Home > Psychosocial interventions for benzodiazepine harmful use, abuse or dependence.

Darker, Catherine D and Sweeney, Brion and Barry, Joseph and Farrell, Michael and Donnelly-Swift, Erica . (2015) Psychosocial interventions for benzodiazepine harmful use, abuse or dependence. London: John Wiley & Sons, Ltd. Cochrane Database of Systematic Reviews, 5 DOI: 10.1002/14651858.CD009652.pub2

URL: http://onlinelibrary.wiley.com/enhanced/doi/10.100...

Conclusion:
Cognitive behavioural therapy (CBT) plus taper is effective in the short term (three month time period) in reducing benzodiazepine (BZD) use. However, this is not maintained at six months and subsequently. The possibility of including a 'top-up' of CBT to sustain long term effects should be investigated. Currently there is insufficient evidence to support the use of Motivational Interviewing (MI) to reduce BZD use. There is some evidence to suggest that a tailored GP letter versus a general GP letter, standardised interview versus treatment as usual (TAU) and relaxation versus TAU could be effective for BZD reduction. There is currently insufficient evidence for other psychosocial approaches to reduce BZD use.


Item Type:Evidence resource
Publication Type:Review
Drug Type:CNS depressants
Intervention Type:AOD disorder treatment method
Date:May 2015
Publisher:John Wiley & Sons, Ltd
Place of Publication:London
Volume:5
EndNote:View
Accession Number:HRB (Electronic Only)
Subjects:B Substances > Sedatives or tranquillisers (CNS depressants) > Benzodiazepine
G Health and disease > Substance use disorder > Drug use > Drug dependence
HJ Treatment method > Psychosocial treatment method
HJ Treatment method > Treatment outcome
HJ Treatment method > Directive and nondirective therapy > Psychoanalytic therapy > Cognitive behavioural therapy (CBT)
HJ Treatment method > Psychosocial treatment method > Motivational interviewing
J Health care, prevention and rehabilitation > Treatment and maintenance > Treatment factors
J Health care, prevention and rehabilitation > Health care programme or facility > Community-based treatment (primary care)
T Demographic characteristics > Doctor

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