An initial meta-analysis of Acceptance and Commitment Therapy for treating substance use disorders

IF 3.9 2区医学 Q1 PSYCHIATRY

Drug and alcohol dependence Pub Date : 2015-10-01 DOI:10.1016/j.drugalcdep.2015.08.004

Eric B. Lee, Woolee An, Michael E. Levin, Michael P. Twohig

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引用次数: 151

Abstract

Background

In the past decade, multiple studies have examined the effectiveness of Acceptance and Commitment Therapy (ACT) for substance use disorders relative to other active treatments. The current meta-analysis examined the aggregate effect size when comparing ACT to other treatments (e.g., CBT, pharmacotherapy, 12-step, treatment as usual) specifically on substance use outcomes.

Method

A total of 10 randomized controlled trials were identified through systematic searches.

Results

A significant small to medium effect size was found favoring ACT relative to active treatment comparisons following treatment. Effect sizes were comparable across studies for smoking cessation (k = 5) and for other drug use disorders (k = 5).

Conclusions

Based on these findings, ACT appears to be a promising intervention for substance use disorders. Limitations and future directions are discussed.

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接受与承诺疗法治疗物质使用障碍的初步meta分析

在过去的十年中，多项研究已经检验了接受和承诺治疗(ACT)相对于其他积极治疗对物质使用障碍的有效性。当前的荟萃分析检验了ACT与其他治疗方法(如CBT、药物治疗、12步治疗、常规治疗)在药物使用结果方面的总效应大小。方法通过系统检索筛选出10项随机对照试验。结果在治疗后，与积极治疗相比，ACT治疗有显著的中小效应量。在戒烟(k = 5)和其他药物使用障碍(k = 5)的研究中，效应大小是相当的。结论基于这些发现，ACT似乎是一种有希望的药物使用障碍干预措施。讨论了局限性和未来发展方向。

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.