Acceptability of cognitive-behaviour therapy via the Internet for cessation of benzodiazepine use
Parr, Jannette M., Kavanagh, David J., Young, Ross McD., & Mitchell, Geoffrey K. (2011) Acceptability of cognitive-behaviour therapy via the Internet for cessation of benzodiazepine use. Drug and Alcohol Review, 30(3), pp. 306-314.
Introduction and Aims:
Long-term use of benzodiazepines remains common, and conveys significant risk. Providing psychological intervention in association with gradual dose reduction increases cessation rates above dose reduction alone, but appropriate psychological support is difficult to obtain. This study was undertaken to assess the outcomes of an uncontrolled case series of an internet-based cognitive-behaviour therapy (I-CBT) for benzodiazepine cessation.
Design and Method:
Users of benzodiazepines for > 3 months who wanted to reduce or cease benzodiazepines participated in the trial. They completed online assessments and accessed 13 newsletters on managing withdrawal symptoms and developing alternate ways to cope with life events. Therapist assistance was provided by email. Follow-up was at 3 and 6 months and feedback was obtained via comments and emails.
Program ratings and emailed comments of the program were positive. Thirty-two people registered for the program and 14 (44%) completed a 6-month follow-up. Of these, 8 (57%) reduced weekly intake by at least half, including 5 (36%) who ceased use. Shorter duration of use and birth outside Australia predicted greater percentage reductions at 3 months, while being partnered and in paid employment predicted reductions at 6 months.
Discussion and Conclusion:
While results were encouraging, controlled research is required to confirm the efficacy of the program, and engagement of both users and prescribers needs further attention.
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|Item Type:||Journal Article|
|Keywords:||Benzodiazepines , Cognitive-Behaviour Therapy , Internet, Self-Management, Substance-Related Disorders|
|Subjects:||Australian and New Zealand Standard Research Classification > PSYCHOLOGY AND COGNITIVE SCIENCES (170000) > PSYCHOLOGY (170100) > Health Clinical and Counselling Psychology (170106)|
|Divisions:||Current > QUT Faculties and Divisions > Faculty of Health|
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Psychology & Counselling
|Copyright Owner:||© 2011 Australasian Professional Society on Alcohol and other Drugs|
|Copyright Statement:||The definitive version is available at www3.interscience.wiley.com|
|Deposited On:||29 Mar 2012 08:17|
|Last Modified:||04 Jun 2012 23:37|
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