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International Journal of Mental Health and Addiction

14.08.2023 | Original Article

Online Psychotherapy for the Management of Alcohol Use Disorder, a Systematic Review and Network Meta-analysis

verfasst von: Gilmar Gutierrez, Dekel Meartsi, Niloofar Nikjoo, Saad Sajid, Elnaz Moghimi, Nazanin Alavi

Erschienen in: International Journal of Mental Health and Addiction

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Abstract

Alcohol use disorder (AUD) is a highly prevalent condition. To support our understanding of the available therapies, this systematic review and network meta-analysis (NMA) synthesized the available literature on online psychotherapy options for the management of AUD. This review searched MEDLINE, CINAHL, PsycINFO, EMBASE, and Cochrane for randomized controlled trials pertaining to online psychotherapy for AUD. The NMA considered alcohol use and depression symptomatology reduction, alcohol abstinence, quality of life improvement, and study dropouts. 22 studies were included (n = 17,140). eCBT-based interventions were significantly more effective than no treatment, attention controls and psychoeducation across all outcomes of interest. Effectiveness and dropout rates were similar between e-CBT and in-person therapies. The quality of the data was moderate to low. This review suggested that eCBT-based interventions are effective in managing AUD and highlighted the need for more robust and rigorous studies pertaining to online psychotherapy for AUD.

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Acosta, M. C., Possemato, K., Maisto, S. A., Marsch, L. A., Barrie, K., Lantinga, L., Fong, C., Xie, H., Grabinski, M., & Rosenblum, A. (2017). Web-delivered CBT reduces Heavy drinking in OEF-OIF Veterans in Primary Care with Symptomatic Substance Use and PTSD. Behavior Therapy, 48(2), 262–276. https://doi.org/10.1016/j.beth.2016.09.001CrossRefPubMed

Alavi, N., & Omrani, M. (2019). Online cognitive behavioral therapy: An e-Mental Health Approach to Depression and anxiety. Springer Nature Switzerland.

Augsburger, M., Kaal, E., Ülesoo, T., Wenger, A., Blankers, M., Haug, S., Ebert, D. D., Riper, H., Keough, M., Noormets, H., Schaub, M. P., & Kilp, K. (2022). Effects of a minimal-guided on-line intervention for alcohol misuse in Estonia: A randomized controlled trial. Addiction, 117(1), 108–117. https://doi.org/10.1111/add.15633CrossRefPubMed

Baier, A. L., Kline, A. C., & Feeny, N. C. (2020). Therapeutic alliance as a mediator of change: A systematic review and evaluation of research. Clinical Psychology Review, 82(November 2019), 101921. https://doi.org/10.1016/j.cpr.2020.101921

Baumgartner, C., Schaub, M. P., Wenger, A., Malischnig, D., Augsburger, M., Lehr, D., Blankers, M., Ebert, D. D., & Haug, S. (2021). “Take Care of You” – Efficacy of integrated, minimal-guidance, internet-based self-help for reducing co-occurring alcohol misuse and depression symptoms in adults: Results of a three-arm randomized controlled trial. Drug and Alcohol Dependence, 225. https://doi.org/10.1016/j.drugalcdep.2021.108806

Beheshti, A., Chavanon, M. L., & Christiansen, H. (2020). Emotion dysregulation in adults with attention deficit hyperactivity disorder: A meta-analysis. Bmc Psychiatry, 20(1), 120. https://doi.org/10.1186/s12888-020-2442-7CrossRefPubMedPubMedCentral

Blankers, M., Koeter, M. W. J., & Schippers, G. M. (2011). Internet therapy versus internet self-help versus no treatment for problematic alcohol use: A randomized controlled trial. Journal of Consulting and Clinical Psychology, 79(3), 330–341. https://doi.org/10.1037/a0023498CrossRefPubMed

Borenstein, M., Hedges, L. V., Higgins, J. P. T., & Rothstein, H. R. (2010). A basic introduction to fixed-effect and random-effects models for meta-analysis. Research Synthesis Methods, 1(2), 97–111. https://doi.org/10.1002/jrsm.12CrossRefPubMed

Brendryen, H., Lund, I. O., Johansen, A. B., Riksheim, M., Nesvåg, S., & Duckert, F. (2014). Balance-a pragmatic randomized controlled trial of an online intensive self-help alcohol intervention. Addiction, 109(2), 218–226. https://doi.org/10.1111/add.12383CrossRefPubMed

