关键词: adolescents alcohol use disorder psychosocial interventions systematic review young adults

Mesh : Humans Adolescent Psychosocial Intervention Alcoholism / therapy psychology Young Adult Cognitive Behavioral Therapy Randomized Controlled Trials as Topic

来  源:   DOI:10.3389/fpubh.2024.1371497   PDF(Pubmed)

Abstract:
UNASSIGNED: Psychosocial intervention is imperative for treating alcohol use disorder (AUD), but there is no comprehensive evidence regarding its effectiveness. Therefore, this study aimed to determine the effectiveness of psychosocial interventions in treating AUD amongadolescents and young adults.
UNASSIGNED: In this systematic review and meta-analysis, articles were searched from EMBASE, PubMed, Medline, CINAHL, Web of Science, PsycINFO, and Scopus. Also, articles were retrieved from gray literature. The quality of articles has been assessed using the Cochrane risk of bias assessment.
UNASSIGNED: A total of 12 randomized controlled trials were included. Integrated family and CBT, CBT, guided self-change, and ecologically based family therapy had a mild effect in reducing alcohol use frequency. On the other hand, integrated motivational enhancement therapy and CBT (-0.71 [95% CI: -0.97, -0.45]) and common elements treatment approaches (4.5 [95% CI: 6.9, 2.2]) had the highest effect size for reducing alcohol use frequency and amount, respectively. In conclusion, most of the interventions had no significant effect on different drinking outcomes. Nonetheless, the effectiveness of combined interventions surpassed that of the single interventions. The effect of psychosocial interventions on abstinence was inconclusive. Therefore, future studies will explore alternative, newly emerged third-wave therapeutic approaches.
UNASSIGNED: PROSPERO, CRD42023435011, https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=435011.
摘要:
心理社会干预对于治疗酒精使用障碍(AUD)至关重要,但是没有关于其有效性的全面证据。因此,本研究旨在确定心理社会干预对青少年和青少年AUD治疗的有效性.
在本系统综述和荟萃分析中,文章是从EMBASE搜索的,PubMed,Medline,CINAHL,WebofScience,PsycINFO,还有Scopus.此外,文章从灰色文献中检索。已使用Cochrane偏差风险评估来评估文章的质量。
共纳入12项随机对照试验。综合家庭和CBT,CBT,引导自我改变,基于生态的家庭治疗在减少酒精使用频率方面效果温和。另一方面,综合动机增强疗法和CBT(-0.71[95%CI:-0.97,-0.45])和常见元素治疗方法(4.5[95%CI:6.9,2.2])在减少酒精使用频率和数量方面具有最高的效果,分别。总之,大多数干预措施对不同的饮酒结局没有显著影响.尽管如此,综合干预措施的有效性超过了单一干预措施.心理社会干预对禁欲的影响尚无定论。因此,未来的研究将探索替代方案,新出现的第三波治疗方法。
PROSPERO,CRD42023435011,https://www.crd.约克。AC.uk/prospro/display_record.php?RecordID=435011。
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