A systematic review of psychological interventions for excessive alcohol consumption among people with psychotic disorders

Baker, Amanda, Hiles, Sarah, Thornton, Louise, Hides, Leanne, & Dan, Lubman (2012) A systematic review of psychological interventions for excessive alcohol consumption among people with psychotic disorders. Acta Psychiatrica Scandinavica, 126(4), pp. 243-255.

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Abstract

Objective: Excessive alcohol consumption is common among people with psychotic disorders. While there is an extensive literature on the efficacy of psychological treatments for excessive drinking, few studies have examined interventions addressing this issue among people with psychotic disorders.

Method: Systematic searches in PubMed and PsycINFO were conducted to identify randomized controlled trials comparing manual guided psychological interventions for excessive alcohol consumption among individuals with psychotic disorders. Of the 429 articles identified, 7 met inclusion criteria. Data were extracted from each study regarding study sample characteristics, design, results, clinical significance of alcohol consumption results, and methodological limitations. Results: Assessment interviews, brief motivational interventions and lengthier cognitive behavior therapy have been associated with reductions in alcohol consumption among people with psychosis. While brief interventions (i.e., 1-2 sessions) were generally as effective as longer duration psychological interventions (i.e., 10 session) for reducing alcohol consumption, longer interventions provided additional benefits for depression, functioning and other alcohol outcomes.

Conclusion: Excessive alcohol consumption among people with psychotic disorders is responsive to psychological interventions. It is imperative that such approaches are integrated within standard care for people with psychosis.

Impact and interest:

11 citations in Scopus
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12 citations in Web of Science®

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ID Code: 56133
Item Type: Journal Article
Refereed: Yes
Keywords: Comorbidity, Alcohol-Related Disorders, Psychotic Disorders, Psychotherapy, Review
DOI: 10.1111/j.1600-0447.2012.01885.x
ISSN: 0001-690X
Subjects: Australian and New Zealand Standard Research Classification > PSYCHOLOGY AND COGNITIVE SCIENCES (170000)
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: Copyright 2012 Wiley-Blackwell Publishing.
Deposited On: 08 Jan 2013 05:27
Last Modified: 09 Jan 2013 01:55

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