Brief, D. J., Rubin, A., Keane, T. M., Enggasser, J. L., Roy, M., Helmuth, E., Hermos, J., Lachowicz, M., Rybin, D., & Rosenbloom, D. (2013). Web intervention for OEF/OIF veterans with problem drinking and PTSD symptoms: A randomized clinical trial. Journal of Consulting and Clinical Psychology, 81(5), 890–900. https://doi.org/10.1037/a0033697CrossRefPubMedPubMedCentral

Campbell, E. J., Lawrence, A. J., & Perry, C. J. (2018). New steps for treating alcohol use disorder. Psychopharmacology (Berl), 235(6), 1759–1773. https://doi.org/10.1007/s00213-018-4887-7CrossRefPubMed

Castellini, G., Bruschettini, M., Gianola, S., Gluud, C., & Moja, L. (2018). Assessing imprecision in Cochrane systematic reviews: A comparison of GRADE and Trial Sequential Analysis. Systematic Reviews, 7(1), 110. https://doi.org/10.1186/s13643-018-0770-1CrossRefPubMedPubMedCentral

Castillo-Carniglia, A., Keyes, K. M., Hasin, D. S., & Cerdá, M. (2019). Psychiatric comorbidities in alcohol use disorder. The Lancet Psychiatry, 6(12), 1068–1080. https://doi.org/10.1016/S2215-0366(19)30222-6CrossRefPubMedPubMedCentral

Cavicchioli, M., Movalli, M., & Maffei, C. (2018). The clinical efficacy of mindfulness-based treatments for Alcohol and Drugs Use Disorders: A Meta-Analytic Review of Randomized and Nonrandomized Controlled trials. European Addiction Research, 24(3), 137–162. https://doi.org/10.1159/000490762CrossRefPubMed

Charlson, F., van Ommere, M., Flaxman, A., Cornett, J., Whitefront, H., & Saxena, S. (2019). New WHO prevalence estimates of mental disorders in conflict settings: a XXXandomized review and meta-analysis. The Lancet, 394.

Cohen, J. (1988). Statistical Power Analysis for the Behavioral Sciences (2nd ed.).

Cougle, J. R., Summers, B. J., Allan, N. P., Dillon, K. H., Smith, H. L., Okey, S. A., & Harvey, A. M. (2017). Hostile interpretation training for individuals with alcohol use disorder and elevated trait anger: A controlled trial of a web-based intervention. Behaviour Research and Therapy, 99, 57–66. https://doi.org/10.1016/j.brat.2017.09.004CrossRefPubMed

Cunningham, J. A. (2012). Comparison of two internet-based interventions for problem drinkers: Randomized controlled trial. Journal of Medical Internet Research, 14(4), 1–7. https://doi.org/10.2196/jmir.2090CrossRef

Cunningham, J. A., Shorter, G. W., Murphy, M., Kushnir, V., Rehm, J., & Hendershot, C. S. (2017). Randomized Controlled Trial of a brief Versus Extended Internet intervention for Problem Drinkers. International Journal of Behavioral Medicine, 24(5), 760–767. https://doi.org/10.1007/s12529-016-9604-5CrossRefPubMed

Deady, M., Mills, K. L., Teesson, M., & Kay-Lambkin, F. (2016). An online intervention for co-occurring depression and problematic alcohol use in young people: Primary outcomes from a randomized controlled trial. Journal of Medical Internet Research, 18(3), 1–12. https://doi.org/10.2196/jmir.5178CrossRef

Dedert, E. A., Mcduffie, J. R., Stein, R., Mcniel, J. M., Kosinski, A. S., Freiermuth, C. E., Hemminger, A., & John, W. (2016). Electronic Interventions for Alcohol Misuse and Alcohol Use Disorders A Systematic Review. 163(3), 205–214. https://doi.org/10.7326/M15-0285.Electronic

Du Prel, J. B., Hommel, G., Röhrig, B., & Blettner, M. (2009). Konfidenzintervall oder p-wert? Teil 4 der serie zur bewertung wissenschaftlicher publikationen. Deutsches Arzteblatt, 106(19), 335–339. https://doi.org/10.3238/arztebl.2009.0335CrossRef

Frampton, G. K., Livoreil, B., & Petrokofsky, G. (2017). Eligibility screening in evidence synthesis of environmental management topics. Environmental Evidence, 6(1), 1–14. https://doi.org/10.1186/s13750-017-0102-2CrossRef

