Psychological interventions for alcohol misuse among people with co-occurring depression or anxiety disorders: A systematic review

Baker, Amanda; Thornton, Louise; Hiles, Sarah A.; Hides, Leanne; Lubman, Dan I.

doi:10.1016/j.jad.2011.08.004

Cited by 132 publications

(96 citation statements)

References 34 publications

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“…Therefore, addressing both MD/AD and SUD is an important treatment goal and may lead to improved treatment outcomes overall. A recent meta‐analysis of eight randomized controlled trials on concurrent treatment of MD/AD and alcohol misuse concluded that interventions, such as CBT and motivational interviewing are effective for treating both MD/AD and alcohol disorders simultaneously (Baker, Thornton, Hiles, Hides, & Lubman, 2012). An additional consideration is the use of Dialectical Behaviour Therapy (DBT), a therapy that was developed for the treatment of borderline personality disorder, but has been suggested to be effective for the treatment of SUD as well as other psychiatric disorders (Dimeff & Linehan, 2008).…”

Section: Discussionmentioning

confidence: 99%

Self-medication with alcohol or drugs for mood and anxiety disorders: A narrative review of the epidemiological literature

et al. 2018

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BackgroundThe comorbidity of mood and anxiety disorders (MD and AD) with substance use disorders (SUD) is common. One explanation for this comorbidity is the self‐medication hypothesis, which posits that individuals with MD or AD use substances to cope with the difficult symptoms associated with the disorder. Over time, self‐medication (SM) can develop into an independent SUD. This narrative review will present the prevalence and correlates of SM with alcohol and/or drugs for MD and AD and the relationship between SM and subsequent SUD using both cross‐sectional and longitudinal epidemiological data.MethodsScopus and PsycINFO were searched from January 1997 to April 2018 to identify original research articles that examined the prevalence and correlates of SM and the temporal relationship between MD/AD and SUD in the general population (n = 22).ResultsThe prevalence of SM with alcohol and/or drugs among those with MD or AD ranged from 21.9% to 24.1%. Male sex, younger age, being separated, divorced or widowed, and being Caucasian were characteristics associated with higher proportions of respondents endorsing SM with alcohol/drugs for MD and AD. Longitudinal data supports the temporal onset of primary MD/AD and secondary SUD among those who self‐report SM.ConclusionProviding and promoting alternate coping strategies for those with MD/AD may reduce SM, the development of SUD, and the comorbidity of MD/AD with SUD. The concurrent treatment of MD/AD and substance use is the current “gold standard” model of care, and the results of this review support its use.

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Section: Discussionmentioning

confidence: 99%

Self-medication with alcohol or drugs for mood and anxiety disorders: A narrative review of the epidemiological literature

et al. 2018

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“…Abundant evidence has suggested that ARD is also associated with other comorbid psychiatric disorders, especially internalizing disorders such as anxiety or depression (Baker et al, 2012;Charriau et al, accumulate mental strain as well as an inadequate drinking habit (i.e., ARD), leading them to a psychologically unstable state. In the former case, problematic alcohol use precedes internalizing symptomatology while the latter case is the opposite, thus remaining a matter of controversy (Saraceno et al, 2009).…”

Section: Introductionmentioning

confidence: 99%

Genetic alcohol sensitivity regulated by ALDH2 and ADH1B polymorphisms is strongly associated with depression and anxiety in Japanese employees

Yoshimasu

Mure

Hashimoto

et al. 2015

Drug and Alcohol Dependence

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“…Optimal treatment outcomes are realised when clinicians consider both abstinence and non-abstinence goals, develop therapeutic techniques and external incentives to promote motivation for change (Adams, 2008). Motivational strategies and cognitive behavioural therapy are effective interventions to help people with co occurring drug and alcohol issues, especially those with co-occurring alcohol and depressive or anxiety disorders (Baker et al, 2002;Baker, Thornton, Hiles, Hides, & Lubman, 2012).…”

Section: Discussionmentioning

confidence: 99%

The Alcohol Smoking and Substance Involvement Screening Test (ASSIST) in an Acute Mental Health Setting

Heslop

Ross

Osmond

et al. 2013

Int J Ment Health Addiction

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Up to sixty percent of people admitted to acute mental health services in Australia present with a clinically significant co-occurring drug and/or alcohol problem. These individuals experience poorer health outcomes when compared to the general population and to those people who have a mental illness but have no co-morbid alcohol and drug problems.Anecdotal evidence also suggests that many nurses working in the area do not have the knowledge and skills and confidence to work effectively with this patient population.Drug and alcohol assessment tools, considered the gold standard, generally assess only one substance at a time or provide little specific information on the particular substance of use or abuse. An amended version of the World Health Organisation, (WHO) AlcoholSmoking and Substance Involvement Screening Test Version 3 (ASSIST V3.0) and associated brief interventions was implemented following an in-vivo education program at an acute mental health inpatient unit in Western Australia. This before and after intervention" study utilised a self-rating questionnaire and a knowledge quiz to assess nurses" knowledge of drug and alcohol issues as well as their level of confidence to work with people who have a mental illness and co-occurring drug and alcohol problems. Translation of acquired knowledge into patient care was also evaluated through a review of patient medical records.Significant improvement in nurses" knowledge was reported along with increased clinical confidence and skills to identify, assess, and manage this group of patients and to provide them with information and referral to appropriate agencies in the community.

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Psychological interventions for alcohol misuse among people with co-occurring depression or anxiety disorders: A systematic review

Cited by 132 publications

References 34 publications

Self-medication with alcohol or drugs for mood and anxiety disorders: A narrative review of the epidemiological literature

Self-medication with alcohol or drugs for mood and anxiety disorders: A narrative review of the epidemiological literature

Genetic alcohol sensitivity regulated by ALDH2 and ADH1B polymorphisms is strongly associated with depression and anxiety in Japanese employees

The Alcohol Smoking and Substance Involvement Screening Test (ASSIST) in an Acute Mental Health Setting

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