The Effects of Cognitive-Behavioral Model-Based Intervention on Depression, Anxiety, and Self-Efficacy in Alcohol Use Disorder

Abstract

Exercise is constantly gaining attention as adjuvant treatment for alcohol use disorder (AUD), supplementing classical pharmacological and psychotherapeutic approaches. The aim of this study was to determine the effects of cognitive-behavioral model-based (CBM-based) intervention on the depression, anxiety, and self-efficacy levels in AUD. This quasi-experimental study was conducted using pre- and posttests and repeated measurements with a control group; it was completed between February 2015 and August 2015 in Turkey. Participants were 41 individuals with AUD, 20 in the experimental group and 21 in the control group. The individuals in the experimental group performed aerobic exercise 3 days a week as well as attended the psychoeducation provided 1 day a week. The difference between mean scores of the individuals in the experimental and control groups taken in posttest and 4-month follow-up test in the Beck Depression Inventory (BDI) as well as the difference between mean posttest scores in the Beck Anxiety Inventory (BAI) and Self-Efficacy Scale (SES) were found to be statistically significant ( p < .05). In the intragroup comparisons, a significant difference was found between the "BDI," "BAI," and "SES" measurement times ( p < .05). It was concluded that CBM-based intervention was effective in reducing depression and anxiety, increasing self-efficacy in individuals with AUD. Appropriate nurse-managed CBM-based intervention for individuals with AUD can promote their health.

Resilience mediates the effect of self-efficacy on symptoms of prenatal anxiety among pregnant women: a nationwide smartphone cross-sectional study in China

“…Prenatal anxiety is a state of high tension which a pregnant woman might experience when she is about to give birth due to new expectations, worry, and lack of self-efficacy [ 5 ]. A growing number of studies indicate that the prevalence of prenatal anxiety of pregnant women in China is high (7.9 to 68.4%) [ 6 – 10 ]. Moreover, the prevalence of prenatal anxiety in Turkey, South Africa, Pakistan, Australia, Canada, UK and US was reported to be 15.2 _ 49.0% in several studies [ 10 – 14 ].…”

“…Self-efficacy can influence maternal physical and psychological states such as anxiety and depression [ 24 , 25 ]. Self-efficacy can also help individuals cope with stress rationally and positively [ 6 , 23 ]. Moreover, self-efficacy appears to be particularly important to overcoming barriers that might hinder improved pregnancy-related health outcomes [ 26 ], such as prenatal anxiety [ 7 ].…”

The effect of combined cognitive‐behavioral psychoeducation and music intervention on stress, self‐efficacy, and relapse rates in patients with alcohol and substance use disorders: A randomized controlled trial

“…The sample size of this experimental study was calculated using power analysis (G*Power 3.1.9.2) based on a previous similar study 33 . The power was 0.80, β was 0.05, and α was 0.05 when Δ was 0.82 and ± SD was 14.26 with 50 participants in the experimental and control groups ( Δ : effect size, ± SD ).…”

Personality changes related to presence and treatment of substance use (disorders): a systematic review

“…Most studies were based on 3 or 4 waves and were conducted without control conditions. Only 4 studies used a randomized controlled design (RCT) (Bayır & Aylaz, 2021;Kayaoğlu & Şahin Altun, 2022;Nurco et al, 1995;Winkleby et al, 2001), one study used a randomized design (Stieger, Allemand, Roberts, & Davis, 2022), 2 studies used a non-randomized control-group design (Can Gür & Okanli, 2019;Gonçalves et al, 2014), and one study used matched control groups (Oei & Jackson, 1980).…”

“…The studies encompassed various treatments, such as individualand group-based cognitive-behavioral therapy and 12-step facilitation approaches to recovery (adapted from Alcoholics/ Narcotics Anonymous) (Aklin, Tull, Kahler, & Lejuez, 2009;Blonigen & Macia, 2021;Can Gür & Okanli, 2019;Chodkiewicz & Gruszczyńska, 2019;Kayaoğlu & Şahin Altun, 2022;Littlefield et al, 2015;Stieger et al, 2022), motivational interventions (Gonçalves et al, 2014;Kazemi et al, 2014), mindfulnessbased interventions (Bayır & Aylaz, 2021;Stieger et al, 2022), but also less usual interventions such as motivational chess (Gonçalves et al, 2014), music (Kayaoğlu & Şahin Altun, 2022), or advocacy training for students (Winkleby et al, 2001;. Durations of the interventions ranged from 4 to 25 weeks.…”