Gajecki, M., Andersson, C., Rosendahl, I., Sinadinovic, K., Fredriksson, M., & Berman, A. H. (2017). Skills training via Smartphone App for University students with excessive alcohol consumption: A Randomized Controlled Trial. International Journal of Behavioral Medicine, 24(5), 778–788. https://doi.org/10.1007/s12529-016-9629-9CrossRefPubMedPubMedCentral

Government of Canada (2021). Low-risk alcohol drinking guidelines. Canada Ca. https://www.canada.ca/en/health-canada/services/substance-use/alcohol/low-risk-alcohol-drinking-guidelines.html

Gratzer, D., & Khalid-Khan, F. (2016). Internet-delivered cognitive behavioural therapy in the treatment of psychiatric illness. Cmaj, 188(4), 263–272. https://doi.org/10.1503/cmaj.150007CrossRefPubMedPubMedCentral

Guillemont, J., Cogordan, C., Nalpas, B., Nguyen-Thanh, V., Richard, J. B., & Arwidson, P. (2017). Effectiveness of a web-based intervention to reduce alcohol consumption among french hazardous drinkers: A randomized controlled trial. Health Education Research, 32(4), 332–342. https://doi.org/10.1093/her/cyx052CrossRefPubMed

Guyatt, G. H., Oxman, A. D., Vist, G. E., Kunz, R., Falck-Ytter, Y., Alonso-Coello, P., & Schünemann, H. J. (2008). GRADE: an emerging consensus on rating quality of evidence and strength of recommendations. BMJ, 336(7650), 924 LP – 926. https://doi.org/10.1136/bmj.39489.470347.AD

Hadjistavropoulos, H. D., Mehta, S., Wilhelms, A., Keough, M. T., & Sundström, C. (2020). A systematic review of internet-delivered cognitive behavior therapy for alcohol misuse: Study characteristics, program content and outcomes. Cognitive Behaviour Therapy, 49(4), 327–346. https://doi.org/10.1080/16506073.2019.1663258CrossRefPubMed

Harada, T., Aikawa, Y., Takahama, M., Yumoto, Y., Umeno, M., Hasegawa, Y., Ohsawa, S., & Asukai, N. (2022). A 12-session relapse prevention program vs psychoeducation in the treatment of japanese alcoholic patients: A randomized controlled trial. Neuropsychopharmacology Reports, 42(2), 205–212. https://doi.org/10.1002/npr2.12248CrossRefPubMedPubMedCentral

Haugh, S., O’Connor, L., Slattery, B., Hanlon, M., Flynn, J., Quinn, S., Jennings, C., & McGuire, B. E. (2019). An analysis of psychotherapies delivered online and in person for patients with chronic pain: Protocol for a systematic review and network meta-analysis. HRB Open Research, 2, 25. https://doi.org/10.12688/hrbopenres.12953.1CrossRefPubMed

Hendershot, C. S., Witkiewitz, K., George, W. H., & Marlatt, G. A. (2011). Relapse prevention for addictive behaviors. Substance Abuse: Treatment Prevention and Policy, 6(1), 1–17. https://doi.org/10.1186/1747-597X-6-17CrossRef

Henssler, J., Müller, M., Carreira, H., Bschor, T., Heinz, A., & Baethge, C. (2021). Controlled drinking—non-abstinent versus abstinent treatment goals in alcohol use disorder: A systematic review, meta-analysis and meta-regression. Addiction, 116(8), 1973–1987. https://doi.org/10.1111/add.15329CrossRefPubMed

Hidalgo-Mazzei, D., Mateu, A., Reinares, M., Matic, A., Vieta, E., & Colom, F. (2015). Internet-based psychological interventions for bipolar disorder: Review of the present and insights into the future. Journal of Affective Disorders, 188, 1–13. https://doi.org/10.1016/j.jad.2015.08.005CrossRefPubMed

Higgins, J. P. T., Thompson, S. G., Deeks, J. J., & Altman, D. G. (2003). Measuring inconsistency in meta-analyses. British Medical Journal, 327(7414), 557–560. https://doi.org/10.1136/bmj.327.7414.557CrossRefPubMedPubMedCentral

Higgins, J., Thomas, J., Chandler, J., Cumpston, M., Li, T., Page, M., & Welch, V. (2021). Cochrane Handbook for Systematic Reviews of Interventions (2nd ed.). Cochrane.

