2015, Number 2
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Gaceta Médica Espirituana 2015; 17 (2)
Effective psychotherapy alternatives in the treatment of the alcoholic patient
Cristóvão-Calado JM, Rodríguez-Méndez L
Language: Spanish
References: 36
Page:
PDF size: 232.96 Kb.
ABSTRACT
Background: Actually there is a wide rank of psychological intervention that are used for the treatment of alcoholism , otherwise , the studies that document the effectiveness of the alternatives make emphasis in a group of actions which are more effective in the treatment of alcoholic patient.
Objective: To recapitulate the main evidences about the effectiveness of the different views in the treatment of this alcoholic dependence, starting by an analyzing the existing evidence and differentiate them from the alternatives which have proved a limited effectiveness.
Development: In the last few years there has been an increase in the interest for knowing the effectiveness of the different alternatives of intervention in alcoholism, in great part due to the marked interest that there is in the adequate management of the resources which are available for facing this disease. The
studies about the effectiveness of the interventions although they are necessary for professionals that give psychotherapeutic help, are essential for politicians who handle the resources dedicated to health mainly to taking decisions about the destination of capitals based on the cost- benefit analysis.
Conclusions: Brief interventions, motivational interviews, training in social abilities and of cognitive-behavioral coping, communitarian reinforcement, behavioral contract, aversive therapies and the prevention of relapses are found among the approaches of intervention with documented effectiveness. Insight therapy, confrontational counseling, training in relaxation, counseling and the use of educative resources are found among the therapies with limitations.
REFERENCES
Miller WR, Brown JM, Simpson TL, Handmaker NS, Tbien TH, Luckie LF, et al. What works? A methodological analysis of the alcohol treatment outcome literature. In: Hester RK, Miller WR, editors. Handbook of Alcoholism Treatment Approaches Needham Heights- Effective Alternatives. 2 ed. Needham Heights: Allyn & Bacon; 1995. p.12–44.
Raistrick D, Heather N, Godfrey C. Review of the effectiveness of treatment for alcohol problems. England: National Treatment Agency for Substance Misuse (NTA);2006.
NCCMH, editor. Alcohol-Use Disorders: The nice guideline on diagnosis, assessment and management of harmful drinking and alcohol dependence. London: The British Psychological Society and The Royal College of Psychiatrists; 2011.
Miller WR, Wilbourne PL. Mesa Grande: a methodological analysis of clinical trials of treatments for alcohol use disorders. Addiction [Internet]. 2002 [cited: 2010 dec];97:265–77. Available from: http://www.ncbi.nlm.nih.gov/pubmed/11964100
Bien TH, Miller WR, Tonigan JS. Brief interventions for alcohol problems: a review. Addiction [Internet]. 1993 [cited: 2010 dec];88:315–36. Available from: http://www.ncbi.nlm.nih.gov/pubmed/8461850
Heather N. Using brief opportunities for change in medical settings. In: W.R. M, Heather N, editors. Treating Addictive Behaviors. 2 ed. New York: Plenum;1998.
