Cognitive-behavioral interventions for co-occurring substance use and mental health disorders

IF 3.9 2区医学 Q1 PSYCHIATRY

Drug and alcohol dependence Pub Date : 2025-06-14 DOI:10.1016/j.drugalcdep.2025.112756

Molly Magill , Emily C. Helminen , Blaine Lynch-Gadaleta , Kari Allen , Brian D. Kiluk , Lara A. Ray

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引用次数: 0

Abstract

The current meta-analysis provides an overview of cognitive-behaviorally-based interventions (CBI) that treat co-occurring alcohol and other drug use (AOD) and one or more mental health disorders. A literature search was conducted through October of 2024. All published outcome data were extracted and categorized into one of thirteen different outcome types (e.g., abstinence, quantity, mental health symptoms, quality of life) and two broader outcome classes (i.e., consumption; psychosocial). The study sample included 47 randomized trials (K = 101 publications; 912 effect sizes). The studies were primarily polydrug-focused and targeted samples where diagnostic criteria for a use disorder were met. CBIs targeting co-occurring disorders provided benefit over usual care and control comparators for consumption, but not psychosocial outcomes. The opposite pattern of effects was observed when CBI was added to usual care and compared to usual care alone. When a CBI treatment was compared to a CBI treatment targeting AOD or mental health only, significant effects were not observed. These results suggest modest efficacy of CBI interventions in this sample of studies targeting a range of substances and co-occurring mental health conditions.

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同时发生的物质使用和精神健康障碍的认知行为干预

当前的荟萃分析提供了基于认知行为的干预（CBI）治疗同时发生的酒精和其他药物使用（AOD）和一种或多种精神健康障碍的概述。文献检索一直进行到2024年10月。提取所有已发表的结果数据并将其分类为13种不同结果类型之一（例如，戒断、数量、心理健康症状、生活质量）和两个更广泛的结果类别(即，消费；社会心理)。研究样本包括47项随机试验(K = 101篇出版物；912效应值)。这些研究主要以多种药物为重点，目标样本符合使用障碍的诊断标准。针对共同发生的疾病的CBIs在消费方面优于常规护理和对照比较，但在社会心理结果方面没有优势。在常规护理中加入CBI与单独使用常规护理相比，观察到相反的效果模式。当将CBI治疗与仅针对AOD或心理健康的CBI治疗进行比较时，未观察到显着效果。这些结果表明，在针对一系列物质和共同发生的精神健康状况的研究样本中，CBI干预措施的效果一般。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Drug and alcohol dependence 医学-精神病学

CiteScore

7.40

自引率

7.10%

发文量

409

审稿时长

41 days

期刊介绍： Drug and Alcohol Dependence is an international journal devoted to publishing original research, scholarly reviews, commentaries, and policy analyses in the area of drug, alcohol and tobacco use and dependence. Articles range from studies of the chemistry of substances of abuse, their actions at molecular and cellular sites, in vitro and in vivo investigations of their biochemical, pharmacological and behavioural actions, laboratory-based and clinical research in humans, substance abuse treatment and prevention research, and studies employing methods from epidemiology, sociology, and economics.