A systematic review of psychological interventions for excessive alcohol consumption among people with psychotic disorders

A. L. Baker, S. A. Hiles, L. K. Thornton, Leanne Hides, D. I. Lubman

Research output: Contribution to journalReview ArticleResearchpeer-review

26 Citations (Scopus)

Abstract

Objective: Excessive alcohol consumption is common among people with psychotic disorders. While there is an extensive literature on the efficacy of psychological treatments for excessive drinking, few studies have examined interventions addressing this issue among people with psychotic disorders. Method: Systematic searches in PubMed and PsycINFO were conducted to identify randomized controlled trials comparing manual-guided psychological interventions for excessive alcohol consumption among individuals with psychotic disorders. Of the 429 articles identified, seven met inclusion criteria. Data were extracted from each study regarding study sample characteristics, design, results, clinical significance of alcohol consumption results, and methodological limitations. Results: Assessment interviews, brief motivational interventions, and lengthier cognitive behavior therapy have been associated with reductions in alcohol consumption among people with psychosis. While brief interventions (i.e. 1-2 sessions) were generally as effective as longer duration psychological interventions (i.e. 10 sessions) for reducing alcohol consumption, longer interventions provided additional benefits for depression, functioning, and other alcohol outcomes. Conclusion: Excessive alcohol consumption among people with psychotic disorders is responsive to psychological interventions. It is imperative that such approaches are integrated within standard care for people with psychosis.

Original languageEnglish
Pages (from-to)243-255
Number of pages13
JournalActa Psychiatrica Scandinavica
Volume126
Issue number4
DOIs
Publication statusPublished - Oct 2012
Externally publishedYes

Keywords

  • Alcohol-related disorders
  • Comorbidity
  • Psychotherapy
  • Psychotic disorders
  • Review

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