ClinicalTrials.gg
SuspendedNCT04934553Updated Apr 20, 2022

Amplification of Positivity for Alcohol Use Disorder Co-Occurring With Anxiety or Depression

An interventional study of Amplification of Positivity Training and Cognitive-behavioral Therapy in Alcoholism, Alcohol Drinking and Drinking Behavior, sponsored by Charles Taylor. Suspended at 2 sites in United States. Open to participants aged 18 Years to 55 Years. Per ClinicalTrials.gov, last updated 2022-04-20.

Sponsored by Charles Taylor · Not applicable, Interventional, and Treatment

Why this study was suspended
Limited funding
Phase
Not applicable
Study type
Interventional
Enrollment
20
Allocation
Randomized
Ages
18 Years to 55 Years
Sex
All
01

Study summary

The purpose of this study is to examine the feasibility of a protocol in which individuals with comorbid depression or anxiety disorders and alcohol use disorder will be randomized to complete Amplification of Positivity for Alcohol Use Disorder (AMP-A)- a psychological treatment focused on increasing positive thoughts, emotions, and behaviors- or a traditional cognitive-behavioral therapy (CBT) intervention. Assessed outcomes will include participant acceptability and completion rates, participant compliance with the intervention, positive and negative affect, substance use- and depression and anxiety-related symptom severity, and functional disability.

02

Conditions studied

  • Alcoholism
  • Alcohol Drinking
  • Drinking Behavior
  • Alcohol-Related Disorders
  • Substance-Related Disorders
  • Mental Disorder
  • Anxiety
  • Depression
03

In context

Alcoholism

1,674 studies on the registry are indexed under Alcoholism; 331 are open to participants now.

This study's planned enrollment of 20 is below the median of 88 across 1,428 interventional studies indexed under Alcoholism.

Browse Alcoholism studies →

Lead sponsor

This is the only study on the registry with Charles Taylor as lead sponsor.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 55 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

  • Age between 18 and 55 years old.
  • Meet diagnostic criteria for alcohol use disorder according to the
  • Significant depression or anxiety symptoms as indexed by scoring Patient Health Questionnaire (PHQ-9) ≥ 10 and/or Overall Anxiety Severity and Impairment Scale (OASIS) ≥ 8.
  • Able to provide written .
  • Have sufficient proficiency in the English language to understand and complete interviews, questionnaires, and all other study procedures.
  • Completion of at least an 8th grade education, to help facilitate ability to engage in the written materials included in the treatments.

Exclusion criteria

Exclusion Criteria:

  • Unwillingness or inability to complete any of the major aspects of the study protocol, including self-report or behavioral assessment. However, failing to complete some individual aspects of these assessment sessions will be acceptable (i.e., being unwilling to answer individual items on some questionnaires or being unwilling to complete a behavioral task).
  • Non-correctable vision or hearing problems.
  • No telephone or easy access to telephone.
  • Diagnosis of Schizophrenia spectrum, other psychotic disorders, or bipolar I disorder.
  • Active suicidal ideation with plan and intent to attempt suicide within the next month.
  • Has a history of unstable liver or renal insufficiency; glaucoma; significant and unstable cardiac, vascular, pulmonary, gastrointestinal, endocrine, neurologic, hematologic, rheumatologic, or metabolic disturbance; or any other condition that, in the opinion of the investigator, would make participation not be in the best interest (e.g., compromise the well-being) of the subject or that could prevent, limit, or confound the protocol-specified assessments.
  • A positive test for alcohol (breath test) at the time of baseline assessments. Participants will be asked to refrain from using alcohol within 24 hours prior to assessment sessions and to refrain from using marijuana within 48 hours of assessment sessions.
  • Initiation of a new psychotropic medication (e.g., SSRIs) or change in the dose or prescription of a medication within the 6 weeks prior to enrolling in the study.
  • Concurrent engagement in psychosocial treatments that specifically target alcohol use disorder or mood/anxiety symptoms and began within 12 weeks of baseline assessments. Individuals concurrently receiving psychosocial treatments for other symptoms, or that are not specifically targeting symptoms (e.g., ongoing support groups) will not be excluded as long as the dose of treatment (i.e., frequency of sessions) has not changed significantly within 6 weeks prior to enrolling in the study.
  • Moderate to severe traumatic brain injury (>30 min. loss of consciousness or >24 hours posttraumatic amnesia) or other neurocognitive disorder with evidence of neurological deficits, neurological disorders, or severe or unstable medical conditions that might be compromised by participation in the study (to be determined by primary care provider).
  • Severity of alcohol use disorder requiring more intensive treatment (i.e., intensive outpatient or residential), as determined by baseline assessments conducted by clinicians.
Terms in these criteria, in plain language(2)

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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

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

Study arms

  • Experimental
    Amplification of Positivity for Alcohol Use Disorders (AMP-A; 12 sessions)

    Behavioral: Amplification of Positivity Training

  • Active comparator
    Cognitive-behavioral Therapy (CBT; 12 sessions)

    Behavioral: Cognitive-behavioral Therapy

Interventions

  • BehavioralAmplification of Positivity Training

    12 90-minute, clinician-administered treatment sessions focused on presenting rationale and instructions for completing positive activity exercises (e.g., gratitude, acts of kindness) designed to increase positive emotions, cognitions, and behaviors.

  • BehavioralCognitive-behavioral Therapy

    12 90-minute, clinician-administered treatment sessions focused on strategies to alter cognitions and behavior related to alcohol use.

06

What researchers measure

Primary outcomes

  1. Adherence and Acceptability Scale (AAS)

    The AAS assesses the acceptability and tolerability of the intervention. Scores may range from 10 to 70, with higher scores indicating greater acceptability of treatment and greater anticipated ability to adhere to it.

