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Roshini Claire Anthony, 3 days ago

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Computerized CBT safe, effective and popular among substance abusers

10 Jul 2018
Substance abuse among the elderly is dangerous and require special attention to address the underlying problems.

Treatment with a computer-based cognitive-behavioural therapy (CBT4CBT) as a virtual standalone intervention in a clinical setting to a diverse sample of patients with current substance use disorders is safe, effective and durable compared to standard treatment strategies, according to a recent study. In addition, CBT4CBT is well-liked by the participants.

On the other hand, although clinician-delivered individual CBT is effective within the treatment period, it is unexpectedly associated with a higher dropout rate and lower effects at follow-up.

The authors examined the efficacy and safety of CBT4CBT as a virtual standalone treatment, delivered with minimal clinical monitoring, and clinician-delivered CBT compared with treatment as usual in a heterogeneous sample of treatment-seeking outpatients with substance use disorders.

A total of 137 individuals who met DSM-IV-TR criteria for current substance abuse or dependence were randomized to receive treatment as usual, weekly individual CBT or CBT4CBT with brief weekly monitoring.

Groups varied in terms of treatment exposure rates, with patients in the CBT4CBT group achieving the best retention and those in the individual CBT group the poorest.

Frequency of substance use was significantly more reduced among patients who received CBT or CBT4CBT than those who received treatment as usual. At 6-month follow-up, the continuing benefit of CBT4CBT (plus monitoring) persisted over treatment as usual, but not for clinician-delivered CBT over treatment as usual.

In analysis of secondary outcomes, patients in the CBT4CBT group had the best learning of cognitive and behavioural concepts, as well as the highest satisfaction with treatment.

“Previous trials have demonstrated the efficacy and durability of CBT4CBT as an add-on to standard outpatient care in a range of treatment-seeking populations,” the authors noted.

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Most Read Articles
Roshini Claire Anthony, 3 days ago

Patients with mild hypertension who are at low risk for cardiovascular disease (CVD) do not appear to derive mortality or CVD benefit from antihypertensive treatments, raising questions on the need for treatment in this population, according to a recent study from England.

Pearl Toh, 6 days ago
A personalized computerized neurofeedback intervention for training attention and memory shows potential in cognitive training for healthy elderly men, who improved in cognitive performance after the training, although no significant improvements were seen in the overall study population.
4 days ago
The simple Atrial fibrillation (AF) Better Care (ABC) pathway holistically updates the integrated care for AF patients and helps reduce the risk of adverse outcomes such as all-cause mortality, stroke/major bleeding/cardiovascular death and hospitalization, according to a study.
Yesterday
Type 1 diabetes impairs cognitive functioning in children, and this effect is exacerbated by extreme glycaemic levels, according to a recent meta-analysis.