Substance Use and Problem Gambling Interventions for People With Intellectual Disability: A Systematic Review.

Introduction: People with intellectual disability (ID) face increased vulnerability to addictive behaviours, yet effective interventions are under‐researched. This study aimed to systematically review existing interventions for substance use and problem gambling in this population. Methods: Followin...

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Publicado en:Journal of Intellectual Disability Research Vol. 69; no. 10; pp. 1154 - 1172
Autores principales: Udeanu, Amalia, Garcia‐Fernandez, Gloria, Krotter, Andrea, García‐Aller, Juan Antonio, Solis Garcia, Patricia, Gómez, Laura E.
Formato: research systematic review tables/charts Journal Article
Publicado: Wiley-Blackwell Oct2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct2025
      vid: 69
      iid: 10
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1111/jir.70007
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        atl: Substance Use and Problem Gambling Interventions for People With Intellectual Disability: A Systematic Review.
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        au:
          Udeanu, Amalia
          Garcia‐Fernandez, Gloria
          Krotter, Andrea
          García‐Aller, Juan Antonio
          Solis Garcia, Patricia
          Gómez, Laura E.
        affil: Department of Psychology, University of Oviedo, Oviedo, Spain
      sug:
        subj:
          Substance Use Disorders Therapy
          Gambling Therapy
          Intellectual Disability
          Persons with Disabilities
          Behavior Therapy
          Human
          Systematic Review
          Funding Source
          Male
          Female
          Adult
          Psycinfo
          Checklists
          Spain
          Adolescence
          Middle Age
          Comorbidity
          T-Tests
          Descriptive Statistics
          Behavior, Addictive
          Motivational Interviewing
          Alcohol Drinking Prevention and Control
          Psychoeducation
          Adult: 19-44 years
          Adolescent: 13-18 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: Introduction: People with intellectual disability (ID) face increased vulnerability to addictive behaviours, yet effective interventions are under‐researched. This study aimed to systematically review existing interventions for substance use and problem gambling in this population. Methods: Following PRISMA guidelines, we searched Web of Science, PsycINFO and CENTRAL for studies on substance use or gambling tailored for people with ID. Two independent reviewers synthesised the data and assessed the methodological quality using established tools. Results: Sixteen studies were included: three randomised controlled trials (RCTs), six non‐randomised trials and seven case studies. Most studies involved small samples of male adults with mild ID, focusing on tobacco (n = 6), polydrug use (n = 5), alcohol (n = 3), opioids (n = 1) or gambling (n = 1). Mindfulness‐based therapy and cognitive behavioural therapy combined with motivational interviewing showed promising results for reducing tobacco and alcohol use in people with ID. Short‐term benefits were observed for alcohol and cannabis use, though impacts on severity were unclear. Psychoeducation was frequently integrated with behavioural techniques, contributing to reduced substance use through enhanced awareness and knowledge. Conclusions: The evidence for interventions targeting substance use and gambling in individuals with ID remains limited. A meta‐analysis was not possible due to insufficient data, though single‐case designs provided valuable insights. More rigorous and comprehensive research is needed to better understand and improve intervention strategies for addressing substance use and gambling problems in people with ID. Trial Registration: PROSPERO CRD42023477296
      pubtype: Academic Journal
      doctype:
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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