Staff

Robert Stout, Ph.D.


 

PUBLICATIONS & PROJECTS

Center Director
Pawtucket, Rhode Island
stout@pire.org
401-365-1801

Dr. Robert L. Stout is a mathematical psychologist who has many years of experience in the application of quantitative and computer methods to clinical treatment and policy issues. His research interests include the application of decision science methods to problems in addictions and mental health treatment, biostatistics, longitudinal data analysis, and health services research. Dr. Stout led the statistical team that analyzed Project MATCH, the largest randomized study of psychosocial treatment for alcohol problems done to date, and has been senior statistician on multi-site longitudinal and clinical trials for anxiety disorders, obsessive-compulsive disorder, body dysmorphic disorder, and personality disorders. He has served on review committees and other national panels for NIAAA, NIDA, NIMH, and NIH. He has been Principal Investigator, Statistician, or Co-Investigator on 59 NIH projects on addictions and mental health, and has been a consultant to others. His current major research project, " A Longitudinal Prospective Study of Social Network Dynamics in Addictions," funded by NIDA, is a study of social influence mechanisms in drug and alcohol clients. It seeks to understand how clients make good vs. poor decisions about their relationships, and the major impact these decisions have on subsequent outcome. He also has an ongoing NIAAA project “Statistical Modeling of Medication and Placebo Effects,” which uses nonlinear modeling to study how compliance affects treatment outcomes and placebo effects. Dr. Stout has done pioneering work in interactive computer systems in behavioral applications. He is Director of the Decision Sciences Institute and Senior Scientist within the Pacific Institute for Research and Evaluation. He also holds the titles of Adjunct Professor of Psychiatry and Human Behavior at Brown University, and Associate Director of Training at the Center for Alcohol and Addiction Studies at Brown University.

Randomized controlled trial to prevent postpartum depression in mothers on public assistance  J Affect Disord  (2016)

Testing a dynamic automated substance use intervention model for youths exiting foster care  Journal of Child & Adolescent Substance Abuse  (2016)

Understanding the attainment of stable housing: A seven-year longitudinal analysis of homeless adolescents  Journal of Community Psychology  (2016)

Study protocol: Hybrid Type I cost-effectiveness and implementation study of interpersonal psychotherapy (IPT) for men and women prisoners with major depression  Contemp Clin Trials  (2016)

Examining the reliability of alcohol/drug use and HIV-risk behaviors using Timeline Follow-Back in a pilot sample  Journal of Substance Use  (2016)

The influence of comorbid disorders on the episodicity of bipolar disorder in youth  Acta Psychiatr Scand  (2016)

Randomized controlled trial to prevent postpartum depression in mothers on public assistance  J Affect Disord  (2016)

Test-retest reliability of the Modified Important People and Activities (MIPA) interview  Heroin Addiction and Related Clinical Problems  (2016)

Study protocol: Hybrid Type I cost-effectiveness and implementation study of interpersonal psychotherapy (IPT) for men and women prisoners with major depression  Contemporary Clinical Trials  (2016)

Interpersonal psychotherapy (IPT) for major depression following perinatal loss: A pilot randomized controlled trial  Arch Womens Ment Health  (2016)

Randomized controlled trial to prevent postpartum depression in mothers on public assistance  J Affect Disord  (2015)

Implementation of evidence-based mental health practices in criminal justice settings: Implications from a Hybrid Type I cost-effectiveness trial  Implementation Science  (2015)

Disparities in psychosocial functioning in a diverse sample of adults with anxiety disorders  Journal of Anxiety Disorders  (2014)

Interactions of borderline personality disorder and mood disorders over 10 years  The Journal Of Clinical Psychiatry  (2014)

What happens when people discontinue taking medications? Lessons from COMBINE  Addiction  (2014)

Young adults, social networks, and addiction recovery: post treatment changes in social ties and their role as a mediator of 12-step participation  Plos One  (2014)

