New Cochrane Review finds Alcoholics Anonymous and Twelve-Step Facilitation programs help people to recover from alcohol problems

Newly updated evidence published in the Cochrane Library today compares Alcoholics Anonymous (AA) and clinically-related Twelve-Step Facilitation (TSF) programs with other treatments, such as cognitive behavioural therapy, to see if they help people who suffer from alcohol use disorders achieve sobriety or reduce the amount of alcohol that they consume.Alcohol use disorder (AUD) is a prevalent, world-wide problem, and in some countries it is accelerating. ‘Alcoholics Anonymous’ (or AA for short) has been a popular treatment for alcohol use disorder for decades, but much debate has persisted on whether AA – and related 12-step clinical treatments designed to increase AA participation are effective.AA are peer-led mutual-help groups. Twelve-step facilitation programs adopt some of the principles and techniques of AA and are delivered by clinicians. They are aimed at engaging people within AA during and after treatment for alcohol use disorder. Some of these programs follow a manual, so that the same treatment can be delivered at different times and places.This Cochrane review looks at the effects of these programs on reducing alcohol consumption and the effects of heavy drinking (such as physical health, family, or employment problems), and enhancing long-term abstinence.   The authors of the review also examined whether AA and TSF programs reduce healthcare costs compared to other treatments.The previous Cochrane review published in 2006 was based on the...
Source: Cochrane News and Events - Category: Information Technology Authors: Source Type: news

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Newly updated evidence published in the Cochrane Library today compares Alcoholics Anonymous (AA) and clinically-related Twelve-Step Facilitation (TSF) programs with other treatments, such as cognitive behavioural therapy, to see if they help people who suffer from alcohol use disorders achieve sobriety or reduce the amount of alcohol that they consume.Alcohol use disorder (AUD) is a prevalent, world-wide problem, and in some countries it is accelerating. ‘Alcoholics Anonymous’ (or AA for short) has been a popular treatment for alcohol use disorder for decades, but much debate has persisted on whether AA &ndash...
Source: Cochrane News and Events - Category: Information Technology Authors: Source Type: news
In conclusion, treatment outcomes in different domains seem to be linked to the client’s motivation to attend treatment and the feeling of being coerced into therapy, regardless of mandate (2). It has been argued that there is, potentially, an element of coercion in every clinical encounter (80) and the perception of coercion has a variety of determinants, many of which are dependent on the quality of relationship with the service provider (45). Therefore, reducing feelings of coercion might improve treatment outcomes, prevent disengagement from services, and ameliorate therapeutic relationships (5). Facilitating the...
Source: Frontiers in Psychiatry - Category: Psychiatry Source Type: research
CONCLUSION: Treatment of patients suffering from both bd and aud should always focus on both disorders, either simultaneously or separately. If this approach is successful it is vitally important that care is better organised and that there is cooperation between institutions involved in treating addiction disorders and departments that specialise in the care of bd. These improvements are likely to lead to further developments and to more research into new forms of integrated treatment. PMID: 29436699 [PubMed - in process]
Source: Tijdschrift voor Psychiatrie - Category: Psychiatry Authors: Tags: Tijdschr Psychiatr Source Type: research
Obsessive Compulsive Disorder (OCD) is the fourth most common psychiatric disorder, after phobias, addiction to alcohol and drugs, and depressive disorders, with prevalence between 1.2 to 2.4% (Karno M et al., 1988; Robins et al., 1985; Ruscio et al., 2010). Recommended first-line treatment is based on cognitive behavioural therapy (CBT) combined with antidepressant treatments (primarily Serotonin Reuptake Inhibitors SRI antidepressants). However, 40 to 60% of OCD patients exhibit drug resistance, leaving them with a major handicap in everyday life (Jaafari et al., 2011).
Source: Psychiatry Research: Neuroimaging - Category: Psychiatry Authors: Source Type: research
Introduction In the general population, alcohol use disorder and depression more often occur together than any other combination of a mental illness with a substance use disorder. It is important to have a cost-effective intervention that is able to reach at-risk individuals in the early stages of developing alcohol use disorders and depression disorders. Methods and analysis This paper presents the protocol for a 3-arm multicentre randomised controlled trial (RCT) to test the efficacy and cost-effectiveness of the combined internet-based self-help intervention Take Care of You (TCOY) to reduce alcohol misuse and depressi...
Source: BMJ Open - Category: Journals (General) Authors: Tags: Open access, Addiction, Health economics, Mental health, Public health Protocol Source Type: research
Introduction Self-Management and Recovery Training (SMART Recovery) offers an alternative to predominant 12-step approaches to mutual aid (eg, alcoholics anonymous). Although the principles (eg, self-efficacy) and therapeutic approaches (eg, motivational interviewing and cognitive behavioural therapy) of SMART Recovery are evidence based, further clarity regarding the direct evidence of its effectiveness as a mutual aid package is needed. Relative to methodologically rigorous reviews supporting the efficacy of 12-step approaches, to date, reviews of SMART Recovery have been descriptive. We aim to address this gap by provid...
Source: BMJ Open - Category: Journals (General) Authors: Tags: Open access, Addiction, Evidence based practice, Health services research Protocol Source Type: research
This study is the first to examine the efficacy of CBT coupled with VRET in the prevention of smoking relapse. Because VRET is simple to use and has a low cost, this interactive therapeutic method might be easily implemented in clinical practice if the study confirms its efficacy. Trial registration ClinicalTrials.gov Identifier: NCT02205060 (registered 25 July 2014).
Source: Trials - Category: Research Source Type: clinical trials
ConclusionThis study draws comparisons between "addiction" to social media and substance addiction, while making it clear there are important differences between the two. The differing consequences of spending too much time on Facebook (which might include too little time working or studying) are less extreme and immediate than the consequences of addiction to hard drugs. The study has some obvious limitations. The results are based on just 20 young people from a US university, which means they may not be applicable to people of different ages, levels of education, or backgrounds. Importantly, none of the st...
Source: NHS News Feed - Category: Consumer Health News Tags: Mental health Neurology Source Type: news
This study was a mixed-methods design, with a parallel group, pragmatic RCT as the primary component, and embedded qualitative studies conducted alongside. A total of 297 participants were recruited from the community in Victoria, Australia. Individuals aged 18 years and over, could communicate in English and wished to receive treatment for a gambling problem were eligible. Participants were randomly allocated in to 1 of the 4 psychological interventions: CBT, BT, MI and NDST. Repeated measures were conducted at pretreatment and post-treatment, and 6 and 12 months post-treatment. The statistical analysis will use...
Source: BMJ Open - Category: Journals (General) Authors: Tags: Open access, Addiction, Mental health, Public health Protocol Source Type: research
ABSTRACT FROM: Barrowclough C, Eisner E, Bucci S, et al. The impact of alcohol on clinical outcomes in established psychosis: a longitudinal study. Addiction 2014;109:1297–305. What is already known on this topic The elevated prevalence of alcohol use disorders among people with psychotic disorders is well documented.1 Among this population alcohol misuse has been linked to a range of adverse consequences including unemployment, lower education level and lower socioeconomic status.2 Studies examining the impact of alcohol misuse on various psychiatric symptoms among people with psychotic disorders report inconsistent...
Source: Evidence-Based Mental Health - Category: Psychiatry & Psychology Authors: Tags: Electronic pages Source Type: research
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