Hofmann, S. G., Asnaani, A., Vonk, I. J. J., Sawyer, A. T., & Fang, A. (2012). The efficacy of cognitive behavioral therapy: A review of Meta-analyses. Cognitive Therapy and Research, 36(5), 427–440. https://doi.org/10.1007/s10608-012-9476-1CrossRefPubMedPubMedCentral

Humphreys, G., Evans, R., Makin, H., Cooke, R., & Jones, A. (2021). Identification of behavior change techniques from successful web-based interventions targeting alcohol consumption, binge eating, and gambling: Systematic review. Journal of Medical Internet Research, 23(2), https://doi.org/10.2196/22694

Hutton, B., Salanti, G., Caldwell, D. M., Chaimani, A., Schmid, C. H., Cameron, C., Ioannidis, J. P. A., Straus, S., Thorlund, K., Jansen, J. P., Mulrow, C., Catala-Lopez, F., Gotzsche, P. C., Dickersin, K., Boutron, I., Altman, D. G., & Moher, D. (2015). The PRISMA extension statement for reporting of systematic reviews incorporating network meta-analyses of health care interventions: Checklist and explanations. Annals of Internal Medicine, 162(11), 777–784. https://doi.org/10.7326/M14-2385CrossRefPubMed

Irvin, J. E., Bowers, C. A., Dunn, M. E., & Wang, M. C. (1999). Efficacy of relapse prevention: A meta-analytic review. Journal of Consulting and Clinical Psychology, 67(4), 563–570. https://doi.org/10.1037/0022-006X.67.4.563CrossRefPubMed

Iversen, A. C., Van Staden, L., Hughes, J. H., Greenberg, N., Hotopf, M., Rona, R. J., Thornicroft, G., Wessely, S., & Fear, N. T. (2011). The stigma of mental health problems and other barriers to care in the UK Armed Forces. BMC Health Services Research, 11. https://doi.org/10.1186/1472-6963-11-31

Jansen, J. P., & Naci, H. (2013). Is network meta-analysis as valid as standard pairwise meta-analysis? It all depends on the distribution of effect modifiers. BMC Medicine, 11(1), https://doi.org/10.1186/1741-7015-11-159

Johansson, M., Berman, A. H., Sinadinovic, K., Lindner, P., Hermansson, U., & Andréasson, S. (2021a). Effects of internet-based cognitive behavioral therapy for harmful alcohol use and alcohol dependence as self-help or with therapist guidance: Three-armed randomized trial. Journal of Medical Internet Research, 23(11), https://doi.org/10.2196/29666.

Johansson, M., Sinadinovic, K., Gajecki, M., Lindner, P., Berman, A. H., Hermansson, U., & Andréasson, S. (2021b). Internet-based therapy versus face-to-face therapy for alcohol use disorder, a randomized controlled non-inferiority trial. Addiction, 116(5), 1088–1100. https://doi.org/10.1111/add.15270.CrossRefPubMed

Kiluk, B. D., Devore, K. A., Buck, M. B., Nich, C., Frankforter, T. L., LaPaglia, D. M., Yates, B. T., Gordon, M. A., & Carroll, K. M. (2016). Randomized trial of computerized cognitive behavioral therapy for Alcohol Use Disorders: Efficacy as a virtual stand-alone and treatment Add-On compared with Standard Outpatient Treatment. Alcoholism: Clinical and Experimental Research, 40(9), 1991–2000. https://doi.org/10.1111/acer.13162CrossRefPubMed

Lagan, S., Ramakrishnan, A., Lamont, E., Ramakrishnan, A., Frye, M., & Torous, J. (2020). Digital health developments and drawbacks: A review and analysis of top-returned apps for bipolar disorder. International Journal of Bipolar Disorders, 8(1), https://doi.org/10.1186/s40345-020-00202-4

Liberati, A., Altman, D. G., Tetzlaff, J., Mulrow, C., Gøtzsche, P. C., Ioannidis, J. P. A., Clarke, M., Devereaux, P. J., Kleijnen, J., & Moher, D. (2009). The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: Explanation and elaboration. Journal of Clinical Epidemiology, 62(10), e1–e34. https://doi.org/10.1016/j.jclinepi.2009.06.006CrossRefPubMed

Lin, G. G., & Scott, J. G. (2006). Rates and predictors of relapse after natural and treated remission from alcohol use disorders. Addiction, 101(2), 212–222.CrossRef

Lipsey, M. W., & Wilson, D. B. (2001). Practical meta-analysis. Practical meta-analysis. Sage Publications, Inc.

