Lee Eric B, An Woolee, Levin Michael E, Twohig Michael P
Utah State University, United States.
Utah State University, United States.
Drug Alcohol Depend. 2015 Oct 1;155:1-7. doi: 10.1016/j.drugalcdep.2015.08.004. Epub 2015 Aug 13.
In the past decade, multiple studies have examined the effectiveness of Acceptance and Commitment Therapy (ACT) for substance use disorders relative to other active treatments. The current meta-analysis examined the aggregate effect size when comparing ACT to other treatments (e.g., CBT, pharmacotherapy, 12-step, treatment as usual) specifically on substance use outcomes.
A total of 10 randomized controlled trials were identified through systematic searches.
A significant small to medium effect size was found favoring ACT relative to active treatment comparisons following treatment. Effect sizes were comparable across studies for smoking cessation (k=5) and for other drug use disorders (k=5).
Based on these findings, ACT appears to be a promising intervention for substance use disorders. Limitations and future directions are discussed.
在过去十年中，多项研究考察了接受与承诺疗法（ACT）相对于其他积极治疗方法在物质使用障碍治疗方面的有效性。当前的荟萃分析具体比较了ACT与其他治疗方法（如认知行为疗法、药物治疗、12步疗法、常规治疗）在物质使用结果方面的总体效应大小。
通过系统检索共确定了10项随机对照试验。
发现相对于治疗后的积极治疗对照，ACT具有显著的小到中等效应大小。戒烟（k = 5）和其他药物使用障碍（k = 5）的研究中的效应大小相当。
基于这些发现，ACT似乎是一种有前景的物质使用障碍干预方法。讨论了局限性和未来方向。
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