Efectividad a Largo Plazo de la Terapia de Grupo Cognitivo-conductual del Alcoholismo: Impacto de la Patología Dual en el Resultado del Tratamiento

Abstract

El objetivo de este estudio fue analizar el resultado del tratamiento cognitivo-conductual grupal llevado a cabo en un centro ambulatorio para el tratamiento de las adicciones. La muestra estuvo compuesta por 130 hombres con trastorno por dependencia al alcohol. Se evaluaron los casos que reinician tratamiento tras el alta terapéutica en un rango de tiempo desde los dos años como mínimo hasta los 18. El 56.2% de la muestra finalizó el tratamiento con alta terapéutica, de los cuales el 75.3% no volvieron a iniciar tratamiento tras el alta, aumentando a 77.7% cuando el paciente completaba el periodo de revisión tras el alta. El 58% de los pacientes con trastornos de la personalidad finalizaron el tratamiento con alta terapéutica. El tratamiento cognitivo-conductual, cuyos componentes esenciales se detallan en este trabajo, es efectivo para el tratamiento grupal de los trastornos por dependencia del alcohol con comorbilidad de trastornos de la personalidad. Long-term effectiveness of group cognitive-behavioral therapy for alcoholism: Impact of dual diagnosis on treatment outcome

Analysis of the duration of abstinence after treatment for alcohol dependence in a therapeutic community: differences between the sexes

“…In the present study, 50% of patients remained abstinent after 7.3 months of treatment and 40% were abstinent at the end of the therapeutic community treatment. This finding could be considered a good rate of success, similar to other rates of abstinence in comparable alcohol dependence programs (Martínez-González et al , 2018). The finding is also in line with the results of a study by Martínez-González et al (2018), which showed that 56.2% of patients finished treatment and were discharged; in fact, 75.3% of patients remained abstinent after discharge from the individual, group or community treatment.…”

“…This finding could be considered a good rate of success, similar to other rates of abstinence in comparable alcohol dependence programs (Martínez-González et al , 2018). The finding is also in line with the results of a study by Martínez-González et al (2018), which showed that 56.2% of patients finished treatment and were discharged; in fact, 75.3% of patients remained abstinent after discharge from the individual, group or community treatment. Another important goal is to determine the optimal duration of alcohol dependence programs to ensure that most patients remain abstinent.…”

“…Bio-psychosocial therapy has proven efficient for the treatment of alcohol dependence (Monasor et al , 2003). However, group psychological interventions also help patients address social influence by providing them with an alternate assessment of other types of behaviors based on social modeling, and thus, decrease the likelihood of dropouts (Martínez-González et al , 2018).…”

“…Moreover, the severity of addiction is a key variable for the continuation of patients in substance abuse therapy programs, with a direct linear effect: the higher the severity of the addiction, the higher the likelihood of quitting the treatment (Useche et al , 2017). In contrast, patients who are discharged after attending all treatment sessions are less likely to relapse (Martínez-González et al , 2018).…”

El reto de la psicoterapia de los trastornos de la personalidad en drogodependientes

“…-Si bien se asumía que el tratamiento de los tp fracasaba (Vaillant y Perry, 1980), se ha podido constatar cómo la psicoterapia cognitivo-conductual es efectiva en el tratamiento de estos pacientes (Martínez-González et al, 2018).…”