUD symptoms. These assessments consist three visits: on the day of inclusion, then at three months and six months after the first visit. The psychotherapy sessions consist of four individual sessions. They are inspired by the Social Identity Mapping in Addiction Recovery (SIM-AR) by Beckwith et al. (2019), combined with autobiographical reasoning exercises.
Patients with an AUD, participants in the study, are recruited from the addiction department of the Etablissement Public de Santé Mentale de la Marne. To investigate the effects of individual psychotherapy sessions, two groups of patients are constituted randomly. The first group will have four psychotherapy sessions between the first visit and the second vist. The second group will not follow psychotherapy sessions but will benefit from the usual addiction treatments.
The first hypothesis is that patients who have completed the psychotherapy sessions will have lower alcohol consumption (frequency, quantities, peaks) and symptoms of AUD (cravings, drinking refusal self-efficacy and feeling of recovery) than those who have not benefited from the program.
The second hypothesis is that implicit and explicit levels of drinking identity will predict alcohol consumption (frequencies, quantities, peaks) and symptoms of dependence (cravings, drinking refusal self-efficacy and feeling of recovery) for all participants.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Patients over 24 years old, men or women
Having a diagnosis of alcohol use disorder according to DSM-5 criteria
Being a native French speaker
Patients enrolled in the national healthcare insurance program
Disqualifiers
A diagnosis of current non-stabilized psychiatric disorders according to DSM-5 criteria
The presence of another substance use disorder, except for tobacco dependence
The presence of any intellectual disability, of pervasive developmental disorders
The presence of any neurological disorder or any other disorder affecting the central nervous system including neurological complications of alcoholism
Trial design
Parallel
Treatments tested in this trial
psychotherapeutic sessions
BehavioralAnalysis of effect of psychotherapeutic sessions based on self-concept and autobiographical memory on alcohol addiction
Treatment groups
Trial outcomes
Primary outcomes
Severity of alcohol use disorder
The Alcohol Use Disorder Inventory Test (AUDIT). The AUDIT is self-administered questionnaire consists of 10 items designed to identify the risk of the presence of an alcohol use disorder with or without dependence. Items 1 to 6 assess the presence of an alcohol use disorder, and items 7 to 10 assess problems associated with the participant's drinking pattern
Secondary outcomes
Craving
Evaluated through Obsessive Compulsive Drinking Scale (OCDS). The OCDS is 12-item self-questionnaire assesses obsessive thoughts and compulsive cravings for alcohol
Drinking refusal self-efficacy
Drinking Refusal Self-Efficacy Questionnaire-Revised (DRSEQ-R) It consists of 19 items in the form of first-person statements, positioned on a 6-point Likert scale. It assesses participants' beliefs about their ability to resist drinking in certain situations on three dimensions: social pressure, emotional relief and opportunistic drinking
Sponsors and contacts
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CHU de Reims
Lead sponsor
Public Mental Health Institution of the Marne
Collaborator