Rationale for a new direction in foster youth substance use disorder prevention  Journal of Substance Use  (2014)

Long-term course of pediatric obsessive-compulsive disorder: 3 years of prospective follow-up  Comprehensive Psychiatry  (2014)

Predictors of the long-term course of comorbid PTSD: a naturalistic prospective study  Int J Psychiatry Clin Pract  (2013)

Therapist focus on ambivalence and commitment: A longitudinal analysis of Motivational Interviewing treatment ingredients  Psychology of Addictive Behaviors  (2013)

Irritability and elation in a large bipolar youth sample: Relative symptom severity and clinical outcomes over 4 years  Journal of Clinical Psychiatry  (2013)

A double-blind, placebo-controlled trial assessing the efficacy of varenicline tartrate for alcohol dependence  Journal of Addiction Medicine  (2013)

Five-year course of obsessive-compulsive disorder: Predictors of remission and relapse  Journal of Clinical Psychiatry  (2013)

Five-year course of obsessive-compulsive disorder: predictors of remission and relapse  The Journal Of Clinical Psychiatry  (2013)

Irritability and elation in a large bipolar youth sample: relative symptom severity and clinical outcomes over 4 years  The Journal Of Clinical Psychiatry  (2013)

Emerging adults' treatment outcomes in relation to 12-step mutual-help attendance and active involvement  Drug And Alcohol Dependence  (2013)

Assessing youth participation in AA-related helping: validity of the service to others in sobriety (SOS) questionnaire in an adolescent sample  The American Journal On Addictions / American Academy Of Psychiatrists In Alcoholism And Addictions  (2013)

A 4-year prospective observational follow-up study of course and predictors of course in body dysmorphic disorder  Psychological Medicine  (2013)

A 4-year prospective observational follow-up study of course and predictors of course in body dysmorphic disorder  Psychological Medicine  (2013)

Assessing youth participation in AA-related helping: Validity of the Service to Others in Sobriety (SOS) questionnaire in an adolescent sample  The American Journal on Addictions  (2013)

Determining the relative importance of the mechanisms of behavior change within Alcoholics Anonymous: A multiple mediator analysis  Addiction  (2012)

Influence of religiosity on 12-step participation and treatment response among substance-dependent adolescents  Journal of Studies on Alcohol and Drugs  (2012)

A Double-blind, placebo-controlled trial to assess the efficacy of quetiapine fumarate XR in very heavy-drinking alcohol-dependent patients  Alcoholism: Clinical and Experimental Research  (2012)

Association between social influences and drinking outcomes across three years  Journal Of Studies On Alcohol And Drugs  (2012)

Substance use among current and former foster youth: A systematic review  Children and Youth Services Review  (2012)

Spirituality in Recovery: A Lagged Mediational Analysis of Alcoholics Anonymous' Principal Theoretical Mechanism of Behavior Change  Alcoholism-Clinical and Experimental Research  (2011)

Age of onset, clinical characteristics, and 15-year course of anxiety disorders in a prospective, longitudinal, observational study  Journal of Affective Disorders  (2011)

Persistence of Addictive Disorders in a First-Offender Driving While Impaired Population  Archives of General Psychiatry  (2011)

Causal effects of social network changes on drinking at one and three years.   Alcoholism-Clinical and Experimental Research  (2011)

College facilitation for alcohol problems: Drinking and academic outcomes  Alcoholism-Clinical and Experimental Research  (2011)

The clinical course of body dysmorphic disorder in the Harvard/Brown Anxiety Research Project (HARP)  The Journal Of Nervous And Mental Disease  (2011)

Ten-year course of borderline personality disorder: Psychopathology and function from the collaborative longitudinal personality disorders study  Archives of General Psychiatry  (2011)

Pathological personality traits among patients with absent, current, and remitted substance use disorders  Addictive Behaviors  (2011)

The role of Alcoholics Anonymous in mobilizing adaptive social network changes: a prospective lagged mediational analysis  Drug Alcohol Depend  (2011)