Magill, M., Ray, L., Kiluk, B., Hoadley, A., Bernstein, M., Tonigan, J. S., & Carroll, K. (2019). A Meta-analysis of cognitive-behavioral therapy for Alcohol or other Drug Use Disorders: Treatment efficacy by contrast Condition. Journal of Consulting and Clinical Psychology, 87(12), 1093–1105. https://doi.org/10.1037/ccp0000447.suppCrossRefPubMedPubMedCentral

Malhi, G. S., Bassett, D., Boyce, P., Bryant, R., Fitzgerald, P. B., Fritz, K., Hopwood, M., Lyndon, B., Mulder, R., Murray, G., Porter, R., & Singh, A. B. (2015). Royal Australian and New Zealand College of Psychiatrists clinical practice guidelines for mood disorders. Australian and New Zealand Journal of Psychiatry, 49(12), 1087–1206. https://doi.org/10.1177/0004867415617657CrossRefPubMed

Mbuagbaw, L., Rochwerg, B., Jaeschke, R., Heels-Andsell, D., Alhazzani, W., Thabane, L., & Guyatt, G. H. (2017). Approaches to interpreting and choosing the best treatments in network meta-analyses. Systematic Reviews, 6(1), 1–5. https://doi.org/10.1186/s13643-017-0473-zCrossRef

McDonald, A., Eccles, J. A., Fallahkhair, S., & Critchley, H. D. (2020). Online psychotherapy: Trailblazing digital healthcare. BJPsych Bulletin, 44(2), 60–66. https://doi.org/10.1192/bjb.2019.66CrossRefPubMed

McGinty, K., Saeed, S., Simmons, S., & Yildirim, Y. (2006). Telepsychiatry and e-Mental Health Services: Potential for improving Access to Mental Health Care. Psychiatry Q, 77, 335–342. https://doi.org/10.1007/s11126-006-9019-6CrossRef

Mohr, D., Ho, J., Duffecy, J., Baron, K., Lehman, K., Jin, L., & Reifler, D. (2010). Perceived barriers to psychological treatments and their relationship to Depression. Journal of Clinical Psychology, 66(4), 394–409. https://doi.org/10.1002/jclpCrossRefPubMedPubMedCentral

Morin, J. G., Harris, M., & Conrod, P. J. (2017). A Review of CBT Treatments for Substance Use Disorders Oxford Handbooks Online A Review of CBT Treatments for Substance Use Disorders (Vol. 5, Issue April 2018).

Musiat, P., Goldstone, P., & Tarrier, N. (2014). Understanding the acceptability of e-mental health – attitudes and expectations towards XXXandomizedXXXd self-help treatments for mental health problems. Bmc Psychiatry, 14(1), 1–8. https://doi.org/10.1186/1471-244X-14-109CrossRef

National Institute on Alcohol Abuse and Alcoholism. (n.d.-b). Drinking levels defined. U.S. Department of Health and Human Services. https://www.niaaa.nih.gov/alcohol-health/overview-alcohol-consumption/moderate-binge-drinking

National Institute on Alcohol Abuse and Alcoholism. (n.d.-c). What is a standard drink? U.S. Department of Health and Human Services.

National Institute on Alcohol Abuse and Alcoholism. (n.d.-a). Alcohol Use Disorder: A comparison between DSM–IV and DSM–5. U.S. Department of Health and Human Services.

Neighbors, C., Lewis, M. A., Atkins, D. C., Jensen, M. M., Walter, T., Fossos, N., Lee, C. M., & Larimer, M. E. (2010). Efficacy of web-based personalized normative feedback: A two-year randomized controlled trial. Journal of Consulting and Clinical Psychology, 78(6), 898–911. https://doi.org/10.1037/a0020766CrossRefPubMedPubMedCentral

Orwin, R. G. (1983). A fail-safe N for effect size in Meta-Analysis. Journal of Educational Statistics, 8(2), 157–159. https://doi.org/10.3102/10769986008002157CrossRef

Owen, R. K., Bradbury, N., Xin, Y., Cooper, N., & Sutton, A. (2019). MetaInsight: An interactive web-based tool for analyzing, interrogating, and visualizing network meta-analyses using R-shiny and netmeta. Research Synthesis Methods, 10(4), 569–581. https://doi.org/10.1002/jrsm.1373CrossRefPubMedPubMedCentral

