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Psychosocial treatment options for adolescents and young adults with alcohol use disorder: systematic review and meta-analysis

Forfatter(e)
Belay, G. M., Mak, Y. W., Wong, F. K. Y., Lam, K. K. W., Liu, Q., Yang, F., Mao, T., Wu, C. S. T., Ho, K. Y.
År
2024
DOI
10.3389/fpubh.2024.1371497
Tidsskrift
Frontiers in Public Health
Volum
12
Sider
1371497
Kategori(er)
Rus (alkohol, illegale rusmidler)
Tiltakstype(r)
FamilieterapiKognitiv atferdsterapi, atferdsterapi og kognitiv terapiRådgiving/støttesamtaler
Abstract

Introduction

Psychosocial intervention is imperative for treating alcohol use disorder (AUD), but there is no comprehensive evidence regarding its effectiveness. Therefore, this study aimed to determine the effectiveness of psychosocial interventions in treating AUD amongadolescents and young adults.

Methods

In this systematic review and meta-analysis, articles were searched from EMBASE, PubMed, Medline, CINAHL, Web of Science, PsycINFO, and Scopus. Also, articles were retrieved from gray literature. The quality of articles has been assessed using the Cochrane risk of bias assessment.

Results

A total of 12 randomized controlled trials were included. Integrated family and CBT, CBT, guided self-change, and ecologically based family therapy had a mild effect in reducing alcohol use frequency. On the other hand, integrated motivational enhancement therapy and CBT (-0.71 [95% CI: -0.97, -0.45]) and common elements treatment approaches (4.5 [95% CI: 6.9, 2.2]) had the highest effect size for reducing alcohol use frequency and amount, respectively. In conclusion, most of the interventions had no significant effect on different drinking outcomes. Nonetheless, the effectiveness of combined interventions surpassed that of the single interventions. The effect of psychosocial interventions on abstinence was inconclusive. Therefore, future studies will explore alternative, newly emerged third-wave therapeutic approaches.

Systematic review registration

PROSPERO, CRD42023435011, https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=435011.