Department of Psychology, Boston University, 648 Beacon Street, 6th Floor, Boston, MA 02215, USA.
Psychiatr Clin North Am. 2010 Sep;33(3):511-25. doi: 10.1016/j.psc.2010.04.012.
Cognitive behavioral therapy (CBT) for substance use disorders has shown efficacy as a monotherapy and as part of combination treatment strategies. This article provides a review of the evidence supporting the use of CBT, clinical elements of its application, novel treatment strategies for improving treatment response, and dissemination efforts. Although CBT for substance abuse is characterized by heterogeneous treatment elements such as operant learning strategies, cognitive and motivational elements, and skills-building interventions, across protocols several core elements emerge that focus on overcoming the powerfully reinforcing effects of psychoactive substances. These elements, and support for their efficacy, are discussed.
认知行为疗法（CBT）在物质使用障碍的治疗中已被证明作为单一疗法和联合治疗策略的一部分是有效的。本文综述了支持使用 CBT 的证据、其应用的临床要素、改善治疗反应的新治疗策略以及传播工作。尽管针对物质滥用的 CBT 的治疗要素具有异质性，如操作性学习策略、认知和动机要素以及技能培养干预，但在多个方案中出现了几个核心要素，这些要素侧重于克服精神活性物质的强烈强化作用。本文讨论了这些要素及其对其疗效的支持。