Postel, M. G., De Haan, H. A., Ter Huurne, E. D., Becker, E. S., & De Jong, C. A. J. (2010). Effectiveness of a web-based intervention for problem drinkers and reasons for dropout: Randomized controlled trial. Journal of Medical Internet Research, 12(4), 1–12. https://doi.org/10.2196/jmir.1642CrossRef

Proudfoot, J., Clarke, J., Birch, M. R., Whitton, A. E., Parker, G., Manicavasagar, V., Harrison, V., Christensen, H., & Hadzi-Pavlovic, D. (2013). Impact of a mobile phone and web program on symptom and functional outcomes for people with mild-to-moderate depression, anxiety and stress: A XXXandomized controlled trial. Bmc Psychiatry, 13, 312. https://doi.org/10.1186/1471-244X-13-312CrossRefPubMedPubMedCentral

Ray, L. A., Bujarski, S., Grodin, E., Hartwell, E., Green, R. J., Venegas, A., Lim, A. C., Gillis, A., & Miotto, K. (2019). State-of-the-art behavioral and pharmacological treatments for alcohol use disorder. American Journal of Drug and Alcohol Abuse, 45(2), 124–140. https://doi.org/10.1080/00952990.2018.1528265CrossRefPubMed

Rouse, B., Chaimani, A., & Li, T. (2017). Network meta-analysis: An introduction for clinicians. Internal and Emergency Medicine, 12(1), 103–111. https://doi.org/10.1007/s11739-016-1583-7CrossRefPubMed

Salanti, G. (2012). Indirect and mixed-treatment comparison, network, or multiple-treatments meta-analysis: Many names, many benefits, many concerns for the next generation evidence synthesis tool. Research Synthesis Methods, 3(2), 80–97. https://doi.org/10.1002/jrsm.1037CrossRefPubMed

Salanti, G., Higgins, J. P. T., Ades, A. E., & Ioannidis, J. P. A. (2008). Evaluation of networks of randomized trials. Statistical Methods in Medical Research, 17(3), 279–301. https://doi.org/10.1177/0962280207080643CrossRefPubMed

Saunders, J. (n.d.). Scoring the AUDIT. AUDIT Screen. https://auditscreen.org/about/scoring-audit

Saxena, S., & Setoya, Y. (2014). World Health Organization’s Comprehensive Mental Health Action Plan 2013–2020. Psychiatry and Clinical Neurosciences, 68(8), 585–586. https://doi.org/10.1111/pcn.12207CrossRefPubMed

Schaub, M. P., Tiburcio, M., Martínez-Vélez, N., Ambekar, A., Bhad, R., Wenger, A., Baumgartner, C., Padruchny, D., Osipchik, S., Poznyak, V., Rekve, D., Moraes, F. L., Andrade, M., A. L., & Oliveira Souza-Formigoni, M. L. (2021). The effectiveness of a web-based self-help program to reduce alcohol use among adults with drinking patterns considered harmful, hazardous, or suggestive of dependence in four low-and middle-income countries: Randomized controlled trial. Journal of Medical Internet Research, 23(8), 1–12. https://doi.org/10.2196/21686CrossRef

Sedgwick, P., & Marston, L. (2015). How to read a funnel plot in a meta-analysis. BMJ (Online), 351, 21–24. https://doi.org/10.1136/bmj.h4718CrossRef

Sinadinovic, K., Wennberg, P., Johansson, M., & Berman, A. H. (2014). Targeting individuals with problematic alcohol use via web-based cognitive-behavioral self-help modules, personalized screening feedback or assessment only: A randomized controlled trial. European Addiction Research, 20(6), 305–318. https://doi.org/10.1159/000362406CrossRefPubMed

Sterne, J. A. C., Savović, J., Page, M. J., Elbers, R. G., Blencowe, N. S., Boutron, I., Cates, C. J., Cheng, H. Y., Corbett, M. S., Eldridge, S. M., Emberson, J. R., Hernán, M. A., Hopewell, S., Hróbjartsson, A., Junqueira, D. R., Jüni, P., Kirkham, J. J., Lasserson, T., Li, T., & Higgins, J. P. T. (2019). RoB 2: A revised tool for assessing risk of bias in XXXandomized trials. Bmj, 366, l4898. https://doi.org/10.1136/bmj.l4898CrossRefPubMed

