Treatment of comorbid alcohol use disorders and depression with cognitive-behavioural therapy and motivational interviewing: a meta-analysis.

Riper H, Andersson G, Hunter SB, de Wit J, Berking M, Cuijpers P (2014)

Publication Status: Published

Publication Type: Journal article, Review article

Publication year: 2014

Journal

Addiction Wiley-Blackwell

Book Volume: 109

Pages Range: 394-406

Journal Issue: 3

DOI: 10.1111/add.12441

Abstract

BACKGROUND AND AIMS\nTo review published studies on the effectiveness of combining cognitive-behavioural therapy (CBT) and motivational interviewing (MI) to treat comorbid clinical and subclinical alcohol use disorder (AUD) and major depression (MDD) and estimate the effect of this compared with usual care.\nMETHODS\nWe conducted systematic literature searches in PubMed, PsycINFO and Embase up to June 2013 and identified additional studies through cross-references in included studies and systematic reviews. Twelve studies comprising 1721 patients met our inclusion criteria. The studies had sufficient statistical power to detect small effect sizes.\nRESULTS\nCBT/MI proved effective for treating subclinical and clinical AUD and MDD compared with controls, with small overall effect sizes at post-treatment [g=0.17, confidence interval (CI)=0.07-0.28, P<0.001 for decrease of alcohol consumption and g=0.27, CI: 0.13-0.41, P<0.001 for decrease of symptoms of depression, respectively]. Subgroup analyses revealed no significant differences for both AUD and MDD. However, digital interventions showed a higher effect size for depression than face-to-face interventions (g= 0.73 and g=0.23, respectively, P=0.030).\nCONCLUSIONS\nCombined cognitive-behavioural therapy and motivational interviewing for clinical or subclinical depressive and alcohol use disorders has a small but clinically significant effect in treatment outcomes compared with treatment as usual.

Authors with CRIS profile

Matthias Berking Lehrstuhl für Klinische Psychologie und Psychotherapie

Involved external institutions

Linköping University SE Sweden (SE) RAND Corporation US United States (USA) (US) Vrije Universiteit Amsterdam (VU) / University Amsterdam NL Netherlands (NL)

How to cite

APA:

Riper, H., Andersson, G., Hunter, S.B., de Wit, J., Berking, M., & Cuijpers, P. (2014). Treatment of comorbid alcohol use disorders and depression with cognitive-behavioural therapy and motivational interviewing: a meta-analysis. Addiction, 109(3), 394-406. https://doi.org/10.1111/add.12441

MLA:

Riper, Heleen, et al. "Treatment of comorbid alcohol use disorders and depression with cognitive-behavioural therapy and motivational interviewing: a meta-analysis." Addiction 109.3 (2014): 394-406.

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