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Psychol Addict Behav. 2006 Sep;20(3):241-53.

Cognitive impairment influences drinking outcome by altering therapeutic mechanisms of change.

Author information

  • 1Center of Alcohol Studies, Rutgers University, Piscataway, NJ, USA. mebates@rci.rutgers.edu

Abstract

Serious neuropsychological impairments are seen in a minority of addiction treatment clients, and, theoretically, these impairments should undermine behavioral changes targeted by treatment; however, little evidence supports a direct influence of impairment on treatment response. To address this paradox, the authors used structural equation modeling and Project MATCH data (N=1,726) to examine direct, mediated, and moderated paths between cognitive impairment, therapeutic processes, and treatment outcome. Mediated relations were found, wherein impairment led to less treatment compliance, lower self-efficacy, and greater Alcoholics Anonymous Involvement, which, in turn, more proximally predicted drinking. Impairment further moderated the effect of self-efficacy, making it a poor predictor of drinking outcomes in impaired clients, thereby suggesting that impaired and unimpaired clients traverse different pathways to addiction recovery.

((c) 2006 APA, all rights reserved).

PMID:
16938062
[PubMed - indexed for MEDLINE]
PMCID:
PMC2965453
Free PMC Article
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