A randomized clinical trial of motivational interviewing plus skills training vs. relaxation plus education and 12-Steps for substance using incarcerated youth: effects on alcohol, marijuana and crimes of aggression - Stein LAR, Martin R, Clair-Michaud M, Lebeau R, Hurlbut W, Kahler CW, Monti PM, Rohsenow D.

BACKGROUND: Motivational Interviewing plus Cognitive Behavior Therapy (MI/CBT) has been used to reduce adolescent substance use, but has rarely been applied in youth correctional settings. This trial compared MI/CBT against Relaxation Training plus Substan...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Age: Adolescents Source Type: news

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DISCUSSION: What appears to influence the abstinence rate after inpatient treatment is not only the type of substance consumed but also sociodemographic characteristics. In addition to individually tailored therapy, our results confirm the importance of a highly differentiated presentation of the outcomes of therapy in the specialist literature. An average rate of abstinence (e.g. 30%) is insufficient to evaluate an intervention unless information is also provided about the patients for which the intervention is suitable and those for which it is not. In accordance with the Reproducibility Project, we consider replication ...
Source: L Encephale - Category: Psychiatry Tags: Encephale Source Type: research
CONCLUSIONS: We included 41 RCTs but were unable to use much data for analyses. There is currently no high-quality evidence to support any one psychosocial treatment over standard care for important outcomes such as remaining in treatment, reduction in substance use or improving mental or global state in people with serious mental illnesses and substance misuse. Furthermore, methodological difficulties exist which hinder pooling and interpreting results. Further high-quality trials are required which address these concerns and improve the evidence in this important area. PMID: 31829430 [PubMed - in process]
Source: Cochrane Database of Systematic Reviews - Category: General Medicine Authors: Tags: Cochrane Database Syst Rev Source Type: research
CONCLUSIONS: If replicated, long-term PAI predictions could enhance precision medicine by selecting the optimal treatment for a given depressed individual over the long term. PMID: 31753043 [PubMed - as supplied by publisher]
Source: Psychological Medicine - Category: Psychiatry Authors: Tags: Psychol Med Source Type: research
ConclusionThis systematic review did not reveal large or sustained intervention effects of psychological interventions for either primary alcohol use or secondary HIV-related outcomes. Due to the methodological heterogeneity, we were unable to undertake a meta-analysis. Effectiveness trials of psychological interventions for AUDs in PLWH that include disaggregation of data by level of alcohol consumption, gender and age are needed. There is a need to standardise alcohol use outcome measures across studies and include objective biomarkers that provide a more accurate measure of alcohol consumption and are relatively free fr...
Source: Systematic Reviews - Category: International Medicine & Public Health Source Type: research
Alcohol misuse is a common, disabling and costly issue worldwide. Internet-delivered cognitive behavior therapy (ICBT) has the potential to reduce the harms of alcohol misuse, particularly for individuals who are unable or unwilling to access face-to-face ...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Age: Adolescents Source Type: news
m C Abstract Alcohol misuse is a common, disabling and costly issue worldwide. Internet-delivered cognitive behavior therapy (ICBT) has the potential to reduce the harms of alcohol misuse, particularly for individuals who are unable or unwilling to access face-to-face therapy. A systematic review was conducted using Medline, CINAHL, EMBASE and PsycINFO databases for all relevant articles published from 1980 to January 2019. Randomized controlled trials (RCTs) were included if (i) an ICBT intervention targeting alcohol misuse was delivered; (ii) participants were aged 18 years or older; and (iii) primary outco...
Source: Cognitive Behaviour Therapy - Category: Psychiatry & Psychology Authors: Tags: Cogn Behav Ther Source Type: research
This study aimed to investigate (1) the impact of within-person level negative emotions and maladaptive ER strategies on drinking among individuals with SAD, and (2) t he moderating effect of specific maladaptive ER strategies (avoidance, rumination, suppression) on the relationship between negative emotions and alcohol craving in daily life via an ecological momentary assessment (EMA). Results revealed that the SAD group (n = 66) showed a higher increase rate in alcohol craving when they were socially anxious, tense and lonely than the non-SAD group (n = 53). In moderation analyses, maladaptive...
Source: Cognitive Therapy and Research - Category: Psychiatry & Psychology Source Type: research
OBJECTIVES: To evaluate whether demographic and clinical variables are related to disengagement rates in cognitive behavioural therapy (CBT) for psychosis in a clinical setting. METHODS: The medical records and symptom severity data (from Health of...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Alcohol and Other Drugs Source Type: news
You’ve been diagnosed with bipolar disorder, or maybe your loved one has. And you’re wondering, what’s the best treatment? What actually works? What the heck do I do? Because bipolar disorder is a chronic, complex condition, managing it can feel overwhelming and downright confusing. But thankfully there are effective, research-based treatments that really work. Medication is the mainstay of treatment. However, the best way to treat bipolar disorder is with a comprehensive approach, which includes “ongoing psychosocial interventions to help maintain health and to respond to breakthrough symptoms whe...
Source: Psych Central - Category: Psychiatry Authors: Tags: Bipolar Disorders General Psychotherapy Self-Help Treatment Bipolar Disorder bipolar disorder treatment Cbt IPSRT managing bipolar disorder opposite action Source Type: news
BACKGROUND: Smartphone apps promise to enhance the reach of evidence-based interventions (cognitive behavior therapy, contingency management and therapeutic education system) for populations with substance use disorders, with minimal disruption to health s...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Alcohol and Other Drugs Source Type: news
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