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• W2129586627 abstract "Empirically-supported treatments for alcohol dependence exist, yet understanding of influences contributing to the intended behavior change is limited. The current study, a secondary analysis of the recent multisite COMBINE trial (The COMBINE Study Research Group, 2003), tested a mediational model wherein change in client self-efficacy for abstinence was examined as a potential mediator of associations between client report of the therapeutic bond and one-year outcomes of drinking frequency, drinking consequences, and psychiatric functioning. For analyses, the 1383 COMBINE trial participants were grouped as follows: 1) those receiving study medications (naltrexone, acamprosate, naltrexone + acamprosate, placebo) and enrolled in medication management (MM) only (n = 607), 2) those receiving study medications/MM and also enrolled in a combination behavioral intervention (CBI) as well (n = 619), and 3) those enrolled in CBI only (n = 157). Mediation analyses using the product-of-coefficients approach indicated self-efficacy change during treatment significantly mediated associations between the therapeutic bond with the CBI therapist and each of the three one-year outcomes among those exclusively receiving CBI, but failed to do so among those receiving pills/MM (with or without CBI). Effect sizes were small, but indicated that variance in bond-outcome associations was partially mediated by self-efficacy change for trial participants. Findings advance understanding of proximal client change processes during delivery of treatments for alcohol dependence." @default.
• W2129586627 created "2016-06-24" @default.
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• W2129586627 date "2011-06-01" @default.
• W2129586627 modified "2023-10-14" @default.
• W2129586627 title "Self-efficacy change as a mediator of associations between therapeutic bond and one-year outcomes in treatments for alcohol dependence." @default.
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• W2129586627 doi "https://doi.org/10.1037/a0022869" @default.
• W2129586627 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/3236109" @default.
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