Psychosocial Interventions for Amphetamine Type Stimulant Use Disorder: An Overview of Systematic Reviews
Introduction: Amphetamine-type stimulants (ATS) use is a global concern due to increased usage and the harm to physical, mental, and social well-being. The objective of this overview of systematic reviews is to summarise trial results of psychosocial interventions and describe their efficacy and saf...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2021-06-01
|
| Series: | Frontiers in Psychiatry |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyt.2021.512076/full |
| _version_ | 1818891998566809600 |
|---|---|
| author | Mai Thi Ngoc Tran Mai Thi Ngoc Tran Mai Thi Ngoc Tran Quang Hung Luong Giang Le Minh Michael P. Dunne Michael P. Dunne Michael P. Dunne Philip Baker |
| author_facet | Mai Thi Ngoc Tran Mai Thi Ngoc Tran Mai Thi Ngoc Tran Quang Hung Luong Giang Le Minh Michael P. Dunne Michael P. Dunne Michael P. Dunne Philip Baker |
| author_sort | Mai Thi Ngoc Tran |
| collection | DOAJ |
| description | Introduction: Amphetamine-type stimulants (ATS) use is a global concern due to increased usage and the harm to physical, mental, and social well-being. The objective of this overview of systematic reviews is to summarise trial results of psychosocial interventions and describe their efficacy and safety.Methods: We searched seven bibliographic databases to November 2020 for systematic reviews examining ATS misuse treatment by psychosocial interventions. Given the apparent incompleteness of the included reviews, we undertook a supplemental meta-analysis of all eligible primary studies.Results: We included 11 systematic reviews of moderate to high quality and 39 primary studies which assessed the outcomes of psychosocial interventions on people who use ATS. The key findings include: (1) There were conflicting results about the effectiveness of psychosocial interventions among reviews, which may confuse decision-makers in selecting treatment. (2) In the supplemental meta-analysis, relative to usual care (only counselling or self-help materials), membership of a psychological intervention group was associated with an important reduction in drug usage [risk ratio (RR) 0.80, 95% CI: 0.75 to 0.85]. Patients in psychological interventions used injectables substantially less [odds ratio (OR) 0.35, 95% CI: 0.24 to 0.49]. The risk of unsafe sex in the psychosocial intervention group was lower than in the control group (RR 0.49, 95% CI: 0.34 to 0.71). The combination of therapies reduced 1.51 day using drugs in the preceding 30 days (95% CI: −2.36 to −0.67) compared to cognitive behavioural therapy intervention alone. (3) Compared to usual care, cognitive behavioural therapy was less likely to be retained at follow-up (RR 0.89, 95% CI: 0.82 to 0.97; high-quality evidence). However, the additional of contingency management strategy can make an important improvement upon retention (RR 1.42, 95%CI: 1.25 to 1.62).Authors' Conclusions: Integrated models are more effective than a single-treatment strategy. Comprehensive and sustained psychosocial interventions can help to reduce use of ATS and other drugs, risk behaviours and mental disorders, and significantly improve treatment adherence. |
| first_indexed | 2024-12-19T17:49:43Z |
| format | Article |
| id | doaj.art-3dd98f5177614cd2a8bb1c7ed260649c |
| institution | Directory Open Access Journal |
| issn | 1664-0640 |
| language | English |
| last_indexed | 2024-12-19T17:49:43Z |
| publishDate | 2021-06-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychiatry |
| spelling | doaj.art-3dd98f5177614cd2a8bb1c7ed260649c2022-12-21T20:11:57ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402021-06-011210.3389/fpsyt.2021.512076512076Psychosocial Interventions for Amphetamine Type Stimulant Use Disorder: An Overview of Systematic ReviewsMai Thi Ngoc Tran0Mai Thi Ngoc Tran1Mai Thi Ngoc Tran2Quang Hung Luong3Giang Le Minh4Michael P. Dunne5Michael P. Dunne6Michael P. Dunne7Philip Baker8Faculty of Health, School of Public Health and Social Work, Queensland University of Technology (QUT), Brisbane, QLD, AustraliaCenter for Training and Research on Substance Abuse-HIV, Hanoi Medical University, Hanoi, VietnamNursing and Midwifery Faculty, Hanoi Medical University, Hanoi, VietnamFaculty of Health, School of Public Health and Social Work, Queensland University of Technology (QUT), Brisbane, QLD, AustraliaCenter for Training and Research on Substance Abuse-HIV, Hanoi Medical University, Hanoi, VietnamFaculty of Health, School of Public Health and Social Work, Queensland University of Technology (QUT), Brisbane, QLD, AustraliaFaculty of Law, Australian Centre of Health Law Research, Queensland University of Technology (QUT), Brisbane, QLD, AustraliaInstitute for Community Health Research, Hue University of Medicine and Pharmacy, Hue University, Hue, VietnamFaculty of Health, School of Public