ClinicalTrials.gg
CompletedNCT03428490FITUpdated Nov 1, 2022

Treatment for Comorbid Social Anxiety and Alcohol Use Disorders.

An interventional study of Fully integrated treatment and Stand-alone Intensive Outpatient Program in Alcohol Use Disorder and Social Anxiety Disorder, sponsored by University of California, Los Angeles. Completed at 1 site in United States. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2022-11-01.

Sponsored by University of California, Los Angeles · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
56
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 19 studies in Alcoholism by University of California, Los Angeles — 3 open to participants now, 5 under way, 1 of them phase 3. Alcoholism · University of California, Los Angeles.

Enrollment
9th of 17
56 · median 56
Started
2018
with 3 others
No phase
3 of 19
none open now
Registered
9th of 19
by date

Among the 19 studies in Alcoholism by University of California, Los Angeles, this one is the 9th largest by enrollment of the 17 interventional ones that give a count, is one of 4 that started in 2018, is one of 3 with no phase, and was the 9th registered.

Alcoholism

1,676 studies on the registry are indexed under Alcoholism; 331 are open to participants now.

Browse Alcoholism studies →

Open to participants now

3 of the 19 studies in Alcoholism by University of California, Los Angeles are open now, in 1 country. Recruiting first, the newest first:

By country, each count listing its studies:

All 3 open studies →

Where they have run

Who these studies take

Of the 237 Alcoholism studies recruiting now, 84 (35%) set no upper age limit and 131 (55%) stop at 75 or younger; 9 take children under 18; 64 take healthy volunteers.

This study: 18 Years to 65 Years · all sexes · no healthy volunteers.

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02

Study summary

Alcohol use disorders (AUD) and social anxiety disorder (SAD) are highly comorbid and associated with significant impairment. Social anxiety comorbidity is associated with poorer addiction treatment engagement and outcomes. Thus, addressing underlying SAD symptoms that may lead to and maintain alcohol problems, as well as undermine successful treatment for AUD, is warranted. This proposal aims to develop and evaluate a fully integrated outpatient program for comorbid SAD and AUD that weaves evidence-based treatment for SAD (i.e., exposure-based cognitive behavioral therapy) into a traditional, evidence-based treatment for AUD.

First, the investigators will develop the protocol for the fully integrated treatment (FIT). The overarching goal of FIT will be to simultaneously deliver AUD and SAD treatment. Development will be an iterative process guided by previous research (including our own), and by input from clinicians, administrators, and patients in an outpatient substance use disorder treatment clinic. After the protocol is developed, the investigators will use their established clinician training procedures to train clinicians at their community partnered clinic to competently deliver the intervention. After protocol development and clinician training, the investigators will conduct a pilot randomized clinical trial (RCT) comparing the efficacy of our fully integrated treatment (FIT) for comorbid alcohol use and social anxiety disorders to usual care (UC) in the community substance use disorder specialty clinic. The goals of the RCT will be to gather data regarding acceptability, feasibility, and preliminary efficacy of the FIT protocol. The investigators will randomize treatment-seeking participants (N = 60) who have comorbid SAD and AUD. The investigators will assess treatment engagement, social anxiety outcomes, and alcohol use outcomes at baseline, 3-months, and 6-months from baseline. The investigators will also gather qualitative and quantitative acceptability data from patients after completing FIT, which may guide final refinements of FIT prior to testing in a larger-scale grant.

The knowledge gained from this investigation has the potential to significantly improve the treatment of alcohol use disorders and make a significant public health impact. The focus on direct translation to community practice paradigms and the emphasis on full mental health and addiction treatment integration significantly advance the field.

Read the detailed description

In this study, potential participants will be screened either by University of California, Los Angeles (UCLA) staff or at the Matrix Institute on Addiction to determine whether they may have social anxiety and alcohol use disorder symptoms. If they screen positive for these symptoms, they will be invited to come in for a comprehensive baseline assessment consisting of interviews, questionnaires, and a behavioral assessment. Eligible participants will be randomly assigned to either receive standard Matrix treatment consisting of a 9-hour per week Intensive Outpatient Program (IOP) lasting approximate 2-3 months; or FIT, an Intensive Outpatient Program (also 9 hours per week for approximately 2-3 months) consisting of cognitive behavioral therapy (CBT) for social anxiety disorder that is woven into the alcohol recovery program. After treatment, participants will complete another assessment, and then will complete one several months later.

03

Conditions studied

  • Alcohol Use Disorder
  • Social Anxiety Disorder

Keywords

  • Integrated Treatment
  • Alcohol Use Disorder
  • Social Anxiety Disorder
  • Comorbidity
  • Cognitive Behavioral Therapy
04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Participants must be currently enrolled in the IOP at Matrix Institute (our community partner) for the treatment of their alcohol use disorder;
  • fluent in English;
  • meet the criteria for social anxiety disorder and alcohol use disorder

Exclusion criteria

Exclusion Criteria:

  • marked cognitive impairment
  • moderate to severe suicidality
  • unstable manic or psychotic symptoms.
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

DSM diagnostic criteria

The American Psychiatric Association’s manual of mental health diagnoses. DSM-5 (2013, revised as DSM-5-TR in 2022) replaced DSM-IV, and some studies still name the older edition. “Meets DSM criteria for …” means diagnosed by that edition’s diagnostic criteria, usually by a clinician in an interview.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
56 participants (actual)