Mechanisms of behavior change in alcoholics anonymous: Does Alcoholics Anonymous lead to better alcohol use outcomes by reducing depression symptoms?  Addiction  (2010)

Negative affect, relapse, and Alcoholics Anonymous (AA): does AA work by reducing anger?  J Stud Alcohol Drugs  (2010)

Personality disorders predict relapse after remission from an episode of major depressive disorder: a 6-year prospective study  J Clin Psychiatry  (2010)

State effects of major depression on the assessment of personality and personality disorder  Am J Psychiatry  (2010)

Service to Others in Sobriety (SOS)  Alcohol Treat Q  (2010)

Percentage of Subjects With No Heavy Drinking Days: Evaluation as an Efficacy Endpoint for Alcohol Clinical Trials  Alcoholism-Clinical and Experimental Research  (2010)

How Good Are Fine-Grained Timeline Follow-Back Data? Correspondence and Accuracy of 30-Day TLFB and Repeated 7-Day TLFB Data  Alcoholism-Clinical and Experimental Research  (2010)

Predicting alcohol consumption during the month before and after beginning college  Substance Abuse Treatment Prevention and Policy  (2010)

Parametric Analysis of Social Network Characteristics as Predictors of Long-term Driving   Alcoholism-Clinical and Experimental Research  (2010)

New onsets of substance use disorders in borderline personality disorder over 7 years of follow-ups: Findings from the Collaborative Longitudinal Personality Disorders Study  Addiction  (2009)

Predictors of initial AA-related helping: Findings from Project MATCH  Journal of Studies on Alcohol and Drugs  (2009)

Helping others and long-term sobriety: Who should I help to stay sober?  Alcoholism Treatment Quarterly  (2009)

How do people recover from alcohol dependence? A systematic review of the research on mechanisms of behavior change in Alcoholics Anonymous  Addiction Research & Theory  (2009)

Examining the interface between substance misuse and intimate partner violence  Subst Abuse  (2009)

Personality traits as prospective predictors of suicide attempts  Acta Psychiatr Scand  (2009)

Further development of YBOCS dimensions in the OCD Collaborative Genetics study: Symptoms vs. categories  Psychiatry Res  (2008)

New episodes and new onsets of major depression in borderline and other personality disorders  J Affect Disord  (2008)

Regression to the mean in addiction research  Addiction  (2008)

Trazodone for sleep disturbance after alcohol detoxification: A double-blind, placebo-controlled trial  Alcoholism, Clinical and Experimental Research  (2008)

Factors mediating the association between drinking in the first year after alcohol treatment and drinking at three years  Journal of Studies on Alcohol and Drugs  (2008)

Impact of helping behaviors on the course of substance-use disorders in individuals with body dysmorphic disorder  Journal of Studies on Alcohol and Drugs  (2007)

Advancing the analysis of treatment process  Addiction  (2007)

Natural course of bulimia nervosa and of eating disorder not otherwise specified: 5-year prospective study of remissions, relapses, and the effects of personality disorder psychopathology  J Clin Psychiatry  (2007)

Moderate drinking in the first year after treatment as a predictor of three-year outcomes  J Stud Alcohol Drugs  (2007)

Comparison of alternative models for personality disorders  Psychol Med  (2007)

Taboo thoughts and doubt/checking: A refinement of the factor structure for obsessive-compulsive disorder symptoms  Psychiatry Res  (2007)

Studying treatment quality in outpatient drug abuse clinics  The Brown University Digest of Addiction: Theory and Application  (2007)

Descriptive and longitudinal observations on the relationship of borderline personality disorder and bipolar disorder  Am J Psychiatry  (2006)

Childhood abuse and intake severity in alcohol disorder patients  Journal of Traumatic Stress  (2006)

Clarifying the convergence between obsessive compulsive personality disorder criteria and obsessive compulsive disorder  Journal of Personality Disorders  (2006)

