Evidence Based Psychosocial Interventions in Substance Use PMC

While both groups significantly decreased the amount they drank, those assigned to the combination reported a higher percentage of days abstinent (43.9 versus 22.6%) and fewer alcohol-related problems than the group utilizing Moderation Management only. To clarify key terms used in this manuscript, the term substance use is defined as taking any illicit psychoactive substance or improper use Pof any prescribed or over the counter medication. Symptoms of substance abuse reflect the external consequences of problematic use such as failure to fulfill role obligations, legal problems, physically hazardous use, and interpersonal difficulty resulting from use.

Early learning theories and later social cognitive and cognitive theories have had a significant influence on the formulation CBT for addictive behaviours. Theoretical constructs such as self-efficacy, appraisal, outcome expectancies related to addictions arising out cognitive behavioral interventions for substance abuse these models have impacted treatment models considerably. Family therapy remains a “promising” intervention with polydrug users, family interventions, community reinforcement and CM approaches have been shown to be superior to drugs counseling and 12-step approaches.

Aggression Replacement Training (ART)

Second, strategies
used to cope with nonspecific stress appear to be somewhat different
from those used to cope with temptation. These findings suggest that
treatment not only should rectify deficiencies in coping abilities, but
that it may be necessary to focus on skills to deal with both general
stress and substance-related temptation. Furthermore, it may be
necessary to develop coping skills specific to several possible
situations in which the client may use substances. In substance use-related situations, coping “refers to
what an individual does or thinks in a relapse crisis situation so as to
handle the risk for renewed substance use” (Moser and Annis, 1996, p. 1101).

From this perspective, substance abuse is viewed as a learned
behavior having functional utility for the individual–the individual
uses substances in response to problematic situations as an attempt to
cope in the absence of more appropriate behavioral, cognitive, and
emotional coping skills. McCrady also included behavioral self-control training as another promising
but underutilized treatment approach (McCrady, 1991). Hester indicated that there is good empirical
support for behavioral self-control training in achieving the goal of
moderate, nonproblematic drinking (Hester, 1995).

Cognitive Theory

Several behavioural strategies are reported to be effective in the management of factors leading to addiction or substance use, such as anxiety, craving, skill deficits2,7. Most of the participants were between 20 and 40 years old and a few of them were less than 20 years old. The mean age of the participants was 33 and 31 years in the intervention and control groups, respectively. Additionally, 50, 38, and 11% of the participants had below diploma degrees, diplomas, and B.Sc. Moreover, 52, 22 and 25% of the participants abused opium, heroin, and methadone, respectively (Tables 1 and 2).

cognitive behavioral interventions for substance abuse

Individuals dependent on sedatives and tranquilizers or
heroin/opiates reported that negative physical states and interpersonal
conflict were the most important risk factors. Again, it is the individual’s
appraisal of such situations, in terms of its threat to maintaining
abstinence relative to their available coping abilities, https://ecosoberhouse.com/ that determines the
situational risk for the individual (Myers et al., 1996). Cognitive-behavioral theory represents the integration of principles derived from
both behavioral and cognitive theories, and it provides the basis for a more
inclusive and comprehensive approach to treating substance abuse disorders.


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