Digital cognitive-behavioral therapy for substance use: systematic review and meta-analysis of randomized controlled trials.

IF 2.7 3区 医学 Q2 PSYCHOLOGY, CLINICAL
Virgil Lee Gregory, David A Wilkerson, Samantha N Wolfe-Taylor, Breena L Miller, Alexander D Lipsey
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引用次数: 0

Abstract

Background: Prior meta-analyses have evaluated digital interventions for alcohol exclusively and alcohol/tobacco combined. These meta-analyses showed positive outcomes pertaining to alcohol and alcohol/tobacco combined. Yet questions remain pertaining to the effect of digital cognitive-behavioral therapy (CBT) on reducing alcohol and drug use.Objectives: The purpose of the meta-analysis was to determine the mean effect size, relative to control groups, of digital CBT, for posttest reductions in drug and/or alcohol use.Methods: The Preferred Reporting Items for Systematic Reviews and Meta-analyses criteria was used to guide this review and meta-analysis. Electronic databases (APA PsycArticles, Academic Search Complete, APA PsycInfo, CINAHL Complete, ERIC, MEDLINE, Psychology and Behavioral Sciences Collection, Social Sciences Full Text, Social Work Abstracts, SocINDEX), clinicaltrials.gov, reference lists were searched. The protocol was registered in PROSPERO (ID#: CRD42023471492). The CBT interventions included cognitive restructuring.Results: All but one of the effect sizes favored digital CBT (from -0.02 to -1.45). After the removal an outlier, a small, significant, random effects model Hedges' g summary effect of -0.23 (95% confidence interval: -0.32, -0.14, p < .0001) showed a reduction in substance use at the posttest, favoring digital CBT relative to the control group. A variety of control conditions were used; however, the effects sizes had minimal heterogeneity (k = 17, I2 = 5.34, Q = 16.9, p = .39). The funnel plot and Egger regression test intercept (0.01, p = .99) lacked publication bias.Conclusion: The meta-analytic findings suggest digital CBT is an efficacious treatment for reducing alcohol and drug use overall.

针对药物使用的数字认知行为疗法:随机对照试验的系统回顾和荟萃分析。
背景先前的荟萃分析评估了针对酗酒和酗酒/烟草结合的数字干预措施。这些荟萃分析表明,酗酒和酗酒/嗜烟综合干预取得了积极的效果。然而,数字认知行为疗法(CBT)对减少酒精和毒品使用的效果仍存在疑问:荟萃分析的目的是确定数字认知行为疗法相对于对照组在测试后减少吸毒和/或酗酒的平均效应大小:方法:采用《系统综述和荟萃分析首选报告项目》标准来指导本次综述和荟萃分析。检索了电子数据库(APA PsycArticles、Academic Search Complete、APA PsycInfo、CINAHL Complete、ERIC、MEDLINE、Psychology and Behavioral Sciences Collection、Social Sciences Full Text、Social Work Abstracts、SocINDEX)、clinicaltrials.gov、参考文献列表。研究方案已在 PROSPERO 注册(ID#: CRD42023471492)。CBT 干预包括认知重组:除一项研究外,其他研究的效应大小均偏向于数字化 CBT(从-0.02 到-1.45)。剔除一个离群值后,随机效应模型的Hedges'g汇总效应为-0.23(95%置信区间:-0.32, -0.14,p k = 17,I2 = 5.34,Q = 16.9,p = .39)。漏斗图和 Egger 回归检验截距(0.01,P = .99)缺乏发表偏倚:荟萃分析结果表明,数字化 CBT 是减少酗酒和吸毒的有效治疗方法。
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来源期刊
CiteScore
4.70
自引率
3.70%
发文量
68
期刊介绍: The American Journal of Drug and Alcohol Abuse (AJDAA) is an international journal published six times per year and provides an important and stimulating venue for the exchange of ideas between the researchers working in diverse areas, including public policy, epidemiology, neurobiology, and the treatment of addictive disorders. AJDAA includes a wide range of translational research, covering preclinical and clinical aspects of the field. AJDAA covers these topics with focused data presentations and authoritative reviews of timely developments in our field. Manuscripts exploring addictions other than substance use disorders are encouraged. Reviews and Perspectives of emerging fields are given priority consideration. Areas of particular interest include: public health policy; novel research methodologies; human and animal pharmacology; human translational studies, including neuroimaging; pharmacological and behavioral treatments; new modalities of care; molecular and family genetic studies; medicinal use of substances traditionally considered substances of abuse.
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