Associations in the longitudinal course of body dysmorphic disorder with major depression, obsessive-compulsive disorder, and social phobia  Journal of Psychiatric Research  (2006)

A 3-Year Study of Addiction Mutual-help Group Participation following Intensive Outpatient Treatment  Alcoholism: Clinical and Experimental Research  (2006)

Drinking in the year after treatment as a predictor of three-year drinking outcomes  Journal of Studies on Alcohol  (2006)

Relapse-onset factors in Project MATCH: The Relapse Questionnaire  Journal of Substance Abuse Treatment  (2006)

Long-term posttreatment functioning among those treated for alcohol use disorders  Alcoholism: Clinical and Experimental Research  (2006)

Predictors of 2-year outcome for patients with borderline personality disorder  Journal of Psychiatry  (2006)

A retrospective follow-up study of body dysmorphic disorder  Comprehensive Psychiatry  (2006)

Alcohol relapse repetition, gender, and predictive validity  Substance Abuse Treatment  (2006)

A 12-month follow-up study of the course of body dysmorphic disorder  American Journal of Psychiatry  (2006)

Body dysmorphic disorder and social phobia: cross-sectional and prospective data  Depression and Anxiety  (2006)

Delusional versus nondelusional body dysmorphic disorder: clinical features and course of illness  Journal of Psychiatric Research  (2006)

Stability of functional impairment in patients with schizotypal, borderline, avoidant, or obsessive-compulsive personality disorder over two years  Psychological Medicine  (2005)

The Collaborative Longitudinal Personality Disorders Study (CLPS): Overview and implications  Journal of Personality Disorders  (2005)

Associations in the longitudinal course of body dysmorphic disorder with major depression, obsessive compulsive disorder, and social phobia  Neuropsychopharmacology  (2005)

Two-year prevalence and stability of individual criteria for schizotypal, borderline, avoidant, and obsessive-compulsive personality disorders  American Journal of Psychiatry  (2005)

Dimensional representations of DSM-IV personality disorders: Relationships to functional impairment  American Journal of Psychiatry  (2005)

Long-term use of Benzodiazepines in participants with comorbid anxiety and alcohol use disorders  Alcohol Clin Exp Res  (2005)

A retrospective follow-up study of body dysmorphic disorder  Comprehensive Psychiatry  (2005)

Predictors of remission from body dysmorphic disorder: a prospective study  J Nerv Ment Dis  (2005)

Helping other alcoholics in alcoholics anonymous and drinking outcomes: Findings from project MATCH  J Stud Alcohol  (2004)

Associations in the course of personality disorders and axis I disorders over time  Journal of Abnormal Psychology  (2004)

Two-year stability and change of schizotypal, borderline, avoidant, and obsessive-compulsive personality disorders  Journal of Consulting and Clinical Pyschology  (2004)

Longitudinal diagnostic efficiency of DSM-IV criteria for obsessive-compulsive personality disorder: A 2-year prospective study  Acta Psychiatr Scand  (2004)

Major depressive disorder and borderline personality disorder revisited: longitudinal interactions  Journal of Clinical Psychiatry  (2004)

Stressful life events as predictors of functioning: findings from the Collaborative Longitudinal Personality Disorders Study  Acta Psychiatrica Scandinavica  (2004)

Two-year prospective naturalistic study of remission from major depressive disorder as a function of personality disorder co-morbidity  Journal of Consulting and Clinical Psychology  (2004)

Ethnicity and four personality disorders  Comprehensive Psychiatry  (2003)

Methodological and statistical considerations in measuring alcohol treatment effects  Alcoholism: Clinical and Experimental Research  (2003)

Treatment effects across multiple dimensions of outcome  Treatment Matching in Alcoholism  (2003)

Alcohol relapses associated with September 11, 2001: A case report, Substance Abuse   (2003)

