TY - JOUR
KW - Amphetamine-Related Disorders/therapy
KW - Cocaine-Related Disorders/therapy
KW - Humans
KW - Psychotherapy
KW - Randomized Controlled Trials as Topic
AU - R. De Giorgi
AU - C. Cassar
AU - Loreto D'alò
AU - M. Ciabattini
AU - S. Minozzi
AU - A. Economou
AU - R. Tambelli
AU - F. Lucchese
AU - R. Saulle
AU - L. Amato
AU - L. Janiri
AU - F. De Crescenzo
A1 - 
AB - Stimulant use disorders are highly prevalent with a large burden of disease. Most clinical guidelines recommend psychosocial interventions, but there are no clear hierarchies or indications. Moreover, these interventions have been reported unevenly in the literature. Identifying the most suitable treatment for each patient therefore represents a major challenge. In this review, we describe all psychosocial interventions for stimulant use disorders investigated in randomized controlled trials - including contingency management, cognitive behavioral interventions, community reinforcement approach, 12-step program, meditation-based interventions and physical exercise, supportive expressive psychodynamic therapy, interpersonal psychotherapy, family therapy, motivational interviewing, drug counseling -, and we synthesize the main findings of these studies. Similarities and differences between treatments are highlighted, suggesting that distinct psychosocial interventions can be relevant for certain patients' groups but not for others. Conversely, several interventions can be equally effective in similar clinical contexts, suggesting that a shared element such as therapeutic alliance is key. Finally, combined approaches emerge as a viable option for people with complex needs. Future studies will need to benchmark psychosocial interventions in stimulant use disorders and ascertain markers of response with a view to individualized treatment.
AD - Department of Psychiatry, University of Oxford, Oxford, UK - Oxford Health NHS Foundation Trust, Oxford, UK.; Department of Dynamic and Clinical Psychology, Sapienza University, Rome, Italy.; School of Hygiene and Preventive Medicine, University Tor Vergata, Rome, Italy.; School of Hygiene and Preventive Medicine, University Tor Vergata, Rome, Italy.; Department of Epidemiology, Lazio Regional Health Service, Rome, Italy.; Oxford Health NHS Foundation Trust, Oxford, UK.; Department of Dynamic and Clinical Psychology, Sapienza University, Rome, Italy.; Department of Dynamic and Clinical Psychology, Sapienza University, Rome, Italy.; Department of Epidemiology, Lazio Regional Health Service, Rome, Italy.; Department of Epidemiology, Lazio Regional Health Service, Rome, Italy.; Institute of Psychiatry and Psychology, Fondazione Policlinico Universitario A. Gemelli, Università Cattolica del Sacro Cuore, Rome, Italy.; Department of Psychiatry, University of Oxford, Oxford, UK - Institute of Psychiatry and Psychology, Fondazione Policlinico Universitario A. Gemelli, Università Cattolica del Sacro Cuore, Rome, Italy.
BT - Rivista di psichiatria
C5 - Opioids & Substance Use
CP - 5
CY - Italy
DO - 10.1708/3000.30003
IS - 5
JF - Rivista di psichiatria
LA - eng
M1 - Journal Article
N2 - Stimulant use disorders are highly prevalent with a large burden of disease. Most clinical guidelines recommend psychosocial interventions, but there are no clear hierarchies or indications. Moreover, these interventions have been reported unevenly in the literature. Identifying the most suitable treatment for each patient therefore represents a major challenge. In this review, we describe all psychosocial interventions for stimulant use disorders investigated in randomized controlled trials - including contingency management, cognitive behavioral interventions, community reinforcement approach, 12-step program, meditation-based interventions and physical exercise, supportive expressive psychodynamic therapy, interpersonal psychotherapy, family therapy, motivational interviewing, drug counseling -, and we synthesize the main findings of these studies. Similarities and differences between treatments are highlighted, suggesting that distinct psychosocial interventions can be relevant for certain patients' groups but not for others. Conversely, several interventions can be equally effective in similar clinical contexts, suggesting that a shared element such as therapeutic alliance is key. Finally, combined approaches emerge as a viable option for people with complex needs. Future studies will need to benchmark psychosocial interventions in stimulant use disorders and ascertain markers of response with a view to individualized treatment.
PP - Italy
PY - 2018
SN - 2038-2502; 0035-6484
SP - 233
EP - 255
EP - 
T1 - Psychosocial interventions in stimulant use disorders: a systematic review and qualitative synthesis of randomized controlled trials
T2 - Rivista di psichiatria
TI - Psychosocial interventions in stimulant use disorders: a systematic review and qualitative synthesis of randomized controlled trials
U1 - Opioids & Substance Use
U2 - 30353199
U3 - 10.1708/3000.30003
VL - 53
VO - 2038-2502; 0035-6484
Y1 - 2018
Y2 - Sep-Oct
ER -