The Treatment of Complex Dual Disorders: Clinicians’ and Service Users’ Perspectives

Thérien, Phillip; Lavarenne, Anaïs; Lecomte, Tania

doi:10.4172/2155-6105.s10-006

Cited by 5 publications

(4 citation statements)

References 30 publications

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“…The PIPATIC program includes two floating sessions that can be incorporated into the module that the therapist chooses, according to the needs of the patient. In this way, the set program offers some flexibility (Carroll & Nuro, 2002; Therien, Lavarenne, & Lecomte, 2014).…”

Section: Methodsmentioning

confidence: 99%

Treatment efficacy of a specialized psychotherapy program for Internet Gaming Disorder

et al. 2018

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Background and aimsInternet Gaming Disorder (IGD) has become health concern around the world, and specialized health services for the treatment of IGD are emerging. Despite the increase in such services, few studies have examined the efficacy of psychological treatments for IGD. The primary aim of this study was to assess the efficacy of a specialized psychotherapy program for adolescents with IGD [i.e., the “Programa Individualizado Psicoterapéutico para la Adicción a las Tecnologías de la Información y la Comunicación” (PIPATIC) program].MethodsThe sample comprised 31 adolescents (aged 12–18 years) from two public mental health centers who were assigned to either the (a) PIPATIC intervention experimental group or (b) standard cognitive-behavioral therapy (CBT) control group. The interventions were assessed at pre-, middle-, and post-treatment phases, as well as a 3-month assessment was carried out after completing the interventions.ResultsNo significant differences between either group in the pre-treatment phase were found. Relating to the different interventions examined, significant differences were found at pre-test and post-test on the following variables: comorbid disorders, intrapersonal and interpersonal abilities, family relationships, and therapists’ measures. Both groups experienced a significant reduction of IGD symptoms, although the PIPATIC group experienced higher significant improvements in the remainder of the variables examined.Discussion and conclusionsThe findings suggest that PIPATIC program is effective in the treatment of IGD and its comorbid disorders/symptoms, alongside the improvement of intra- and interpersonal abilities and family relationships. However, it should also be noted that standard CBT was also effective in the treatment of IGD. Changing the focus of treatment and applying an integrative focus (including the addiction, the comorbid symptoms, intra- and interpersonal abilities, and family psychotherapy) appear to be more effective in facilitating adolescent behavior change than CBT focusing only on the IGD itself.

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Section: Methodsmentioning

confidence: 99%

Treatment efficacy of a specialized psychotherapy program for Internet Gaming Disorder

et al. 2018

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“…In addition, individuals with dual disorders often report feeling excluded from health care services because of the dual diagnosis (mental health services do not accept them because of substance use disorder and vice versa). A preference for more personalized services, such as integrated treatments, was mentioned along with detailed reports regarding the lack of perceived usefulness of a parallel treatment focusing on a single diagnosis at a time (67).…”

Section: Access To Treatmentmentioning

confidence: 99%

Mobile Intervention for Individuals With Psychosis, Dual Disorders, and Their Common Comorbidities: A Literature Review

et al. 2019

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Over 50% of people diagnosed with a severe mental illness, such as schizophrenia or bipolar disorder, will meet criteria for a substance use disorder in their lifetime. This dual disorder often starts during youth and leads to significant societal costs, including lower employability rates, more hospitalizations, and higher risk of homelessness and of suicide attempts when compared to those with a serious mental illness without substance misuse. Moreover, many individuals presenting with comorbid disorders also present with other psychological difficulties as well, such as personality disorders or anxiety and depression, also known as complex comorbid disorders. Transdiagnostic treatments that focus on core difficulties found in people with complex dual disorders, such as emotional regulation, are direly needed. Emotional regulation skills can help reduce distress related to psychotic symptoms and maintain abstinence in substance use disorders. New technologies in the field of communications have developed considerably over the past decade and have the potential to improve access to such treatments, a major problem in many health care settings. As such, this paper aims at: presenting core difficulties present in many individuals with dual disorders, reviewing the scientific literature pertaining to the use of mobile applications in mental health and addictions, and presenting the development and potential of a new application for emotional regulation for people with dual disorders.

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“…Hasta el punto de que se podría argumentar que el IGD, en ocasiones, es una construcción artificiosa y en el fondo, un síntoma más de esos otros problemas más básicos. Esta comorbilidad no se tiene en cuenta en la mayoría de tratamientos manualizados y protocolos de intervención y provoca que éstos sean deficientes (Therien, Lavarenne y Lecomte, 2014).…”

Section: Tratamiento Psicológicounclassified

“…La principal orientación utilizada en el desarrollo del programa PIPATIC es la TCC por ser relevante empíricamente, comúnmente utilizada y eficaz en los trastornos adictivos. Sin embargo, siguiendo las propuestas de estudios que consideran más efectivo el uso de múltiples estrategias psicoterapéuticas en lugar de una única (Dong y Potenza, 2014;Orzack, Voluse, Wolf y Hennen, 2006;Shek, Tang y Lo, 2009;Therien et al, 2014) también se han considerado aspectos de la perspectiva integradora en psicoterapia. Se han incluido diversas intervenciones específicas no pertenecientes a la TCC y que se pueden encontrar en la tabla 2 (p.e.…”

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Actualización y propuesta de Tratamiento de la Adicción a los Videojuegos en línea: el programa PIPATIC

Torres

2017

rdp

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Resumen. En la actualidad, los servicios de psicología infantojuvenil registran un aumento de las consultas relacionadas con el uso problemático de los videojuegos en línea. Para ofrecer un tratamiento eficaz es necesario investigar sobre el abordaje psicoterapéutico de dicho problema. El objetivo de este estudio es presentar una actualización del tratamiento psicológico para la adicción a los videojuegos en línea. Además se describe el proceso de diseño de un tratamiento manualizado para adolescentes de 12 a 18 años: el programa PIPATIC. El diseño y la aplicación del programa PIPATIC integran varias áreas de intervención estructuradas en seis módulos: psicoeducativo, intervención estándar en adicciones conductuales, intrapersonal, interpersonal, familiar y creación de un nuevo estilo de vida. El objetivo del programa PIPATIC es una disminución de los síntomas de la adicción a los videojuegos en línea y una mejoría en el bienestar de los adolescentes. Los hallazgos preliminares muestran unos efectos positivos y alentadores que, prospectivamente, invitan a continuar investigando en este campo.

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The Treatment of Complex Dual Disorders: Clinicians’ and Service Users’ Perspectives

Cited by 5 publications

References 30 publications

Treatment efficacy of a specialized psychotherapy program for Internet Gaming Disorder

Treatment efficacy of a specialized psychotherapy program for Internet Gaming Disorder

Mobile Intervention for Individuals With Psychosis, Dual Disorders, and Their Common Comorbidities: A Literature Review

Actualización y propuesta de Tratamiento de la Adicción a los Videojuegos en línea: el programa PIPATIC

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