2014
Gender differences in clinical outcomes for cocaine dependence: Randomized clinical trials of behavioral therapy and disulfiram
DeVito EE, Babuscio TA, Nich C, Ball SA, Carroll KM. Gender differences in clinical outcomes for cocaine dependence: Randomized clinical trials of behavioral therapy and disulfiram. Drug And Alcohol Dependence 2014, 145: 156-167. PMID: 25457739, PMCID: PMC4268325, DOI: 10.1016/j.drugalcdep.2014.10.007.Peer-Reviewed Original ResearchConceptsRandomized clinical trialsClinical trialsClinical outcomesTreatment outcomesCocaine dependenceBehavioral therapyBehavioral treatment conditionsPoor treatment outcomesEvidence-based treatmentsGender differencesWidespread clinical implementationPoor outcomePharmacological treatmentMedication conditionAddiction pharmacotherapyCocaine useSecondary analysisBehavioral treatmentClinical implementationWomenCareful assessmentDisulfiramOutcomesTrialsMen
2011
Randomized Trial of Dual-Focused Vs. Single-Focused Individual Therapy for Personality Disorders and Substance Dependence
Ball SA, Maccarelli LM, LaPaglia DM, Ostrowski MJ. Randomized Trial of Dual-Focused Vs. Single-Focused Individual Therapy for Personality Disorders and Substance Dependence. The Journal Of Nervous And Mental Disease 2011, 199: 319-328. PMID: 21543951, PMCID: PMC3100211, DOI: 10.1097/nmd.0b013e3182174e6f.Peer-Reviewed Original ResearchConceptsIndividual drug counselingDual-focus schema therapyPersonality disorderDrug counselingCox proportional hazards modelSubstance dependenceCo-occurring personality disordersProportional hazards modelSubstance-dependent patientsSchema therapySpecific personality disordersRandomized comparisonSustained reductionHazards modelTherapyDysphoria symptomsSymptomsIndividual therapyDisordersResidential treatmentMonthsCounselingAddiction symptomsFidelity assessmentPatientsMutual influence in therapist competence and adherence to motivational enhancement therapy
Imel ZE, Baer JS, Martino S, Ball SA, Carroll KM. Mutual influence in therapist competence and adherence to motivational enhancement therapy. Drug And Alcohol Dependence 2011, 115: 229-236. PMID: 21227601, PMCID: PMC3397170, DOI: 10.1016/j.drugalcdep.2010.11.010.Peer-Reviewed Original ResearchMeSH KeywordsBehavior, AddictiveClinical CompetenceCounselingFemaleHealth PersonnelHumansMaleMotivationMulticenter Studies as TopicPatient Acceptance of Health CarePatient ComplianceProfessional CompetenceProfessional-Patient RelationsPsychotherapyRandomized Controlled Trials as TopicSeverity of Illness IndexTreatment OutcomeConceptsMotivational enhancement therapyClinical trialsTherapist adherenceEnhancement therapyMulti-site clinical trialLarge multi-site clinical trialDays of useTreatment protocolTherapists' caseloadsAdherenceTherapist competenceTrialsTherapist performanceClient severityTherapyCaseloadTherapistsThree-level multilevel models
2010
Informal discussions in substance abuse treatment sessions with Spanish-speaking clients
Bamatter W, Carroll KM, Añez LM, Paris M, Ball SA, Nich C, Frankforter TL, Suarez-Morales L, Szapocznik J, Martino S. Informal discussions in substance abuse treatment sessions with Spanish-speaking clients. Journal Of Substance Use And Addiction Treatment 2010, 39: 353-363. PMID: 20817381, PMCID: PMC2967664, DOI: 10.1016/j.jsat.2010.07.005.Peer-Reviewed Original ResearchConceptsMotivational enhancement therapyStandard treatmentDrug Abuse Clinical Trials Network protocolTreatment sessionsSubstance abuse treatment outcomesSignificant inverse correlationHispanic clientsEarly treatment sessionsSession audiotapesTreatment outcomesSubstance abuse treatment sessionsEnhancement therapyClient motivationSubstance useInverse correlationTreatment fidelityNational InstituteTreatmentAdverse consequencesTrialsSessionsClient retentionMonolingual Spanish
2009