Sundström, C., Eék, N., Kraepelien, M., Fahlke, C., Gajecki, M., Jakobson, M., Beckman, M., Kaldo, V., & Berman, A. H. (2020). High- versus low-intensity internet interventions for alcohol use disorders: Results of a three-armed randomized controlled superiority trial. Addiction, 115(5), 863–874. https://doi.org/10.1111/add.14871CrossRefPubMedPubMedCentral

Valentine, J. C., Pigott, T. D., & Rothstein, H. R. (2010). How many studies do you need?: A primer on Statistical Power for Meta-Analysis. Journal of Educational and Behavioral Statistics, 35(2), 215–247. https://doi.org/10.3102/1076998609346961CrossRef

Veritas Health Innovation (2022). Covidence Systematic Review Software. http://www.covidence.org/

Wallace, P., Murray, E., McCambridge, J., Khadjesari, Z., White, I. R., Thompson, S. G., Kalaitzaki, E., Godfrey, C., & Linke, S. (2011). On-line randomized controlled trial of an internet based psychologically enhanced intervention for people with hazardous alcohol consumption. PloS ONE, 6(3), 1–8. https://doi.org/10.1371/journal.pone.0014740CrossRef

Weck, F., Grikscheit, F., Jakob, M., Höfling, V., & Stangier, U. (2015). Treatment failure in cognitive-behavioural therapy: Therapeutic alliance as a precondition for an adherent and competent implementation of techniques. British Journal of Clinical Psychology, 54(1), 91–108. https://doi.org/10.1111/bjc.12063CrossRefPubMed

Wilks, C. R., Lungu, A., Ang, S. Y., Matsumiya, B., Yin, Q., & Linehan, M. M. (2018). A randomized controlled trial of an Internet delivered dialectical behavior therapy skills training for suicidal and heavy episodic drinkers. Journal of Affective Disorders, 232(October 2017), 219–228. https://doi.org/10.1016/j.jad.2018.02.053

Wolf, C., Curry, A., Nacht, J., & Simpson, S. A. (2020). Management of alcohol withdrawal in the emergency department: Current perspectives. Open Access Emergency Medicine, 12, 53–65. https://doi.org/10.2147/OAEM.S235288CrossRefPubMedPubMedCentral

Zill, J. M., Christalle, E., Meyer, B., Härter, M., & Dirmaier, J. (2019). Wirksamkeit einer Internetintervention zur Reduktion von Alkoholkonsum bei Erwachsenen. Deutsches Arzteblatt International, 116(8), 127–133. https://doi.org/10.3238/arztebl.2019.0127CrossRefPubMedPubMedCentral

Titel: Online Psychotherapy for the Management of Alcohol Use Disorder, a Systematic Review and Network Meta-analysis
verfasst von: Gilmar Gutierrez
Dekel Meartsi
Niloofar Nikjoo
Saad Sajid
Elnaz Moghimi
Nazanin Alavi
Publikationsdatum: 14.08.2023
Verlag: Springer US
Erschienen in: International Journal of Mental Health and Addiction
Print ISSN: 1557-1874
Elektronische ISSN: 1557-1882
DOI: https://doi.org/10.1007/s11469-023-01132-9

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Eine Studie aus Finnland hat die Social-Media-Nutzung unter 16-jährigen Mädchen genauer unter die Lupe genommen. Lange Nutzdauer von Instagram & Co. war mit höheren Raten an Angststörungen assoziiert. Insgesamt waren rund 17% der Mädchen abhängig von Social Media.

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Springer Medizin

Online Psychotherapy for the Management of Alcohol Use Disorder, a Systematic Review and Network Meta-analysis

Abstract

Neu im Fachgebiet Psychiatrie

Mehr Zeit in den sozialen Medien kann zu Angststörungen führen

Intoxikation ohne Alkoholaufnahme: An das Eigenbrauer-Syndrom denken!

Prämenstruelle Beschwerden mit Suizidrisiko assoziiert

Bei seelischem Stress sind Checkpoint-Hemmer weniger wirksam

Update Psychiatrie

Springer Medizin

Abstract

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Neu im Fachgebiet Psychiatrie

Mehr Zeit in den sozialen Medien kann zu Angststörungen führen

Intoxikation ohne Alkoholaufnahme: An das Eigenbrauer-Syndrom denken!

Prämenstruelle Beschwerden mit Suizidrisiko assoziiert

Bei seelischem Stress sind Checkpoint-Hemmer weniger wirksam

Update Psychiatrie