Roberts LJ, Neal DJ, Kivlahan DR, Baer JS, Marlatt GA. Individual drinking changes following a brief intervention among college students: Clinical significance in an indicated preventive context. J Consult Clin Psychol [Internet]. 2000 [cited: 2010 dec];68(3):500-5. Available from: http://psycnet.apa.org/index.cfm?fa=buy.optionToBuy&id=2000-15699-014
Moyer A, Finney JW, Swearingen CE, Vergun P. Brief interventions for alcohol problems: a meta-analytic review of controlled investigations in treatment-seeking and non-treatment-seeking populations. Addiction [Internet]. 2002 [cited 2010 dec];97(3):279-92. Available from: http://www.ncbi.nlm.nih.gov/pubmed/?term=Brief+interventions+for+alcohol+problems%3A+a+meta-analytic+review+of+controlled+investigations+in+treatment-seeking+and+non-treatment-seeking+populations.+Addiction.+2002
Sommers MS, Dyehouse JM, Howe SR, Fleming M, Fargo JD, Schafer JC. Effectiveness of Brief Interventions After Alcohol-Related Vehicular Injury: A Randomized Controlled Trial. J Trauma [Internet]. 2006 [cited: 2010 Dec];61(3):523-33. Available from: http://www.ncbi.nlm.nih.gov/pubmed/?term=Effectiveness+of+Brief+Interventions+After+Alcohol-Related+Vehicular+Injury%3A+A+Randomized+Controlled+Trial.+J+Trauma++2006
Rollnick S, Butler C, Hodgson R. Brief alcohol interventions in medical settings:concerns from the consulting room. Addiction Research [ Internet]. 1997 [cited 2010 dec].;5:331–42. Available from: https://www.researchgate.net/publication/250189308_Brief_Alcohol_Intervention_in_Medical_SettingsConcerns_from_the_Consulting_Room
Miller WR, Rollnick S. Motivational Interviewing:Preparing People for Change 2ed. New York: Guilford; 2002.
Saunders W, Wilkinson C, Phillips M. The impact of a brief motivational intervention with opiate users attending a methadone programme. Addiction[Internet]. 1995[Cited 2010 dec];90:415–22. Available from: http://www.ncbi.nlm.nih.gov/pubmed/7735025
Butler C, Rollnick S, Cohen D, Russell I, Bachmann M, Stott N. Motivational consulting versus brief advice for smokers in general practice:a randomized trial. Br J Gen Pract [ Internet] . 1999 [Cited 2010 dec];49:611–6. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1316198/
Burke BL, Arkowitz H, Menchola M. The efficacy of motivational interviewing: A meta-analysis of controlled clinical trials. J Consult Clin Psychol [Internet]. 2003 [Cited 2010 dec];71(5):843-61. Available from: http://alcalc.oxfordjournals.org/content/41/3/328
Utter GH, Young JB, Theard LA, Cropp DM, Mohar CJ, Eisenberg D. et al. The effect on problematic drinking behavior of a brief motivational interview shortly after a first arrest for driving under the influence of alcohol: A randomized trial. J Trauma Acute Care
Surg[Internet]. 2014 Mar[Cited 2010 dec];76(3). Available from: http://www.ncbi.nlm.nih.gov/pubmed/24553532
Longabaughand R, Morgenstern J. Cognitive-Behavioral Coping-Skills Therapy for Alcohol Dependence: Current Status and Future Directions. Alcohol Res Health [Internet]. 1999 [Cited 2010 dec];23(2):78-85. Available from: http://pubs.niaaa.nih.gov/publications/arh23-2/078-85.pdf
Monti PM, Rohsenow DJ, Colby SM, Abrams DB. Coping and social skills training. In: Hester RK, Miller WR, editors. Handbook of Alcoholism Treatment Approaches: Effective Alternatives. 2 ed. Needham Heights, MA: Allyn and Bacon;1995. p. 221–41.
Witkiewitz K, Marlatt GA, Walker D. Mindfulness-Based Relapse Prevention for Alcohol and Substance Use Disorders. J Cogn Psychother [Internet]. 2005 [Cited 2010 dec];19(3):211-28(18). Available from: http://mbpti.org/wp-content/uploads/2015/01/Witkiewitz_Marlatt_Walker_2005.pdf
Litt MD, Kadden RM, Cooney NL, Kabela E. Coping skills and treatment outcomes in cognitive-behavioral and interactional group therapy for alcoholism. J Consult Clin Psychol [Internet] . 2003 [Cited 2010 dec];71(1):118-28. Available from: http://psycnet.apa.org/journals/ccp/71/1/118/
Miller WR, Andrews NR, Wilbourne P, Bennett ME. A wealth of alternatives:effective treatments for alcohol problems. In: Miller WR, Heather N, editors. Treating Addictive Behaviors. 2 ed. New York: Plenum; 1998. p. 203–16.