A Multisite Randomized Effectiveness Trial of Motivational Enhancement Therapy for Spanish-Speaking Substance Users
Carroll KM, Martino S, Ball SA, Nich C, Frankforter T, Anez LM, Paris M, Suarez-Morales L, Szapocznik J, Miller WR, Rosa C, Matthews J, Farentinos C. A Multisite Randomized Effectiveness Trial of Motivational Enhancement Therapy for Spanish-Speaking Substance Users. Journal Of Consulting And Clinical Psychology 2009, 77: 993-999. PMID: 19803579, PMCID: PMC2792592, DOI: 10.1037/a0016489.Peer-Reviewed Original ResearchConceptsMotivational enhancement therapyEnhancement therapySubstance useSubstance usersRandomized Effectiveness TrialIndividual sessionsCurrent substance useX time interactionTreatment condition interactionCondition x time interactionSubstance use problemsClinical trialsEffectiveness trialTreatment exposureTherapy phaseTreatment retentionTreatment sessionsHispanic adultsTherapyHeterogeneous groupHispanic individualsTime interactionIndividual treatmentTrialsUse problemsCorrespondence of motivational enhancement treatment integrity ratings among therapists, supervisors, and observers
Martino S, Ball S, Nich C, Frankforter TL, Carroll KM. Correspondence of motivational enhancement treatment integrity ratings among therapists, supervisors, and observers. Psychotherapy Research 2009, 19: 181-193. PMID: 19396649, PMCID: PMC2782382, DOI: 10.1080/10503300802688460.Peer-Reviewed Original ResearchConceptsMotivational enhancement therapyDrug Abuse Clinical Trials Network protocolTraining therapistsEnhancement therapyTherapist performanceGroups of ratersTherapeutic processSupervisorsTherapistsTreatment implementationRatingsCommunity programsDifferent perspectivesObserverCompetenceNational InstituteObjective monitoringRatersPerformanceFindingsCorrespondencePerspectiveConstruct, concurrent and predictive validity of the URICA: Data from two multi-site clinical trials
Field CA, Adinoff B, Harris TR, Ball SA, Carroll KM. Construct, concurrent and predictive validity of the URICA: Data from two multi-site clinical trials. Drug And Alcohol Dependence 2009, 101: 115-123. PMID: 19157723, PMCID: PMC3097110, DOI: 10.1016/j.drugalcdep.2008.12.003.Peer-Reviewed Original ResearchConceptsPredictive validityCommitted actionRhode Island Change AssessmentRole of motivationEffect of motivationBrief motivational interventionMotivational enhancement therapyComposite scoreTreatment outcomesConfirmatory factor analysisAlcohol dependenceDrug Abuse Clinical Trials NetworkClinical trialsMotivational interventionEnhancement therapyMotivational interviewingAlcohol-dependent patientsFactor structureAddiction severityMulti-site clinical trialSubstance useClinical Trials NetworkConstruct validityTreatment retentionURICA
2008
Serious Adverse Events in Randomized Psychosocial Treatment Studies: Safety or Arbitrary Edicts?
Petry NM, Roll JM, Rounsaville BJ, Ball SA, Stitzer M, Peirce JM, Blaine J, Kirby KC, McCarty D, Carroll KM. Serious Adverse Events in Randomized Psychosocial Treatment Studies: Safety or Arbitrary Edicts? Journal Of Consulting And Clinical Psychology 2008, 76: 1076-1082. PMID: 19045975, PMCID: PMC2756150, DOI: 10.1037/a0013679.Peer-Reviewed Original ResearchConceptsSerious adverse eventsAdverse eventsStandard careDrug Abuse Clinical Trials NetworkMore (95% CI 4 to 167 more) serious adverse eventsSAE incidence rateClinical Trials NetworkPsychosocial treatment studiesPsychosocial intervention studiesPercent of participantsPsychosocial trialsIncidence ratePharmaceutical trialsTherapy trialsIntervention studiesTreatment studiesTrials NetworkHuman subjects protection policiesSubstance-abusing participantsContingency managementMotivational enhancementNational InstituteTrialsSignificant differencesCare
2007
Comparing individual therapies for personality disordered opioid dependent patients.
