Impact of cognitive behaviour therapy via mail for cessation of benzodiazepine use : a series of case reports

Parr, Jannette M., Kavanagh, David J., Young, Ross McD., Stubbs, Barbara, & Bradizza, Nick (2013) Impact of cognitive behaviour therapy via mail for cessation of benzodiazepine use : a series of case reports. Behaviour Change, 30(02), pp. 74-83.

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Abstract

Benzodiazepines are widely prescribed to manage sleep disorders, anxiety and muscular tension. While providing short-term relief, continued use induces tolerance and withdrawal, and in older users, increases the risk of falls. However, long-term prescription remains common, and effective interventions are not widely available. This study developed a self-managed cognitive behaviour therapy package for cessation of benzodiazepine use delivered to participants via mail (M-CBT) and trialled its effectiveness as an adjunct to a general practitioner (GP)-managed dose reduction schedule. In the pilot trial, participants were randomly assigned to GP management with immediate or delayed M-CBT. Significant recruitment and engagement problems were experienced, and only three participants were allocated to each condition. After immediate M-CBT, two participants ceased use, while none receiving delayed treatment reduced daily intake by more than 50%. Across the sample, doses at 12 months remained significantly lower than baseline, and qualitative feedback from participants was positive. While M-CBT may have promise, improved engagement of GPs and participants is needed for this approach to substantially impact on community-wide benzodiazepine use.

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ID Code: 67319
Item Type: Journal Article
Refereed: Yes
Keywords: Benzodiazepines, Cognitive behaviour therapy, Correspondence, General practitioner, Mailed intervention, Self-managed
DOI: 10.1017/bec.2013.7
ISSN: 2049-7768
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
Deposited On: 13 Feb 2014 04:51
Last Modified: 14 Feb 2014 04:27

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