2020
Evaluating a Longitudinal Mediation Model of Perceived Stress, Depressive Symptoms, and Substance Use Treatment Outcomes
Roos CR, Kiluk BD, McHugh RK, Carroll KM. Evaluating a Longitudinal Mediation Model of Perceived Stress, Depressive Symptoms, and Substance Use Treatment Outcomes. Psychology Of Addictive Behaviors 2020, 34: 660-668. PMID: 32297754, PMCID: PMC7483283, DOI: 10.1037/adb0000581.Peer-Reviewed Original ResearchConceptsIllicit opioid useOpioid useDepressive symptomsUse disordersSubstance use outcomesMethadone treatmentStandard methadone treatmentTrial of galantamineUse outcomesOpioid use disorderSubstance Use Treatment OutcomesSubstance use disordersCocaine use disorderCognitive behavioral therapyLongitudinal treatment studyTreatment outcomesPredictors of endPosttreatment outcomesSymptomsTreatment studiesSignificant total effectSubstance useBaselineOutcomesDisordersShort- and long-term changes in substance-related coping as mediators of in-person and computerized CBT for alcohol and drug use disorders
Roos CR, Carroll KM, Nich C, Frankforter T, Kiluk BD. Short- and long-term changes in substance-related coping as mediators of in-person and computerized CBT for alcohol and drug use disorders. Drug And Alcohol Dependence 2020, 212: 108044. PMID: 32422538, PMCID: PMC7293942, DOI: 10.1016/j.drugalcdep.2020.108044.Peer-Reviewed Original ResearchMeSH KeywordsAdaptation, PsychologicalAdultCognitive Behavioral TherapyFemaleHumansMaleMiddle AgedSubstance-Related DisordersTherapy, Computer-AssistedTime FactorsTreatment OutcomeConceptsCognitive behavioral therapyComputerized cognitive behavioral therapyPerson cognitive-behavioural therapySubstance use disordersMediation effectAlcohol use disorderComputer-delivered cognitive behavioural therapyUse disordersSame mediation effectSubstance-related copingCoping Strategies ScaleSignificant mediation effectMechanisms of changeMediational modelCoping skillsStrategies ScaleCBT4CBTStatistical mediatorCopingDrug use disordersSubstance useHeavy drinkingDisordersLong-term changesLong-term increase
2018
Abstinence and Low Risk Drinking During Treatment: Association With Psychosocial Functioning, Alcohol Use, and Alcohol Problems 3 Years Following Treatment
Witkiewitz K, Kirouac M, Roos CR, Wilson AD, Hallgren KA, Bravo AJ, Montes KS, Maisto SA. Abstinence and Low Risk Drinking During Treatment: Association With Psychosocial Functioning, Alcohol Use, and Alcohol Problems 3 Years Following Treatment. Psychology Of Addictive Behaviors 2018, 32: 639-646. PMID: 30160499, PMCID: PMC6136973, DOI: 10.1037/adb0000381.Peer-Reviewed Original ResearchMeSH KeywordsAdultAlcohol AbstinenceAlcohol DrinkingAlcoholismCognitive Behavioral TherapyFemaleHumansMaleMotivational InterviewingRiskRisk Reduction BehaviorSocial BehaviorTime FactorsTreatment OutcomeConceptsLow-risk drinkingRisk drinkingHeavy drinkingDrinking daysAlcohol-related consequencesAlcohol usePersistent heavy drinkingWeeks of treatmentOutcomes 3 yearsDrinking outcomesHeavy drinking daysLow-risk drinkersAlcohol use disorderMeasures latent class analysisOutpatient armRisk drinkersOutcome measuresHeavy drinking episodesLower riskUse disordersHeavy drinkersFunctioning outcomesPsychosocial functioningAbstinenceDrinking episodesProfiles of recovery from alcohol use disorder at three years following treatment: can the definition of recovery be extended to include high functioning heavy drinkers?
