High-intensity therapist-guided internet-based cognitive behavior therapy for alcohol use disorder: a pilot study

BMC Psychiatry

Research Article

Martin Kraepelien¹  Viktor Kaldo¹  Christopher Sundström¹  Anne H. Berman²  Claudia Fahlke³  Niels Eék³ 

[1] Department of Clinical Neuroscience, Karolinska Institutet & Stockholm Health Care Services, Stockholm County Council, Centre for Psychiatry Research, Norra Stationsgatan 69, -113 64, Stockholm, SE, Sweden;Department of Clinical Neuroscience, Karolinska Institutet & Stockholm Health Care Services, Stockholm County Council, Centre for Psychiatry Research, Norra Stationsgatan 69, -113 64, Stockholm, SE, Sweden;Stockholm Center for Dependency Disorders, 118 95, Stockholm, Sweden;Department of Psychology, University of Gothenburg, Gothenborg, Gothenborg, Sweden;

关键词: Cognitive behavior therapy;    Alcohol use disorders;    Alcohol dependence;    Internet-based psychotherapy;   

DOI  :  10.1186/s12888-017-1355-6

 received in 2017-01-31, accepted in 2017-05-12,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundA large proportion of individuals with alcohol problems do not seek psychological treatment, but access to such treatment could potentially be increased by delivering it over the Internet. Cognitive behavior therapy (CBT) is widely recognized as one of the psychological treatments for alcohol problems for which evidence is most robust. This study evaluated a new, therapist-guided internet-based CBT program (entitled ePlus) for individuals with alcohol use disorders.MethodsParticipants in the study (n = 13) were recruited through an alcohol self-help web site (www.alkoholhjalpen.se) and, after initial internet screening, were diagnostically assessed by telephone. Eligible participants were offered access to the therapist-guided 12-week program. The main outcomes were treatment usage data (module completion, treatment satisfaction) as well as glasses of alcohol consumed the preceding week, measured with the self-rated Timeline Followback (TLFB). Participant data were collected at screening (T0), immediately pre-treatment (T1), post-treatment (T2) and 3 months post-treatment (T3).ResultsMost participants were active throughout the treatment and found it highly acceptable. Significant reductions in alcohol consumption with a large within-group effect size were found at the three-month follow-up. Secondary outcome measures of craving and self-efficacy, as well as depression and quality of life, also showed significant improvements with moderate to large within-group effect sizes.ConclusionsTherapist-guided internet-based CBT may be a feasible and effective alternative for people with alcohol use disorders. In view of the high acceptability and the large within-group effect sizes found in this small pilot, a randomized controlled trial investigating treatment efficacy is warranted.Trial registrationClinicalTrials.gov (NCT02384278, February 26, 2015).

【 授权许可】

CC BY   
© The Author(s). 2017