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Systematic Reviews of Mindfulness and Acceptance and Commitment Therapy for Alcohol Use Disorder: Should we be using Third Wave Therapies?

Alcohol and alcoholism (Oxford, Oxfordshire)
January 1, 1970
Simon P Byrne et al. (6 authors)
Journal ArticleSystematic ReviewHuman Study
Study Details

Study Goal

The researchers aimed to determine whether third wave therapies, including mindfulness, have value alongside current evidence-based psychosocial treatments for alcohol use disorders (AUDs).

Results Summary

The study found preliminary support that mindfulness is better than no treatment or minimally effective treatments, with some evidence it is comparable to effective psychosocial treatments for AUDs. It also suggests mindfulness may be useful for comorbid mental health conditions, though further research is needed.

Population

Adults with alcohol use disorders (AUDs) or alcohol use causing impairment.

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (10)
InterventionDirectionEndpointPopulationDosageImpactClaim #
third wave therapies
increase
treating emotional disorders
-
-
have shown efficacy
#1
third wave therapies
increase
treating substance use disorders
-
-
have potential
#2
third wave therapies
increase
treating alcohol use disorders (AUDs)
adults with AUDs or alcohol use that caused impairment
-
have value
#3
mindfulness
increase
AUDs
adults with AUDs or alcohol use that caused impairment
-
was used for treating
#4
Acceptance and Commitment Therapy (ACT)
increase
AUDs
adults with AUDs or alcohol use that caused impairment
-
was used for treating
#5
third wave therapies
increase
no treatment
adults with AUDs or alcohol use that caused impairment
-
are better than
#6
third wave therapies
increase
treatments of minimal efficacy
adults with AUDs or alcohol use that caused impairment
-
are better than
#7
third wave therapies
no change
effective psychosocial treatments for AUDs
adults with AUDs or alcohol use that caused impairment
-
are comparable to
#8
ACT and mindfulness
increase
existing treatments
patients who have not responded to, or have disengaged from, standard treatments
-
provide an alternative to
#9
ACT and mindfulness
increase
comorbid mental health conditions
patients who have not responded to, or have disengaged from, standard treatments
-
are useful for
#10
Abstract

AIMS: Third wave therapies have shown efficacy for treating emotional disorders and potential for treating substance use disorders. There is developing interest in whether they can more specifically be used for treating alcohol use disorders (AUDs). We were interested in whether third wave therapies have value alongside current evidence-based psychosocial treatments for AUDs. METHOD: We conducted systematic reviews of third wave therapies for AUDs. We searched PsycINFO, Embase and Medline for peer reviewed journal articles where mindfulness or Acceptance and Commitment Therapy (ACT) were used to treat adults with AUDs or alcohol use that caused impairment. RESULTS: We identified 11 studies where mindfulness was used for treating AUDs and 6 where ACT was used for AUDs. The studies identified included RCTs, non-randomized controlled studies and uncontrolled studies. We found preliminary support that both third wave therapies are better than no treatment, treatments of minimal efficacy, as well as some evidence they are comparable to effective psychosocial treatments for AUDs. CONCLUSIONS: We conclude ACT and mindfulness provide an alternative to existing treatments, particularly for patients who have not responded to, or have disengaged from, standard treatments. We also found some evidence ACT and mindfulness are useful for comorbid mental health conditions. Yet while these results are promising, further research is needed to determine their utility, ideally employing randomized-controlled designs, larger clinical samples and longer follow-ups. Furthermore, few studies in this review directly compared third wave therapies to first line treatments, making it difficult to determine their relative efficacy.

Medical Subject Headings (MeSH)
Acceptance and Commitment TherapyAlcoholismHumansMindfulness
Study Links
Quality Scores
SafetyNot Assessed
Efficacy75/10
Quality70/10
Citation Metrics
Total Citations30
Citations/Year5.0
Relative Citation Ratio2.26
NIH Percentile78.1%
Research Impact Scores
APT Score0.75
Weight Score1.66
Normalized Score0.64
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