Psychological interventions for co-occurring depression and substance use disorders

Hides, Leanne; Quinn, Catherine; Stoyanov, Stoyan; Kavanagh, David J.; Baker, Amanda

doi:10.1002/14651858.cd009501.pub2

Cited by 21 publications

(14 citation statements)

References 191 publications

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“…Focused on clinical samples with significant comorbidities such as depression or anxiety; first, psychological interventions for other mental health problems have a different focus; second, even for significant comorbidities of substance abuse, therapeutic effectiveness and implications remain unclear and cannot be compared to treatment of each health issue alone (Hides et al, 2019).…”

Section: Methodsmentioning

confidence: 99%

Tackling the ‘digital pandemic’: The effectiveness of psychological intervention strategies in problematic Internet and smartphone use—A meta-analysis

Augner

Vlasak

Aichhorn

et al. 2021

Aust N Z J Psychiatry

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Objective: Problematic Internet and smartphone use is associated with serious mental health problems. We thus investigated the effectiveness of psychological interventions on problematic Internet and smartphone use. Methods: We conducted a systematic review and meta-analysis and searched in PubMed, PsyArticles, PsycInfo, Medline and Google Scholar for peer-reviewed experimental and quasi-experimental research published between 2008 and 2021. Results: A total of 10 studies accompanied by 14 effect sizes were included in the meta-analyses for problematic Internet use and 3 studies accompanied by 4 effect sizes for problematic smartphone use. The total sample size was n = 1439 with a mean age of 20.34 (SD = 6.63) years. Psychological interventions were effective for both problematic Internet use ( g = −1.41, 95% confidence interval = [−1.90, −0.91], p < 0.001) and problematic smartphone use ( g = −0.40, 95% confidence interval = [−0.79, −0.01], p < 0.001). Conclusion: Current evidence indicates that psychological interventions can be effective in reducing problematic Internet use/problematic smartphone use. However, the results must be considered preliminary due to the limited number of studies available in the respective fields.

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Section: Methodsmentioning

confidence: 99%

Tackling the ‘digital pandemic’: The effectiveness of psychological intervention strategies in problematic Internet and smartphone use—A meta-analysis

Augner

Vlasak

Aichhorn

et al. 2021

Aust N Z J Psychiatry

View full text Add to dashboard Cite

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“…PDs often require psychotherapies such as dialectic behavioral therapy and SUD motivational interviewing, relapse prevention, and for some people, temporarily controlling the access to substances. Especially, the co-occurrence of disorders across those diagnostic groups may pose additional challenges for treatment planning and integration (17) and for prognosis, whereas comorbid disorders within specific diagnostic groups can often be treated using one single approach and thus are less relevant for treatment planning. Focusing among the axis one disorders on the severe disorders and treating them as a group is pragmatic and in line with international research on interventions for co-occurring mental health and substance use disorders in general (18,19) and in prison populations (16).…”

Section: Introductionmentioning

confidence: 99%

The Unhappy Mental Health Triad: Comorbid Severe Mental Illnesses, Personality Disorders, and Substance Use Disorders in Prison Populations

Mundt

Baranyi

2020

Front. Psychiatry

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Background: Information on the comorbidity of mental health problems in prison populations is scarce. The aim of the present study was to assess the prevalence of comorbidities at intake to prison between three diagnostic groups: severe mental illnesses (SMIs), personality disorders (PDs), and substance use disorders (SUDs). The cooccurrence of those disorders in prison populations may require the integration of differential treatment approaches and novel treatment trials. Methods: A consecutive sample of N = 427 (229 male and 198 female) individuals committed to imprisonment in Santiago de Chile was assessed with the Mini Neuropsychiatric Interview and the Structured Clinical Interview for DSM-IV (module for borderline personality disorders) on arrival at prison. Diagnoses were a priori grouped as SMI including psychosis, bipolar disorder and major depression, PD including borderline and antisocial PD and SUD including alcohol and drug abuse or dependence. Sex stratified multivariate binary logistic regression analyses were conducted to assess sociodemographic, criminal and treatment characteristics of individuals with at least one diagnosis from each of the three diagnostic groups.

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“…There have been two Cochrane reviews of psychosocial interventions for people with both severe mental illness and substance misuse 47,48 that found there is no evidence to support the use of any psychosocial treatment over standard care on key clinical outcomes for severe mental illness generally. There is another Cochrane review that examined psychological interventions for co‐occurring depression and substance use disorders 49 that found no conclusions can be made about the efficacy of psychological treatments. While pilot studies were excluded from the review three were located during the search.…”

Section: Resultsmentioning

confidence: 99%

Effects of psychotherapy on comorbid bipolar disorder and substance use disorder: A systematic review

et al. 2020

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Objectives This review aim was to examine whether psychotherapy is more or less effective in patients with SUD, compared to those without; whether there is a differential effect of a particular psychotherapy in patients with SUD. Methods A quantitative systematic review following the Cochrane Handbook of Systematic Reviews was used. Results Five studies of psychotherapy for BD and two studies of an integrated psychotherapy for comorbid BD and SUD were included in the review. Five studies provided a sub‐analysis of the effect of SUD on overall outcomes with only one finding an overall detrimental effect. The results indicated equal, if not better outcomes for individuals with comorbid BD and SUD. Conclusion There was little evidence that interventions targeted at both BD and SUD may be more efficacious. Further research in to psychotherapeutic treatment for BD should include individuals with comorbid SUD, and analyse substance use as an outcome. Additionally, research into treatments specifically developed for these commonly comorbid disorders is indicated.

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Psychological interventions for co-occurring depression and substance use disorders

Cited by 21 publications

References 191 publications

Tackling the ‘digital pandemic’: The effectiveness of psychological intervention strategies in problematic Internet and smartphone use—A meta-analysis

Tackling the ‘digital pandemic’: The effectiveness of psychological intervention strategies in problematic Internet and smartphone use—A meta-analysis

The Unhappy Mental Health Triad: Comorbid Severe Mental Illnesses, Personality Disorders, and Substance Use Disorders in Prison Populations

Effects of psychotherapy on comorbid bipolar disorder and substance use disorder: A systematic review

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