Towards recovery: Therapeutic approaches to improve the treatment of alcohol use disorder
DOI:
https://doi.org/10.7203/metode.12.18427Keywords:
alcohol use disorder, cognitive-behavioural therapy, motivation, inhibitory control, recoveryAbstract
Currently, the best evidence-based treatments for alcohol dependence are those developed in multidisciplinary programmes based on a cognitive-behavioural approach, including psychological, sociological, and medical dimensions. However, recovery is not always achieved. The percentage of individuals who abandon and relapse is high throughout the process and an adequate state of wellbeing is not always found. This paper outlines some of the complements or techniques that could be incorporated to the most common treatments to enhance behavioural change, taking into account long-term outcomes. Thus, the text highlights the importance of considering recovery as the culmination of the process of change towards improved health, wellbeing, and self-directed life purpose, rather than just abstinence.
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Campbell, E. J., Lawrence, A. J., & Perry, C. J. (2018). New steps for treating alcohol use disorder. Psychopharmacology, 235(6), 1759–1773. https://doi.org/10.1007/s00213-018-4887-7
Carroll, K. M., & Kiluk, B. D. (2017). Cognitive behavioral interventions for alcohol and drug use disorders: Through the stage model and back again. Psychology of Addictive Behaviors, 31(8), 847–861. https://doi.org/10.1037/adb0000311
Cortés, M. T., Fernández, S., García, B., Martínez, V., & Sierra, R. (2018). Intervenciones psicológicas basadas en la evidencia en trastornos adictivos. In C. Pereiro & J. J. Fernández (Eds), Guía de adicciones para especialistas en formación. (pp. 389–399). Socidrogalcohol.
FACOMA. (2016). Ayúdate-Ayúdanos. https://facoma.org/
Jurado-Barba, R., Duque, A., López-Trabada, J. R., Martínez-Gras, I., García-Gutiérrez, M. S., Navarrete, F., López-Muñoz, F., Jiménez-Airrero, M. A., Ávila, C., Manzanares, J., & Rubio, G. (2017). The modulation of the startle reflex as predictor of alcohol use disorders in a sample of heavy drinkers: A 4-year follow-up study. Alcohol Clinical and Experimental Research, 41(6), 1212–1219. https://doi.org/10.1111/acer.13399
Jurado-Barba, R., Rubio Valladolid, G., Martínez-Gras, I., Alvarez-Alonso, M. J., Ponce Alfaro, G., Fernández, A., Moratti, S., Heinz, A., & Jimenez-Arriero, M. A. (2015). Changes on the modulation of the startle reflex in alcohol-dependent patients after 12 weeks of a cognitive-behavioral intervention. European Addiction Research, 21(4), 195–203. https://doi.org/10.1159/000371723
Kelly, J. F., & Hoeppner B. B. (2015). A biaxial formulation of the recovery construct. Addiction Research & Theory, 23(1), 5–9. https://doi.org/10.3109/16066359.2014.930132
Martínez-Maldonado, A., Jurado-Barba, R., Sion, A., Domínguez-Centeno, I., Castillo-Parra, G., Prieto-Montalvo, J., & Rubio, G. (2020). Brain functional connectivity after cognitive-bias modification and behavioral changes in abstinent alcohol-use disorder patients. International Journal of Psychophysiology, 154, 46–58. https://doi.org/10.1016/j.ijpsycho.2019.10.004
McQueen, J., Howe, T. E., Allan, L., Mains, D., & Hardy, V. (2011). Brief interventions for heavy alcohol users admitted to general hospital wards. Cochrane Database of Systematic Reviews, 8, CD005191. https://doi.org/10.1002/14651858.CD005191.pub3
National Academies of Sciences, Engineering and Medicine. (2016). Measuring recovery from substance use or mental disorders: Workshop Summary. The National Academies Press. https://doi.org/10.17226/23589
Prochaska, J. O., & Diclemente, C. C. (1986). Toward a comprehensive model of change. In W. R. Miller, & N. Heather (Eds.), Treating addictive behaviors: Processes of change (pp. 3–27). Plenum Press. https://doi.org/10.1007/978-1-4613-2191-0_1
Rubio, G., Marín, M., Arias, F., López-Trabada, J. R., Iribarren, M., Alfonso, S., Prieto, R., Blanco, A., Urosa, B., Montes, V., Jurado, R., Jiménez-Arriero, M., Á., & de Fonseca, F. R. (2018). Inclusion of alcoholic associations into a public treatment programme for alcoholism improves outcomes during the treatment and continuing care period: A 6-year experience. Alcohol and Alcoholism, 53(1), 78–88. https://doi.org/10.1093/alcalc/agx078
Smedslund, G., Berg, R. C., Hammerstrøm, K. T., Steiro, A., Leiknes, K. A., Dahl, H. M., & Karlsen, K. (2011). Motivational interviewing for substance abuse. Cochrane Database of Systematic Reviews, 5, CD008063. https://doi.org/10.1002/14651858.cd008063.pub2
Wiers, C. E., Stelzel, C., Gladwin, T. E., Park, S. Q., Pawelczack, S., Gawron, C. K., Stuke, H., Heinz, A., Wiers, R. W., Rinck, M., Lindenmeyer, J., Walter, H., & Bermpohl, F. (2015). Effects of cognitive bias modification training on neural alcohol cue reactivity in alcohol dependence. The American Journal of Psychiatry, 172(4), 335–343. https://doi.org/10.1176/appi.ajp.2014.13111495
Wiers, R. W., Eberl, C., Rinck, M., Becker, E. S., & Lindenmeyer, J. (2011). Retraining automatic action tendencies changes alcoholic patients’ approach bias for alcohol and improves treatment outcome. Psychological Science, 22(4), 490–497. https://doi.org/10.1177/0956797611400615
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