Dialectical behaviour therapy and 12‐step programmes for substance use disorder: A systematic review and meta‐analysis.
Background: Research on dialectical behaviour therapy (DBT) or 12‐step programmes has shown inconclusive results; no systematic review has directly compared the two. Objectives: The goals of this meta‐analytic review were to assess if DBT is more effective than treatment as usual (TAU) and if DBT is...
| Publicado en: | Counselling & Psychotherapy Research Vol. 19; no. 3; pp. 274 - 286 |
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| Autores principales: | , , , , |
| Formato: | research systematic review tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Sep2019
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=137376538&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 137376538 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 14733145 TFX jtl: Counselling & Psychotherapy Research issn: 14733145 maglogo: Y pubinfo: dt: Sep2019 vid: 19 iid: 3 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 137376538 137376538 137376538 10.1002/capr.12228 137376538 ppf: 274 ppct: 12 formats: fmt: – @attributes: type: T – @attributes: type: C – @attributes: type: P tig: atl: Dialectical behaviour therapy and 12‐step programmes for substance use disorder: A systematic review and meta‐analysis. aug: au: Giannelli, Ezechiele Gold, Christian Bieleninik, Lucja Ghetti, Claire Gelo, Omar C. G. affil: Department of History, Society and Human Studies, University of Salento, Lecce Italy sug: subj: Substance Use Disorders Therapy Substance Use Rehabilitation Programs Dialectical Behavior Therapy Treatment Outcomes Human Systematic Review Meta Analysis Comparative Studies Alcoholics Anonymous Support Groups Female Descriptive Statistics Young Adult Adult Confidence Intervals Adult: 19-44 years Female ab: Background: Research on dialectical behaviour therapy (DBT) or 12‐step programmes has shown inconclusive results; no systematic review has directly compared the two. Objectives: The goals of this meta‐analytic review were to assess if DBT is more effective than treatment as usual (TAU) and if DBT is more effective than 12‐step programmes (including twelve‐step facilitation [TSF] and self‐help groups like Alcoholics Anonymous) for substance use disorder (SUD). Methods: We searched for randomised controlled trials (RCTs) and extracted data on the following outcomes: reduction in substance use, retention in treatment, severity of substance dependence/abuse and severity of mental health symptoms. Studies involved adult (>18 years) women with SUD, according to DSM‐5 or the equivalent diagnoses in DSM‐IV. Three RCTs met the inclusion criteria and contained appropriate data for meta‐analysis (75 participants). Results: No significant effects of DBT have been found compared to 12‐step programmes. Comparing DBT with TAU, we found a beneficial short‐term (1 RCT, n = 12, SMD = −0.84; 95% CI [−1.64, −0.04]) and long‐term (2 RCTs, n = 29, SMD = −1.26; 95% CI [−2.13, −0.40]) effect of DBT on severity of substance use. Conclusions: Despite the limited evidence of the present review, contextual evidence supports DBT and 12‐step programmes. RCTs with larger sample sizes are needed to better elucidate the impact of both treatments on SUD and facilitate the comparison between DBT and 12 steps programmes. pubtype: Academic Journal doctype: meta analysis research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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