Study arms

  • Experimental
    Fully Integrated Treatment

    Evidence-based substance use treatment combined with Cognitive Behavioral Therapy (CBT) for Social Anxiety Disorder Intervention name: Fully integrated treatment

    Behavioral: Fully integrated treatment

  • Active comparator
    Usual Intensive Outpatient Care

    Evidence-based substance use disorder treatment Intervention name: Stand-alone Intensive Outpatient Program

    Behavioral: Stand-alone Intensive Outpatient Program

Interventions

  • BehavioralFully integrated treatment

    Clinicians will be delivering CBT for Social Anxiety Disorder directly into the context of the Matrix's evidence-based treatment for substance use disorders (i.e., The Matrix Model).

  • BehavioralStand-alone Intensive Outpatient Program

    Evidence-based treatment for substance use disorders (i.e., The Matrix Model).

06

What researchers measure

Primary outcomes

  1. Change from Baseline Alcohol consumption at 3 and 6 months

    The Timeline Followback (TLFB), a gold standard semi-structured interview measure of alcohol consumption, will be used in order to obtain number of drinking days

    Time frame: Baseline, 3 months, and 6 months

  2. Change from Baseline Social Anxiety Symptoms in Situations at 3 and 6 months

    The Leibowitz Social Anxiety Scale-Self Report (LSAS-SR) will be used to assess the extent to which individuals are anxious in, and avoid, a variety of social situations, including performance based and social-interactional situations. Anxiety and avoidance are each rated from 1 (none/never) to 4 (extreme/always) Higher scores indicate greater severity of social anxiety.

    Time frame: Baseline, 3 months, and 6 months

Secondary outcomes

  1. Change from Baseline Social anxiety-related drinking motives at 3 and 6 months

    This will be assessed using the Drinking to Cope with Social Anxiety Scale (DCSAS), which measures drinking behavior in social situations. The score on the measure is out of 72, with a minimum score of 0 indicating the least amount of avoidance/drinking to scope in situations, and 72 indicating the most amount of avoidance/drinking to scope in situations

    Time frame: Baseline, 3 months, and 6 months

  2. Change from Baseline Quality of Life and overall functioning at 3 and 6 months

    This will be assessed using the Short Form (SF-8), which is a generic quality of life measure with 8 items. The total score is out of 41, with a minimum score of 8 indicating best quality of life score and a maximum score or 41 indicating worst quality of life score.

    Time frame: Baseline, 3 months, and 6 months

  3. Change from Baseline Alcohol Problems at 3 and 6 months

    The Short Inventory of Problems, a dimensional measure of alcohol-related consequences, will be used using "past month" as the time frame for each assessment.

    Time frame: Baseline, 3 months, and 6 months

  4. Change from Baseline Alcohol Drinks per Day at 3 and 6 months

    The Timeline Followback (TLFB) will be used in order to obtain average drinks per drinking day

    Time frame: Baseline, 3 months, and 6 months

  5. Change from Baseline Heavy Alcohol Use Days at 3 and 6 months

    The Timeline Followback (TLFB) will be used in order to obtain % of heavy drinking days (defined as ≥4 drinks per day for women and ≥5 drinks per day for men)

    Time frame: Baseline, 3 months, and 6 months

  6. Change from Baseline Alcohol Abstinence at 3 and 6 months

    The Timeline Followback (TLFB) will be used in order to obtain sustained abstinence (v. not) during the past 30 days

    Time frame: Baseline, 3 months, and 6 months

  7. Change from Baseline Social Anxiety Symptom Severity at 3 and 6 months

    The Behavioral Approach Task (BAT), a validated behavioral assessment of social anxiety severity, will be used.

    Time frame: Baseline, 3 months, and 6 months

07

Study locations

1 site
  • Matrix Institute on Addictions
    Los Angeles, California 90025, United States
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Mar 2018 to primary completion in Dec 2020, 32 months.

Of 470 non-industry interventional studies with no phase under Alcoholism, half reached primary completion within 35 months of starting (the median), counting those still running; a quarter within 18 and three quarters within 54. This study's 32 months is close to that.

Counting every sponsor, half of 493 studies reached it within 33 months; a quarter within 17 and three quarters within 53.

How these figures are worked out, and which studies are left out of them.

Registered
Nov 16, 2017
First posted
Feb 9, 2018
StartActual
Mar 15, 2018
Primary completionActual
Dec 1, 2020
CompletionActual
Apr 30, 2021
Last update
Nov 1, 2022
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Nov 1, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03428490
Collaborators
National Institute on Alcohol Abuse and Alcoholism (NIAAA), Matrix Institute on Addictions
Responsible party
Kate Taylor (Assistant Professor, University of California, Los Angeles) — Principal investigator
First posted
Feb 9, 2018
Start date
Mar 15, 2018
Primary completion
Dec 1, 2020
Completion
Apr 30, 2021
Last update
Nov 1, 2022

Study contacts

Kate Wolitzky-Taylor, PhD
principal investigator · University of California, Los Angeles

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Oct 2022. You cannot join it, but the record below documents what was studied.

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