Health and Social Work, Queensland University of Technology (QUT), Brisbane, QLD, AustraliaIntroduction: Amphetamine-type stimulants (ATS) use is a global concern due to increased usage and the harm to physical, mental, and social well-being. The objective of this overview of systematic reviews is to summarise trial results of psychosocial interventions and describe their efficacy and safety.Methods: We searched seven bibliographic databases to November 2020 for systematic reviews examining ATS misuse treatment by psychosocial interventions. Given the apparent incompleteness of the included reviews, we undertook a supplemental meta-analysis of all eligible primary studies.Results: We included 11 systematic reviews of moderate to high quality and 39 primary studies which assessed the outcomes of psychosocial interventions on people who use ATS. The key findings include: (1) There were conflicting results about the effectiveness of psychosocial interventions among reviews, which may confuse decision-makers in selecting treatment. (2) In the supplemental meta-analysis, relative to usual care (only counselling or self-help materials), membership of a psychological intervention group was associated with an important reduction in drug usage [risk ratio (RR) 0.80, 95% CI: 0.75 to 0.85]. Patients in psychological interventions used injectables substantially less [odds ratio (OR) 0.35, 95% CI: 0.24 to 0.49]. The risk of unsafe sex in the psychosocial intervention group was lower than in the control group (RR 0.49, 95% CI: 0.34 to 0.71). The combination of therapies reduced 1.51 day using drugs in the preceding 30 days (95% CI: −2.36 to −0.67) compared to cognitive behavioural therapy intervention alone. (3) Compared to usual care, cognitive behavioural therapy was less likely to be retained at follow-up (RR 0.89, 95% CI: 0.82 to 0.97; high-quality evidence). However, the additional of contingency management strategy can make an important improvement upon retention (RR 1.42, 95%CI: 1.25 to 1.62).Authors' Conclusions: Integrated models are more effective than a single-treatment strategy. Comprehensive and sustained psychosocial interventions can help to reduce use of ATS and other drugs, risk behaviours and mental disorders, and significantly improve treatment adherence.https://www.frontiersin.org/articles/10.3389/fpsyt.2021.512076/fullpsychosocial interventioncognitive behavioural therapycontingency managementdrug addictionamphetamine type stimulantssynthetic drug |
| spellingShingle | Mai Thi Ngoc Tran Mai Thi Ngoc Tran Mai Thi Ngoc Tran Quang Hung Luong Giang Le Minh Michael P. Dunne Michael P. Dunne Michael P. Dunne Philip Baker Psychosocial Interventions for Amphetamine Type Stimulant Use Disorder: An Overview of Systematic Reviews Frontiers in Psychiatry psychosocial intervention cognitive behavioural therapy contingency management drug addiction amphetamine type stimulants synthetic drug |
| title | Psychosocial Interventions for Amphetamine Type Stimulant Use Disorder: An Overview of Systematic Reviews |
| title_full | Psychosocial Interventions for Amphetamine Type Stimulant Use Disorder: An Overview of Systematic Reviews |
| title_fullStr | Psychosocial Interventions for Amphetamine Type Stimulant Use Disorder: An Overview of Systematic Reviews |
| title_full_unstemmed | Psychosocial Interventions for Amphetamine Type Stimulant Use Disorder: An Overview of Systematic Reviews |
| title_short | Psychosocial Interventions for Amphetamine Type Stimulant Use Disorder: An Overview of Systematic Reviews |
| title_sort | psychosocial interventions for amphetamine type stimulant use disorder an overview of systematic reviews |
| topic | psychosocial intervention cognitive behavioural therapy contingency management drug addiction amphetamine type stimulants synthetic drug |
| url | https://www.frontiersin.org/articles/10.3389/fpsyt.2021.512076/full |
| work_keys_str_mv | AT maithingoctran psychosocialinterventionsforamphetaminetypestimulantusedisorderanoverviewofsystematicreviews AT maithingoctran psychosocialinterventionsforamphetaminetypestimulantusedisorderanoverviewofsystematicreviews AT maithingoctran psychosocialinterventionsforamphetaminetypestimulantusedisorderanoverviewofsystematicreviews AT quanghungluong psychosocialinterventionsforamphetaminetypestimulantusedisorderanoverviewofsystematicreviews AT giangleminh psychosocialinterventionsforamphetaminetypestimulantusedisorderanoverviewofsystematicreviews AT michaelpdunne psychosocialinterventionsforamphetaminetypestimulantusedisorderanoverviewofsystematicreviews AT michaelpdunne psychosocialinterventionsforamphetaminetypestimulantusedisorderanoverviewofsystematicreviews AT michaelpdunne psychosocialinterventionsforamphetaminetypestimulantusedisorderanoverviewofsystematicreviews AT philipbaker psychosocialinterventionsforamphetaminetypestimulantusedisorderanoverviewofsystematicreviews |