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Integrated behavioral interventions for adults with alcohol use disorder: A systematic review.
Hallihan, Hagar; Srimoragot, Manassawee; Ma, Jun; Hanneke, Rosie; Lee, Sangeun; Rospenda, Kathleen; Fink, Anne M.
Afiliación
  • Hallihan H; Department of Medicine, University of Illinois Chicago, Chicago, IL 60608, United States. Electronic address: hhalli2@uic.edu.
  • Srimoragot M; Department of Obstetric and Gynecological Nursing, Faculty of Nursing, Mahidol University, Bangkok 10700, Thailand.
  • Ma J; Department of Medicine, University of Illinois Chicago, Chicago, IL 60608, United States.
  • Hanneke R; Library of the Health Sciences, University of Illinois Chicago, Chicago, IL 60612, United States.
  • Lee S; Department of Medicine, University of Illinois Chicago, Chicago, IL 60608, United States; School of Nursing, University of Wisconsin Milwaukee, Milwaukee, WI 53211 United States.
  • Rospenda K; Department of Psychiatry, University of Illinois Chicago, Chicago, IL 60612, United States.
  • Fink AM; Department of Biobehavioral Nursing Science, University of Illinois Chicago, Chicago, IL 60612, United States.
Drug Alcohol Depend ; 263: 111406, 2024 Oct 01.
Article en En | MEDLINE | ID: mdl-39163680
ABSTRACT

BACKGROUND:

This systematic review synthesized evidence from randomized controlled trials (RCTs) on the effects of integrated behavioral interventions for adults with alcohol use disorder (AUD).

METHODS:

A comprehensive search of three databases was conducted in 2022, utilizing terms related to alcohol/substance use disorders and integrated interventions. The sample included adults aged ≥18 years at low, moderate, or high risk for AUD, and had at least two other mental health conditions. Only RCTs were included and screened using Covidence. The quality of the study was evaluated using Cochrane risk of bias tool.

RESULTS:

Across all 11 studies, the total AUD participants were 1543 aged 18 or older. Integrated intervention led to significant reductions in heavy drinking compared to usual care or other interventions. Measures included percent days of alcohol use, grams of alcohol consumed, and increased days of abstinence. Three studies compared integrated treatments with Twelve-Step Facilitation, indicating a better abstinence rate among participants in the integrated group at the end of treatment. Comparisons between delivery modes demonstrated more significant reductions in alcohol consumption with interventionists. Integrated interventions were also compared with various other treatments, including brief intervention, telephone and individual counseling, and psychological education. Participants in the integrated group showed greater improvement in alcohol consumption and depression compared to those in the standalone intervention group.

CONCLUSIONS:

Integrated behavioral interventions effectively reduce alcohol consumption, decrease heavy drinking and promote alcohol abstinence. However, there is limited evidence to determine whether these interventions are more effective than usual care for individuals with AUD.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Terapia Conductista / Alcoholismo Límite: Adult / Humans Idioma: En Revista: Drug Alcohol Depend Año: 2024 Tipo del documento: Article Pais de publicación: Irlanda
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Terapia Conductista / Alcoholismo Límite: Adult / Humans Idioma: En Revista: Drug Alcohol Depend Año: 2024 Tipo del documento: Article Pais de publicación: Irlanda