Conflict of Interest: The author states no conflict of interest.
The Search for Mechanisms of Change in Behavioral Treatments for Alcohol Use Disorders: A Commentary
Article first published online: 17 SEP 2007
Alcoholism: Clinical and Experimental Research
Volume 31, Issue Supplement s3, pages 21s–32s, October 2007
How to Cite
Longabaugh, R. (2007), The Search for Mechanisms of Change in Behavioral Treatments for Alcohol Use Disorders: A Commentary. Alcoholism: Clinical and Experimental Research, 31: 21s–32s. doi: 10.1111/j.1530-0277.2007.00490.x
- Issue published online: 17 SEP 2007
- Article first published online: 17 SEP 2007
- Mechanisms of Change;
- Alcohol Treatment
Background: Definitive results from efforts to identify mechanisms of change in behavioral treatments for alcohol use disorders have been elusive. The working hypothesis guiding this paper is that one of the reasons for this elusiveness is that the models we hypothesize to account for treatments effectiveness are unnecessarily restricted and too simple.
Methods: This paper aims to accomplish 3 things. First, a typography for locating potential mediators of change will be presented. In the course of doing so, a nomenclature will be proposed with the hope that this will facilitate communications among alcohol treatment researchers studying mechanisms of change. Second, alternatives to the classic test of mediation of alcohol treatment effects will be considered and one such alternative described. Third, alternative ways of conceptualizing, constructing and analyzing variables to measure mediators will be suggested.
Results: It is hoped that this commentary will facilitate research on mechanisms of change in behavioral treatments for alcohol use disorders.
Conclusions: Behavioral change is a complex process, and the models that we develop to account for this process need to reflect this complexity. Advances in statistical approaches for testing mediation, along with a better understanding as to how to use these tools should help in moving toward this goal.