Ball SA. Comparing individual therapies for personality disordered opioid dependent patients. Journal Of Personality Disorders 2007, 21: 305-21. PMID: 17536942, DOI: 10.1521/pedi.2007.21.3.305.Peer-Reviewed Original ResearchMeSH KeywordsAdultCognitive Behavioral TherapyFemaleHumansMaleMiddle AgedOpioid-Related DisordersOutcome Assessment, Health CarePersonality DisordersPsychiatric Status Rating ScalesPsychotherapyPsychotherapy, BriefRetention, PsychologySeverity of Illness IndexSubstance-Related DisordersSurveys and QuestionnairesTreatment OutcomeConceptsDual-focus schema therapyOpioid-dependent patientsPersonality disorderSubstance abuse patientsStep Facilitation TherapyStrong therapeutic allianceDependent patientsMethadone maintenancePsychosocial impairmentPsychiatric symptomsAbuse patientsDiagnostic criteriaTherapyTherapy conditionsIndividual therapySubstance useTherapeutic allianceSeverity indicatorsIndividual psychotherapySignificant differencesPatientsSignificant reductionPsychotherapeutic approachesSchema therapyDisorders
2006
Training and fidelity monitoring of behavioral interventions in multi-site addictions research
Baer JS, Ball SA, Campbell BK, Miele GM, Schoener EP, Tracy K. Training and fidelity monitoring of behavioral interventions in multi-site addictions research. Drug And Alcohol Dependence 2006, 87: 107-118. PMID: 17023123, PMCID: PMC1876726, DOI: 10.1016/j.drugalcdep.2006.08.028.Peer-Reviewed Original Research
2005
Substance abuse and personality disorders in homeless drop-in center clients: symptom severity and psychotherapy retention in a randomized clinical trial
Ball SA, Cobb-Richardson P, Connolly AJ, Bujosa CT, O'Neall TW. Substance abuse and personality disorders in homeless drop-in center clients: symptom severity and psychotherapy retention in a randomized clinical trial. Comprehensive Psychiatry 2005, 46: 371-379. PMID: 16122538, DOI: 10.1016/j.comppsych.2004.11.003.Peer-Reviewed Original ResearchMeSH KeywordsAdaptation, PsychologicalAdultAmbulatory CareCrimeFemaleHumansIll-Housed PersonsInterpersonal RelationsMaleMass ScreeningMiddle AgedPersonality DisordersPsychologyPsychotherapyRetention, PsychologySeverity of Illness IndexSocial BehaviorSubstance-Related DisordersSurveys and QuestionnairesConceptsPsychiatric symptomsPersonality disorderPsychosocial impairmentSubstance abuse relapse preventionHomeless dropSignificant psychiatric symptomsRandomized clinical trialsCluster B personality disordersMental health servicesB personality disordersTherapy retentionPrimary outcomePersonality disorder symptomsSubstance abuse counselingClinical trialsTreatment responsePsychotherapy retentionHealth servicesRelapse preventionPsychosocial problemsSymptom severitySubstance abuseSymptomsSubstance abusersC disorders
2002
MET meets the real world: design issues and clinical strategies in the Clinical Trials Network
Network F, Carroll K, Farentinos C, Ball S, Crits-Christoph P, Libby B, Morgenstern J, Obert J, Polcin D, Woody G. MET meets the real world: design issues and clinical strategies in the Clinical Trials Network. Journal Of Substance Use And Addiction Treatment 2002, 23: 73-80. PMID: 12220604, PMCID: PMC3651591, DOI: 10.1016/s0740-5472(02)00255-6.Peer-Reviewed Original ResearchConceptsClinical Trials NetworkBrief behavioral treatmentMotivational enhancement therapyDrug abuse treatment programsSubstance abuse treatmentCommunity-based drug abuse treatment programsEnhancement therapyTraining of cliniciansBehavioral treatmentMotivational interviewingTrials NetworkAbuse treatmentCommunity programsTreatment programStudy treatmentRange of studiesClinical trialsClinical strategiesReal worldTrainingStudy sampleTreatmentInterviewingProgramPharmacologic