    Time frame: Post intervention (approximately 2 weeks after completing intervention)

  2. Distress/Endorsement Validation Scale (DEVS)

    The DEVS measure assesses two factors, distress (7 items) and endorsement (3 items). The distress subscale score ranges from 7 to 63, with higher scores indicating more distress experienced during the intervention. The endorsement subscale ranges from 3 to 27, with higher scores indicating greater endorsement of the intervention.

    Time frame: Post intervention (approximately 2 weeks after completing intervention)

  3. Completion rate

    Completion rate assessed as whether or not the participant completes all 12 sessions of intervention

    Time frame: Post intervention (approximately 2 weeks after completing intervention)

Secondary outcomes

  1. Change from baseline in well-being as measured by the Patient-Reported Outcomes Measurement Information System (PROMIS) Positive Affect and Well-being Scale

    The PROMIS Positive Affect and Well-being Scale assesses positive or rewarding affective experiences over the past 7 days. The score is presented as a T score with a mean of 50 and standard deviation of 10, with higher scores indicating greater positive affect and well-being.

    Time frame: Baseline, Primary Endpoint: Post-treatment (i.e., within two weeks of completing the intervention), Secondary Endpoints: Three month follow-up (i.e., 12-15 weeks after completing the intervention)

  2. Change from baseline in alcohol craving as measured by the Alcohol Craving Questionnaire (ACQ)

    The ACQ assesses four dimensions of alcohol craving. A total score ranges from 1-12, with higher scores indicating higher levels of alcohol craving.

    Time frame: Baseline, Primary Endpoint: Post-treatment (i.e., within two weeks of completing the intervention), Secondary Endpoints: Three month follow-up (i.e., 12-15 weeks after completing the intervention)

  3. Change from baseline in positive affect as measured by Positive and Negative Affect Schedule

    The Positive and Negative Affect Schedule (PANAS) measures positive affect. Items are answered on a 5 point scale, 1 (Very slightly or not at all) to 5 (Extremely). The positive affect scale ranges from 10-50 and higher scores indicate greater levels of positive affect.

    Time frame: Baseline, Primary Endpoint: Post-treatment (i.e., within two weeks of completing the intervention), Secondary Endpoints: Three month follow-up (i.e., 12-15 weeks after completing the intervention)

  4. Change from baseline in anxiety as measured by the Patient-Reported Outcomes Measurement Information System (PROMIS) Anxiety Scale

    The PROMIS Anxiety scale assesses symptoms of anxiety over the past 7 days. The score is presented as a T score with a mean of 50 and standard deviation of 10, with higher scores indicating greater symptoms of anxiety.

    Time frame: Baseline, Primary Endpoint: Post-treatment (i.e., within two weeks of completing the intervention), Secondary Endpoints: Three month follow-up (i.e., 12-15 weeks after completing the intervention)

  5. Change from baseline in depression as measured by the Patient-Reported Outcomes Measurement Information System (PROMIS) Depression Scale

    The PROMIS Depression scale assesses symptoms of depression over the past 7 days. The score is presented as a T score with a mean of 50 and standard deviation of 10, with higher scores indicating greater symptoms of depression.

    Time frame: Baseline, Primary Endpoint: Post-treatment (i.e., within two weeks of completing the intervention), Secondary Endpoints: Three month follow-up (i.e., 12-15 weeks after completing the intervention)

  6. Change from baseline in level of functional disability as measured by the Sheehan Disability Scale (SDS)

    The SDS assesses level of functional disability. Total score ranges from 0-30, with higher scores indicating greater impairment.

    Time frame: Baseline, Primary Endpoint: Post-treatment (i.e., within two weeks of completing the intervention), Secondary Endpoints: Three month follow-up (i.e., 12-15 weeks after completing the intervention)

  7. Change from baseline in alcohol use

    As measured by self-reported drinks per day

    Time frame: Baseline, Primary Endpoint: Post-treatment (i.e., within two weeks of completing the intervention), Secondary Endpoints: Three month follow-up (i.e., 12-15 weeks after completing the intervention)

  8. Change from baseline in pleasure experience as measured by the Snaith-Hamilton Please Scale (SHAPS)

    The SHAPS assesses the ability to experience pleasure. Total scores range from 0 to 14, with a higher score indicating higher levels of anhedonia.

    Time frame: Baseline, Primary Endpoint: Post-treatment (i.e., within two weeks of completing the intervention), Secondary Endpoints: Three month follow-up (i.e., 12-15 weeks after completing the intervention)

07

Study locations

2 sites
  • Altman Clinical and Translational Research Institute
    La Jolla, California 92037, United States
  • Laureate Institute for Brain Research
    Tulsa, Oklahoma 74136, United States
08

References and documents

Publications

  • Taylor CT, Lyubomirsky S, Stein MB. Upregulating the positive affect system in anxiety and depression: Outcomes of a positive activity intervention. Depress Anxiety. 2017 Mar;34(3):267-280. doi: 10.1002/da.22593. Epub 2017 Jan 6. PubMed 28060463 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 20, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04934553
Lead sponsor
Charles Taylor
Collaborators
Laureate Institute for Brain Research, Inc.
Responsible party
Charles Taylor (Assoc Adjt Prof, University of California, San Diego) — Sponsor-investigator
First posted
Jun 22, 2021
Start date
May 20, 2021
Primary completion
Jan 2023 (estimated)
Completion
Jun 2023 (estimated)
Last update
Apr 20, 2022

Study contacts

Charles T Taylor, PhD
principal investigator · Altman Clinical and Translational Research Institute
Robin Aupperle, PhD
principal investigator · Laureate Institute for Brain Research

Oversight

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

Not currently enrolling

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

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