2020
DOI: 10.1001/jamanetworkopen.2020.8279
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Combined Pharmacotherapy and Cognitive Behavioral Therapy for Adults With Alcohol or Substance Use Disorders

Abstract: IMPORTANCE Substance use disorders (SUDs) represent a pressing public health concern. Combined behavioral and pharmacological interventions are considered best practices for addiction. Cognitive behavioral therapy (CBT) is a first-line intervention, yet the superiority of CBT compared with other behavioral treatments when combined with pharmacotherapy remains unclear. An understanding of the effects of combined CBT and pharmacotherapy will inform best-practice guidelines for treatment of SUD. OBJECTIVE To cond… Show more

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Cited by 164 publications
(95 citation statements)
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“…When dependence develops, it can be useful to pharmacologically manage comorbid symptoms and withdrawal induced anxiety, and reduce anticholinergics over a 2 -week period while using adjunctive CBT. 6,17…”
Section: Discussionmentioning
confidence: 99%
“…When dependence develops, it can be useful to pharmacologically manage comorbid symptoms and withdrawal induced anxiety, and reduce anticholinergics over a 2 -week period while using adjunctive CBT. 6,17…”
Section: Discussionmentioning
confidence: 99%
“…Pharmacotherapy might be a reasonable bridging therapy in some patients while they are awaiting transplantation, and then while attending and completing post-transplantation psychotherapy. However, the effect of addiction treatments has been demonstrated to be stronger when clinicians combine psychosocial and behavioural interventions with pharmacological approaches 116 . Severe alcohol-associated hepatitis, when otherwise eligible for transplant, is another clinical scenario in which completion of behavioural therapy might not be feasible before liver transplantation, and addition of pharmacotherapy can be of utility until the patient is able to undergo behavioural therapy, even after liver transplantation.…”
Section: Behavioural and Pharmacological Therapymentioning
confidence: 99%
“…Additional adaptations may include strategies to help prevent relapse in fathers with opioid misuse. A range of effective and promising treatment strategies exist to prevent relapse including Cognitive Behavioral Therapy (CBT), motivational interviewing, Twelve-Step Facilitation Therapy, community reinforcement approach, and Mindfulness-based strategies for relapse prevention (Morin et al, 2017 ; Ray et al, 2020 ). Skills taught in these evidence-based programs can be provided in modules specific to stress-reduction and craving management and principles can be embedded within modules to add depth to parent-training.…”
Section: Tailoring the Ftc For Fathers Using Opioidsmentioning
confidence: 99%