Witkiewitz K, Wilson AD, Pearson MR, Montes KS, Kirouac M, Roos CR, Hallgren KA, Maisto SA. Profiles of recovery from alcohol use disorder at three years following treatment: can the definition of recovery be extended to include high functioning heavy drinkers? Addiction 2018, 114: 69-80. PMID: 30063267, PMCID: PMC6289769, DOI: 10.1111/add.14403.Peer-Reviewed Original ResearchMeSH KeywordsAdaptation, PsychologicalAdultAlcohol AbstinenceAlcoholics AnonymousAlcoholismCognitive Behavioral TherapyFemaleFollow-Up StudiesHumansLatent Class AnalysisMaleMental HealthMental Health RecoveryMiddle AgedMotivational InterviewingPersonal SatisfactionSocial BehaviorTreatment OutcomeUnemploymentConceptsOccasional heavy drinkersAlcohol use disorderHeavy drinkersNon-heavy drinkersUse disordersPsychosocial functioningSecondary analysisMental healthInfrequent heavy drinkersTreatment-related variablesRandomized clinical trialsAlcoholics Anonymous (AA) involvementFrequent heavy drinkersPost-treatment abstinenceProfiles of recoveryClinical trialsDefinition of recoveryAlcohol-related problemsAlcohol dependence severityDrug useAlcohol useRecovery outcomesHeavy drinkingDrinkersDependence severityRace/ethnicity and racial group composition moderate the effectiveness of mindfulness-based relapse prevention for substance use disorder
Greenfield BL, Roos C, Hagler KJ, Stein E, Bowen S, Witkiewitz KA. Race/ethnicity and racial group composition moderate the effectiveness of mindfulness-based relapse prevention for substance use disorder. Addictive Behaviors 2018, 81: 96-103. PMID: 29454179, PMCID: PMC5860666, DOI: 10.1016/j.addbeh.2018.02.010.Peer-Reviewed Original ResearchMeSH KeywordsAdultAlaska NativesAsianBlack or African AmericanCognitive Behavioral TherapyEthnicityFemaleHispanic or LatinoHumansIndians, North AmericanMaleMiddle AgedMindfulnessNative Hawaiian or Other Pacific IslanderPsychotherapy, GroupSecondary PreventionSubstance-Related DisordersTreatment OutcomeWhite People
2017
Baseline Patterns of Substance Use Disorder Severity and Depression and Anxiety Symptoms Moderate the Efficacy of Mindfulness-Based Relapse Prevention
Roos CR, Bowen S, Witkiewitz K. Baseline Patterns of Substance Use Disorder Severity and Depression and Anxiety Symptoms Moderate the Efficacy of Mindfulness-Based Relapse Prevention. Journal Of Consulting And Clinical Psychology 2017, 85: 1041-1051. PMID: 29083220, PMCID: PMC5679292, DOI: 10.1037/ccp0000249.Peer-Reviewed Original ResearchConceptsMindfulness-based relapse preventionSubstance use disordersSUD severityAnxiety symptomsRelapse preventionSUD symptomsSubstance use outcomesCognitive-behavioral relapse preventionOptimal treatmentUse disordersDepression symptomsSymptomsSymptom severityUse outcomesSeverityTrialsTreatment interaction effectsDepressionSevere levelsLower depressionBaseline patternsPreventionTreatmentLatent classesRelapseCoping mediates the effects of cognitive–behavioral therapy for alcohol use disorder among out‐patient clients in Project MATCH when dependence severity is high
Roos CR, Maisto SA, Witkiewitz K. Coping mediates the effects of cognitive–behavioral therapy for alcohol use disorder among out‐patient clients in Project MATCH when dependence severity is high. Addiction 2017, 112: 1547-1557. PMID: 28388836, PMCID: PMC5544539, DOI: 10.1111/add.13841.Peer-Reviewed Original ResearchMeSH KeywordsAdaptation, PsychologicalAdultAlcoholismCognitive Behavioral TherapyFemaleHumansMaleOutpatientsProgram EvaluationSeverity of Illness IndexTreatment OutcomeConceptsAlcohol use disorderTwelve-step facilitationCognitive behavioral therapyMotivational enhancement therapyUse disordersPositive treatment effectDependence severityDrinking outcomesTreatment effectsProject MATCHPercentage days abstinentHeavy drinking daysAlcohol Treatment TrialPrimary outcomeTreatment armsTreatment trialsSecondary data analysisDays abstinentDrinking daysAlcohol Dependence ScaleTherapyPatient samplesEnhancement therapySeverityChange Questionnaire
2015
Examining Temptation to Drink From an Existential Perspective: Associations Among Temptation, Purpose in Life, and Drinking Outcomes
Roos CR, Kirouac M, Pearson MR, Fink BC, Witkiewitz K. Examining Temptation to Drink From an Existential Perspective: Associations Among Temptation, Purpose in Life, and Drinking Outcomes. Psychology Of Addictive Behaviors 2015, 29: 716-724. PMID: 25730630, PMCID: PMC4558413, DOI: 10.1037/adb0000063.Peer-Reviewed Original ResearchMeSH KeywordsAdultAlcohol AbstinenceAlcohol-Related DisordersCognitive Behavioral TherapyCuesExistentialismFemaleHumansMaleMiddle AgedMotivationPsychotherapyRecurrenceConceptsAlcohol use disorderDrinking outcomesCourse of treatmentHigher initial levelsInitial levelAlcohol treatment outcomesFrequency of drinkingKind of treatmentLower initial levelsAlcohol-related cuesCurve analysisLongitudinal associationsDrinking-related consequencesExistential issuesProject MATCHOutcomesTreatmentLatent growth curve analysisFuture studiesGrowth curve analysisTTDDrinkingCurrent studyAssociationLevels