Title | Cognitive-behavioural therapy for substance use disorders in people with psychotic disorders: Randomised controlled trial |
Publication Type | Journal Article |
Year of Publication | 2006 |
Authors | Baker, A, Bucci, S, Lewin, TJ, Kay-Lambkin, F, Constable, PM, Carr, VJ |
Journal | British Journal of Psychiatry |
Volume | 188 |
Pagination | 439-448 |
Publisher | Royal College of Psychiatrists |
Place Published | United Kingdom |
Publication Language | eng |
ISBN Number | 0007-12501472-1465 |
Accession Number | 2006-06728-008. First Author & Affiliation: Baker, Amanda |
Keywords | cognitive behavior therapy, Cognitive-behavioural therapy, Comorbidity, Drug Rehabilitation, motivational interviewing, psychosis, Psychotic Disorders, Substance use disorders |
Abstract | Background: Few randomised controlled trials have been aimed specifically at substance use reduction among people with psychotic disorders. Aims: To investigate whether a 10-session intervention consisting of motivational interviewing and cognitive behavioural therapy (CBT) was more efficacious than routine treatment in reducing substance use and improving symptomatology and general functioning. Method: A community sample of people with a psychotic disorder and who reported hazardous alcohol, cannabis and/or amphetamine use during the preceding month was recruited. Participants were randomly allocated to motivational interviewing/CBT (n=65) or treatment as usual (n=65), and were assessed on multiple outcomes at baseline, 15 weeks, 6 months and 12 months. Results: There was a short-term improvement in depression and a similar trend with regard to cannabis use among participants who received the motivational interviewing/CBT intervention, together with effects on general functioning at 12 months. There was no differential benefit of the intervention on substance use at 12 months, except for a potentially clinically important effect on amphetamine use. Conclusions: The motivational interviewing/CBT intervention was associated with modest improvements. (PsycINFO Database Record (c) 2010 APA, all rights reserved) (journal abstract) |
URL | http://libproxy.unm.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=psyh&AN=2006-06728-008&login.asp&site=ehost-live&scope=siteamanda.baker@newcastle.edu.auhttp://bjp.rcpsych.org/cgi/reprint/188/5/439.pdf |