Graff, Fiona S.. Changes in coping strategies among women receiving treatment for alcohol use disorders (AUDs). Retrieved from https://doi.org/doi:10.7282/T3P26WWP
DescriptionThis study examined coping and change in coping among a sample of 158 women entering a randomized clinical trial of cognitive-behavioral therapy (CBT) for an alcohol use disorder (AUD). This is a secondary analysis of data collected as part of a larger two-armed trial of different models of individual and couples therapy for women with AUDs. Study aims were to describe the initial coping strategies -- including demographic, psychological, and substance use correlates -- of women entering treatment, examine change in coping during and following treatment, examine change in coping as a function of treatment attendance and engagement, and explore the relationship between coping and change in coping as predictive of longer-term drinking outcome. Participants were recruited from the community and were: at least 18 years old, in a stable relationship with a male partner, met DSM-IV AUD criteria, and had used alcohol in the 30 days prior to recruitment. Coping was assessed with the Coping Behaviours Inventory (CBI) (Litman et al., 1983) administered at four time points: at baseline, after 12 weeks of treatment, and at follow-up assessments six and twelve months after treatment. Women entered treatment with a comparatively high degree of cognitive versus behavioral coping strategies, and total coping followed a quadratic shape and increased during treatment. Attendance was positively associated with change in coping during treatment, while homework completion was not. Coping and change in coping was predictive of fewer drinking days at follow-up as well as greater likelihood of abstinence. However, for a portion of women still drinking, coping was also associated with greater drinks per drinking day. Implications and next steps are discussed.