Journal List > Perspect Nurs Sci > v.15(1) > 1060439

Ryu, Gwon, Noh, and Kim: An Integrative Review of Cognitive Behavioral Therapy for Patients with Alcohol Use Disorder

Abstract

Purpose

The present study aimed to review the characteristics of cognitive behavioral therapy (CBT) programs for alcohol use disorders and to examine the outcomes of such programs.

Methods

We searched for domestic and foreign studies that implemented a CBT program for alcohol use disorders, published from 2006 to 2017. Studies that met inclusion/exclusion criteria were selected and a quality assessment was performed using the Risk of Bias (RoB) and Risk of Bias Assessment Tool for Nonrandomized Studies (RoBANS) instruments. We utilized a five-stage analysis process, through which nine experimental studies were selected.

Results

Of these nine studies, four were randomized controlled trials, four used a quasi-experimental design, and one used a qualitative design. The CBT involved the three domains of cognitive reconstruction, problem solving, and coping. Coping with drinking situations and communication constituted most of the sessions. The outcomes of such interventions showed that CBT had a positive effect on alcohol use and self-evaluation.

Conclusion

CBT is an effective way to change alcohol use behaviors, motivation, interpersonal relationships, emotional control, and self-efficacy among patients with alcohol use disorders. This study provides evidence for the effectiveness of CBT-based programs for the treatment of alcohol use disorders.

Figures and Tables

Figure 1

Flow diagram of literature selection process.

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Table 1

Cognitive Behavior Therapy Program Analysis

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ABCT=Alcohol behavioral couple therapy; AUDIT=Alcohol use disorder identification test; BCT=Behavioral couples therapy; CBAP=Cognitive behavioural alcohol program; CBT4CBT=web-based cognitive behavioral therapy; G=Group; I=Individual; Individual CBT=individual focused cognitive behavioral therapy; PMMI=Post-mailed minimal intervention; RCT=Randomization controlled trials; TAU=Standard treatment as usual.

*Significant.

Table 2

Construction of the Cognitive Behavior Therapy Program

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AUDIT=Alcohol use disorder identification test.

Table 3

Outcome Variables according to the Cognitive Behavior Therapy Program

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*Significant independent variables.

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