Heather N, Stockwell T, editors. The Essential Handbook of Treatment and Prevention of Alcohol Problems. London: John Wiley & Sons 2004.
Bigelow GE. An operant behavioral perspective on alcohol abuse and dependence. In: Heather N, Peters TJ, Stockwell T, editors. International Handbook of Alcohol Dependence and Problems. Chichester,UK: John Wiley & Sons; 2001. p. 299–315.
Drobes DJ, Saladin ME, Tiffany ST. Classical conditioning mechanisms in alcohol dependence. In: Heather N, Peters TJ, Stockwell T, editors. International Handbook of Alcohol Dependence and Problems Chichester, UK: John Wiley & Sons; 2001. p. 281–97.
Holder HD, Longabaugh R, Miller WR, Rubonis AV. The cost-effectiveness of treatment for alcoholism:a first approximation. J Stud Alcohol [Internet]. 1991 Nov [Cited 2010 dec];52:517–40. Available from: http://www.jsad.com/doi/10.15288/jsa.1991.52.517
Weingardt KR, Marlatt GA. Sustaining change:helping those who are still using. In: Miller WR, Heather N, editors. Treating Addictive Behaviors. 2 ed. New York: Plenum;1998. p.337–51.
Miller WR, Benefield RG, Tonigan JS. Enhancing motivation for change in problem drinking:a controlled comparison of two therapist styles. J Consult Clin Psychol. 1993;61:455–61.
Finney JW, Monahan SC. The cost-effectiveness of treatment for alcoholism: a second approximation. J Stud Alcohol [Internet]. 1996 [Cited 2010 dec];57:229–43. Available from: http://psycnet.apa.org/journals/ccp/61/3/455/
Gambrill E. Critical thinking in clinical practice: Improving the quality of judgments and decisions. Hoboken, NJ: Wiley; 2012.
Lilienfeld SO, Ritschel LA, Lynn SJ, Cautin RL, Latzman RD. Why Ineffective Psychotherapies Appear to Work: A Taxonomy of Causes of Spurious Therapeutic Effectiveness. Perspect Psychol Sci [Internet]. 2014 [Cited 2010 dec] ;9(4):355 –87.Available from: http://www.latzmanlab.com/wp-content/uploads/2014/04/Lilienfeld-et-al-2014-CSTEs.pdf
Lilienfeld SO, Lynn SJ, Lohr JM. Science and pseudoscience in clinical psychology. New York, NY: Guilford Press; 2003.
Dawes RM. House of cards: Psychology and psychotherapy built on myth. New York, NY: Free Press;1994.
Ross HE, Glaser FB, Germanson T. The prevalence of psychiatric disorders in patients with alcohol and other drug problems. Arch Gen Psychiatry [Internet]. 1988 [Cited 2010 dec];45:1023–31. Available from: http://archpsyc.jamanetwork.com/article.aspx?articleid=494421
Adamson SJ, Sellman JD, Frampton CMA. Patient predictors of alcohol treatment outcome: A systematic review. J Subst Abuse Treat [Internet]. 2009 [Cited 2010 dec];36(1):75–86. Available from: http://www.journalofsubstanceabusetreatment.com/article/S0740-5472%2808%2900086-X/abstract
Bottlender M, Soyka M. Outpatient alcoholism treatment: predictors of outcome after 3 years. Drug Alcohol Depend [Internet]. 2005 [Cited 2010 dec];80(1):83-9. Available from: http://www.drugandalcoholdependence.com/article/S0376-8716%2805%2900116-X/abstract
Corrêa-FilhoI JM, BaltieriI DA. Psychosocial and clinical predictors of retention in outpatient alcoholism treatment. Rev Bras Psiquiatr [Internet]. 2012 Dec. 2012 [Cited 2010 dec];34(4). Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-44462012000400008&lng=en&nrm=iso&tlng=en