| Autor: |
Voshaar, R. C. Oude, Gorgels, W. J. M. J., Mol, A. J. J., van Balkom, A. J. L. M., van de Lisdonk, E. H., Breteler, M. H. M., van den Hoogen, H. J. M., Zitman, F. G. |
| Předmět: |
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| Zdroj: |
British Journal of Psychiatry; Jun2003, Vol. 182, p498-504, 7p, 2 Charts |
| Abstrakt: |
Background: Benzodiazepine withdrawal programmes have never been experimentally compared with a nonintervention control condition.Aims: To evaluate the efficacy and feasibility of tapering off long-term benzodiazepine use in general practice, and to evaluate the value of additional group cognitive-behavioural therapy (CBT).Method: A 3-month randomised, 3-month controlled trial was conducted in which 180 people attempting to discontinue long-term benzodiazepine use were assigned to tapering off plus group CBT, tapering off alone or usual care.Results: Tapering off led to a significantly higher proportion of successful discontinuations than usual care (62% nu. 21%). Adding group CBT did not increase the success rate (58% v. 62%). Neither successful discontinuation nor intervention type affected psychological functioning. Both tapering strategies showed good feasibilityin general practice.Conclusions: Tapering off is a feasible and effective way of discontinuing long-term benzodiazepine use in general practice. The addition of group CBT is of limited value. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
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