The natural course of bulimia nervosa and eating disorder not otherwise specified is not influenced by personality disorders  Int J Eat Disord  (2003)

Do eating disorders co-occur with personality disorders? Comparison groups matter  Int J Eat Disord  (2003)

Confirmatory factor analysis of DSM-IV criteria for borderline personality disorder: Findings from the collaborative longitudinal personality disorders study  Am J Psychiatry  (2002)

Confirmatory factor analysis of DSM-IV borderline, schizotypal, avoidant and obsessive-compulsive personality disorders: Findings from the Collaborative Longitudinal Personality Disorders Study  Acta Psychiatr Scand  (2002)

Functional impairment in patients with schizotypal, borderline, avoidant, or obsessive-compulsive personality disorder  Am J Psychiatry  (2002)

The representation of borderline, avoidant, obsessive-compulsive, and schizotypal personality disorders by the five-factor model  J Pers Disord  (2002)

Substance or style? An investigation of the NEO-PI-R validity scales  J Pers Assess  (2002)

Maintaining reliability in a long-term psychiatric study: an ongoing inter-rater reliability monitoring program using the longitudinal interval follow-up evaluation  J Psychiatr Res  (2001)

Internal consistency, intercriterion overlap and diagnostic efficiency of criteria sets for DSM-IV schizotypal, borderline, avoidant and obsessive-compulsive personality disorders  Acta Psychiatr Scand  (2001)

Improving alcoholism treatment across the spectrum of services  Alcoholism: Clinical and Experimental Research  (2001)

What is a drinking episode?  Journal of Studies on Alcohol  (2000)

The Collaborative Longitudinal Personality Disorders Study: development, aims, design, and sample characteristics  J Pers Disord  (2000)

The Collaborative Longitudinal Personality Disorders Study: baseline Axis I/II and II/II diagnostic co-occurrence  Acta Psychiatr Scand  (2000)

Co-occurrence of mood and personality disorders: a report from the Collaborative Longitudinal Personality Disorders Study (CLPS)  Depress Anxiety  (1999)

Optimizing the cost-effectiveness of alcohol treatment: A rationale for extended case monitoring  Addictive Behaviors  (1999)

Substance Abuse Treatment Cost Offsets Vary with Gender, Age, and Abstinence Likelihood  Journal of Health Care Finance  (1999)

Test-retest reliability of the health care data form  Alcoholism: Clinical and Experimental Research  (1999)

Network support for drinking, Alcoholics Anonymous and long-term matching effects  Addiction  (1998)

The effect of drinking intensity and frequency on serum carbohydrate-deficient transferrin and y-glutamyl transferase levels in outpatient alcoholics  Alcoholism: Clinical and Experimental Research  (1998)

Actual and estimated replication costs for alcohol treatment modalities: Case study from Project MATCH  Journal of studies on Alcohol  (1998)

Detecting alcohol abuse: The value of carbohydrate deficient transferrin  J Insur Med  (1998)

A double-blind, placebo-controlled pilot study of carbamazepine for the treatment of alcohol dependence  Alcohol Clin Exp Res  (1997)

A comparison sample validation of "your workplace": An instrument to measure perceived alcohol support and consequences from the work environment  Addict Behav  (1997)

Gender differences in relapse situations  Addiction  (1996)

Posttraumatic stress disorder and substance abuse relapse among women: A pilot study  Psychology of Addictive Behaviors  (1996)

Replication and extension of Marlatt's Taxonomy of Relapse Precipitants: Overview of procedures and results  Addiction Supplement  (1996)

Reliability of Marlatt's taxonomy for classifying relapses  Addiction  (1996)

Determinants of research follow-up participation in an alcohol treatment outcome trial  Journal of Consulting and Clinical Psychology  (1996)

Predictors of neuropsychological impairment in alcoholics: antisocial versus nonantisocial subtypes  Addict Behav  (1996)

Matching treatment focus to patient social investment and support: 18-month follow-up results  Journal of Consulting and Clinical Psychology  (1995)

