OBJECTIVE This study tested a highly individualized cognitive-behavioral coping skills treatment for alcohol use disorder (AUD). Recent studies have indicated that coping skills training programs are not always effective. A possible explanation is that the training provided in these programs may not address the specific needs of the patient. The Individualized Assessment and Treatment Program (IATP) was intended to provide a highly individualized approach to the training of skills most relevant for each individual. METHOD Men and women with AUD (N = 173) were randomly assigned to one of three, manualized, 12-session treatments: IATP, a conventional (Packaged) cognitive-behavioral program (PCBT), or a Case Management control condition (CaseM). An experience sampling (ES) procedure was employed prior to, and during, treatment to record alcohol use and coping behaviors in all patients. In IATP, this information was used by therapists to plan treatment that would address the specific strengths and weaknesses of each patient in alcohol-use situations. ES data were collected at multiple time points and patients were followed every 3 months out to 21 months posttreatment. RESULTS Multilevel model analyses indicated that IATP yielded better drinking outcomes than the CaseM or PCBT conditions. Mediation analyses indicated that the effects of IATP versus the other treatments on outcomes were accounted for at least partly by changes in active coping with high-risk situations. CONCLUSION Due to the limited diversity of the sample, generalizability of the results may be limited. Results are discussed in terms of the importance of tailoring treatment for the individual patient. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

中文翻译：

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酒精使用障碍的个体化评估和治疗计划 （IATP）：与传统认知行为治疗的比较和作为治疗中介的应对技巧检查。


目的 本研究测试了一种高度个体化的认知行为应对技能治疗酒精使用障碍 （AUD）。最近的研究表明，应对技能培训计划并不总是有效的。一种可能的解释是，这些计划中提供的培训可能无法满足患者的特定需求。个体化评估和治疗计划 （IATP） 旨在提供一种高度个性化的方法来训练与每个人最相关的技能。方法 患有 AUD 的男性和女性 （N = 173） 被随机分配到三种手动、12 次治疗的其中一种：IATP、常规（打包）认知行为计划 （PCBT） 或病例管理控制条件 （CaseM）。在治疗之前和治疗期间采用经验抽样 （ES） 程序来记录所有患者的酒精使用和应对行为。在 IATP 中，治疗师使用这些信息来规划治疗，以解决每位患者在饮酒情况下的具体优势和劣势。在多个时间点收集 ES 数据，每 3 个月随访一次患者，直至治疗后 21 个月。结果 多级模型分析表明，IATP 比 CaseM 或 PCBT 条件产生更好的饮酒结果。中介分析表明，IATP 与其他治疗相比对结局的影响至少部分是由于积极应对高危情况的变化。结论 由于样本的多样性有限，结果的普遍性可能有限。根据为个体患者量身定制治疗的重要性，讨论了结果。（PsycInfo 数据库记录 （c） 2024 APA，保留所有权利）。