An Integrative Review of Cognitive Behavioral Therapy for Patients with Alcohol Use Disorder

Soim Ryu; Taekyun Gwon; Eunyoung Noh; Yuna Kim

doi:10.16952/pns.2018.15.1.29

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

Original Article

Perspectives in Nursing Science 2018; 15(1): 29-40.

Published online: 30 April 2018

DOI: https://doi.org/10.16952/pns.2018.15.1.29

An Integrative Review of Cognitive Behavioral Therapy for Patients with Alcohol Use Disorder

Soim Ryu¹, Taekyun Gwon², Eunyoung Noh¹, Yuna Kim¹

¹RN, Department of Nursing, Seoul National University Hospital, Seoul, Korea.

²Graduate Student, College of Nursing, Seoul National University, Seoul, Korea.

Corresponding author: Gwon, Taekyun. College of Nursing, Seoul National University, 103 Daehak-ro, Jongno-gu, Seoul 03080, Korea. Tel: +82-2-740-8852 , Fax: +82-42-471-4430, taekuuni@snu.ac.kr

Received 10 March 2018 Revised 8 April 2018 Accepted 9 April 2018

The Research Institute of Nursing Science Seoul National University

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.

Keywords: Alcohols, Cognitive therapy

Figures and Tables

Figure 1

Flow diagram of literature selection process.

Table 1

Cognitive Behavior Therapy Program Analysis

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

AUDIT=Alcohol use disorder identification test.

Table 3

Outcome Variables according to the Cognitive Behavior Therapy Program

^*Significant independent variables.

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