PTSD substance abuse comorbidity and treatment utilization  Addict Behav  (1995)

Alternative analytical methods for detecting matching effects in treatment outcomes  J Stud Alcohol Suppl  (1994)

Issues in the definition and measurement of drinking outcomes in alcoholism treatment research  J Stud Alcohol Suppl  (1994)

Reliability and validity of the longitudinal interval follow-up evaluation for assessing outcome of anxiety disorders  J Psychiatr Res  (1994)

Classical analytical methods for detecting matching effects on treatment outcome  J Stud Alcohol Suppl  (1994)

Ensuring balanced distribution of prognostic factors in treatment outcome research  Journal of Studies on Alcohol  (1994)

Effect of social investment on treatment outcome  Journal of Studies on Alcohol  (1993)

Transfer from the field: Citizens/community organizations implementing interventions  Experiences with Community Action Projects: New Research in the Prevention of Alcohol and Other Drug Problems  (1993)

Effect of the social environment on alcohol involvement and subjective well-being prior to alcoholism treatment  J Stud Alcohol  (1993)

The relationship between craving, anxiety, and other symptoms in opioid withdrawal  J Subst Abuse  (1992)

Gender differences in marital functioning of male and female alcoholics  Family Dynamics of Addiction Quarterly  (1991)

The development of an individualized, problem-oriented psychiatric outcome measure  Evaluation and Health Professions  (1989)

Role of social investment in moderating the relationship between treatment focus and support of alcohol health   (1989)

The effects of parents’ alcoholism treatment on children's illness and injury rates: An HMO study  American Public Health Association Meeting November 13–17  (1988)

Predictors of attrition from an outpatient alcoholism treatment program for couples  J Stud Alcohol  (1987)

Comparative effectiveness of three types of spouse involvement in outpatient behavioral alcoholism treatment  J Stud Alcohol  (1986)

Cost effectiveness of alcoholism treatment in partial hospital versus inpatient settings after brief inpatient treatment: 12-month outcomes  J Consult Clin Psychol  (1986)

Systems for multivariate monitoring of behavioral status over time  Behavior Research Methods, Instruments & Computers  (1986)

DSM-III and clinically identified problems as a guide to treatment  Arch Gen Psychiatry  (1986)

Parental Alcoholism and children's health: A study of pediatric illness, injury, and utilization in a health maintenance organization  113th Annual Meeting of the America Public Health Association  (1985)

Evaluating employee assistance policy in an HMO-based alcoholism project  Evaluation and Program Planning  (1985)

Adherence in a behavioral alcohol treatment program  Int J Addict  (1984)

Stability of drinking prior to alcoholism treatment  Addict Behav  (1984)

Behavioral alcoholism treatment in the partial hospital  Int J Partial Hosp  (1983)

Validation of a problem-focused nomenclature  Arch Gen Psychiatry  (1983)

Cost effectiveness of alcoholism treatment in partial vs inpatient settings. Six-month outcomes  J Stud Alcohol  (1983)

Cost-effectiveness of alcoholism treatment in partial vs. inpatient settings  Journal of Studies on Alcoholism  (1983)

Union-related correlates of employee referrals to an occupational alcoholism project in a health maintenance organization  J Occup Med  (1982)

New approaches to the design of computerized interviewing and testing systems  Behavioral Research Methods and Instrumentation  (1981)

The socially inadequate patient: Incidence rate, demographic and clinical features, hospital and post-hospital functioning  Journal of Consulting and Clinical Psychology  (1980)

The paradoxical under utilization of partial hospitalization  American Journal of Psychiatry  (1978)

System science and mental health  International Journal of Mental Health  (1977)

Modeling on the simulation writer interactive program  Behavior Research Methods and Instrumentation  (1975)

Modeling and the Michigan Experimental Simulation Supervisor: An overview and some prospects  Behavior Research Methods and Instrumentation  (1974)

 

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