2000
One‐year follow‐up of disulfiram and psychotherapy for cocaine‐alcohol users: sustained effects of treatment
Carroll K, Nich C, Ball S, McCance E, Frankforter T, Rounsaville B. One‐year follow‐up of disulfiram and psychotherapy for cocaine‐alcohol users: sustained effects of treatment. Addiction 2000, 95: 1335-1349. PMID: 11048353, DOI: 10.1046/j.1360-0443.2000.95913355.x.Peer-Reviewed Original ResearchConceptsCognitive-behavioral treatmentTwelve-step facilitationInitiation of abstinenceAlcohol useSubstance abuse treatment centersFrequency of cocaineAlcohol-dependent individualsClinical managementMain effectBrief treatmentEfficacy of disulfiramUrine toxicology screenCessation of treatmentBreathalyzer testEnd of treatmentOutcomes 1 yearAbstinencePercentage of daysEffect of treatmentCocaineLong-term benefitsToxicology screenTreatment centersBetter outcomesBrief periodComorbid Psychopathology in Binge Eating Disorder: Relation to Eating Disorder Severity at Baseline and Following Treatment
Wilfley D, Friedman M, Dounchis J, Stein R, Welch R, Ball S. Comorbid Psychopathology in Binge Eating Disorder: Relation to Eating Disorder Severity at Baseline and Following Treatment. Journal Of Consulting And Clinical Psychology 2000, 68: 641-649. PMID: 10965639, DOI: 10.1037/0022-006x.68.4.641.Peer-Reviewed Original ResearchConceptsAxis II psychopathologyComorbid psychopathologyDisorder severityStructured Clinical InterviewCluster B personality disordersAxis I psychopathologyBinge Eating DisorderB personality disordersEating Disorder ExaminationTreatment outcomesPsychotherapy trialsCluster B disordersBED patientsClinical InterviewDSM-IIISevere bingeDisorder ExaminationDisorder psychopathologyPersonality disorderEating DisordersBingeDisordersBaselineB disordersTreatmentA general system for evaluating therapist adherence and competence in psychotherapy research in the addictions
Carroll K, Nich C, Sifry R, Nuro K, Frankforter T, Ball S, Fenton L, Rounsaville B. A general system for evaluating therapist adherence and competence in psychotherapy research in the addictions. Drug And Alcohol Dependence 2000, 57: 225-238. PMID: 10661673, DOI: 10.1016/s0376-8716(99)00049-6.Peer-Reviewed Original ResearchConceptsTherapist adherenceRandomized clinical trialsSubstance use disordersDrug abuse treatmentYale AdherenceClinical trialsPharmacotherapy researchUse disordersBehavioral treatmentAbuse treatmentClinical researchAdherenceTreatmentComparison treatmentCompetence scoresExcellent reliabilityAddictionDiscriminant validityCompetence ScaleFactor structurePsychotherapy research
1996
Attachment Theory as a Working Model for the Therapist Transitioning from Early to Later Recovery Substance Abuse Treatment
Ball S, Legow N. Attachment Theory as a Working Model for the Therapist Transitioning from Early to Later Recovery Substance Abuse Treatment. The American Journal Of Drug And Alcohol Abuse 1996, 22: 533-547. PMID: 8911591, DOI: 10.3109/00952999609001679.Peer-Reviewed Original ResearchConceptsAttachment theorySecure baseSubstance abuse treatmentEmotional difficultiesAddicted individualsOngoing abstinenceAbuse treatmentTherapeutic stanceSense of securityAddicted personsWorking modelTherapeutic securityTherapeutic techniquesCase materialPsychotherapyTherapistsAbstinenceConceptual modelExploratory workTherapeutic transitionFacilitate explorationSenseTheoryLate recoveryIndividuals