Digital Mental Health for Alcohol and Substance Use Disorders
| Autor: | Mieke H. J. Schulte, Nikolaos Boumparis, Heleen Riper |
|---|---|
| Přispěvatelé: | Graduate School, Amsterdam Neuroscience - Compulsivity, Impulsivity & Attention, Psychiatry, APH - Global Health, APH - Mental Health, Clinical Psychology |
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Future studies Psychological intervention Intervention Substance use Digital law.invention SDG 3 - Good Health and Well-being Randomized controlled trial law Intervention (counseling) medicine Psychiatry Internet biology business.industry biology.organism_classification medicine.disease Mental health Comorbidity Treatment Psychiatry and Mental health Clinical Psychology Web-based Cannabis business |
| Zdroj: | Current Treatment Options in Psychiatry, 6(4), 352-366. Springer International Publishing AG Boumparis, N, Schulte, M H J & Riper, H 2019, ' Digital Mental Health for Alcohol and Substance Use Disorders ', Current Treatment Options in Psychiatry, vol. 6, no. 4, pp. 352-366 . https://doi.org/10.1007/s40501-019-00190-y Current treatment options in psychiatry, 6(4), 352-366. Springer International Publishing AG Boumparis, N, Schulte, M H J & Riper, H 2019, ' Digital Mental Health for Alcohol and Substance Use Disorders ', Current treatment options in psychiatry, vol. 6, no. 4, pp. 352-366 . https://doi.org/10.1007/s40501-019-00190-y |
| ISSN: | 2196-3061 |
| DOI: | 10.1007/s40501-019-00190-y |
| Popis: | Purpose Only about 20% of people suffering from substance use disorders access available treatments due to various obstacles; digital interventions could potentially overcome some of these. Meta-analyses suggest the strongest evidence for interventions targeting alcohol use reduction, followed by cannabis and illicit substances. However, most randomized controlled trials (RCTs) used unguided standalone interventions compared to non-active controls, with limited follow-up periods and disregarded comorbidity. This review examines the literature published over the last three years (2016–2019), with a focus on recent RCTs and whether they addressed some of these gaps. Recent findings Except for digital interventions targeting alcohol use, the number of RCTs in the last three years is limited. Although there is considerable heterogeneity between the studies, most of them applied unguided add-on interventions compared to active control groups, and a limited number investigated guided interventions. In addition, there is a need for longer follow-up periods, active rather than non-active control groups, outcome standardization, and increased focus on comorbidity. Summary Although the number of studies using guided add-on or blended interventions compared to active controls has increased, future studies should consider our identified gaps and suggestions to further strengthen the evidence of digital interventions for reducing the use of alcohol and other substances. |
| Databáze: | OpenAIRE |
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