Alcoholism; Psychiatry; Smoking; Substance Abuse Detection; Clinical Trial
My research is focused on the efficacy of psychotherapy for alcohol dependence, on the determinants of relapse after alcoholism treatment, and on the interaction of alcohol and tobacco dependence. I have conducted studies that have attempted to bridge the gap between basic behavioral research and clinical treatment methods. My alcohol cue reactivity research involved a systematic laboratory assessment of subjective and physiological responses to alcohol-related stimuli. Using this methodology, I have attempted to bring the phenomenon of ''craving'' into the laboratory. My studies of alcohol cue reactivity have focused on the contribution of negative affect to craving for alcohol. I have conducted two clinical trials designed to test alcohol treatment matching hypotheses.
My interest in matching has focused on severity of alcohol dependence and comorbid psychopathology as matching variables. My recent research has utilized Ecological Momentary Assessment methodology to study craving and relapse after alcohol treatment. Computerized self-monitoring is used to obtain real-time assessments of alcohol craving antecedents and consequences. This methodology is also used to measure the impact of tobacco smoking on alcohol urges.
Specialized Terms: Alcoholism and Alcohol Abuse Therapy; Clinical Trial; Cognitive Behavior Therapy; Cue Reactivity; Ecological Momentary Assessment; Human Data; Human Therapy Evaluation; Psychotherapy; Substance Abuse; Tobacco Smoking
Extensive Research Description
- R01 AA011197 Cooney (PI) 8/01/08 - 7/31/13 NIH/NIAAA Concurrent Alcohol and Smoking Treatment: Effects on Alcohol Relapse Risk. The aim of this study is to examine the impact of concurrent versus delayed smoking treatment on process measures reflecting risk of alcohol relapse in a sample of alcohol dependent smokers enrolled in intensive outpatient alcohol treatment.
- Holt, L.J., Litt, M.D., & Cooney, N.L. (2012). Prospective analysis of early lapse to drinking and smoking among individuals in concurrent alcohol and tobacco treatment. Psychology of Addictive Behaviors. 26, 561-572. [PubMed # PMC3336035]
- Cooney, N.L., Cooney, J.L., Perry, B.L., Carbone, M., Cohen, E.H., Steinberg, H.R., Pilkey, D.T., Sevarino, K., Oncken, C.A., & Litt, M.D. (2009). Smoking cessation during alcohol treatment: A randomized trial of combination nicotine patch plus nicotine gum. Addiction, 104, 1588-1596. [PubMed # PMC2753831]
- Concurrent brief versus intensive smoking intervention during alcohol dependence treatment. Cooney, N.L., Litt, M.D., Cooney, J.L., Pilkey, D.T., Steinberg, H.R., & Oncken, C.A. (2007). Concurrent brief versus intensive smoking intervention during alcohol dependence treatment.
- Cooney, N.L., Litt, M.D., Cooney, J.L., Pilkey, D.T., Steinberg, H.R., & Oncken, C.A. (2007). Alcohol and tobacco cessation in alcohol dependent smokers: Analysis of real-time reports. Psychology of Addictive Behaviors, 21, 277-286. [PubMed # PMC2702146]
- Monti, P.M., Kadden, R.M., Rohsenow, D., Cooney, N.L., & Abrams, D.B. (2002). Treating alcohol dependence: A coping skills training guide (2nd ed.). New York: Guilford.