Alcohol

Question: Treatments for alcohol abuse and dependence

  • Patient or Population: Patients who abuse or are dependent upon alcohol
  • Intervention or Indicator: Various psychiatric/medical/social interventions
  • Comparison or Control: Comparing various psychiatric/medical/social treatments
  • Outcome: Presentations of helpfulness of various methods in treating alcohol related disorders

2: Alcohol Clin Exp Res. 2003 Oct;27(10):1645-56.

Treatment of alcohol abuse: an evidence-based review.

Berglund M, Thelander S, Salaspuro M, Franck J, Andréasson S, Ojehagen A.

Department of Clinical Alcohol Research, Malmö University Hospital, Malmö, Sweden. mats.berglund@alk.mas.lu.se

This article represents the proceedings of a symposium at the 2002 annual meeting of the Research Society on Alcoholism in San Francisco, CA, organized and cochaired by Mats Berglund and Sten Thelander. The presentations were (1) Preventive interventions against hazardous consumption of alcohol, by Mikko Salaspuro; (2) Treatment of alcohol withdrawal, by Johan Franck; (3) Psychosocial treatment for alcohol problems, by Sven Andréasson and Agneta Ojehagen; and (4) Pharmacological treatment of alcohol dependence, by Mats Berglund.

Publication Types:

  • Congresses

    PMID: 14574236 [PubMed - indexed for MEDLINE]

3: Cochrane Database Syst Rev. 2006 Jul 19;3:CD005032.

Alcoholics Anonymous and other 12-step programmes for alcohol dependence.

Ferri M, Amato L, Davoli M.

Agency of Public Health, Project Unit: EBM and Models of Health Assistance, Via di Santa Costanza 53, Rome, Italy 00198. ferri@asplazio.it

BACKGROUND: Alcoholics Anonymous (AA) is an international organization of recovering alcoholics that offers emotional support through self-help groups and a model of abstinence for people recovering from alcohol dependence, using a 12-step approach. Although it is the most common, AA is not the only 12-step intervention available there are other 12-step approaches (labelled Twelve Step Facilitation (TSF)). OBJECTIVES: To assess the effectiveness of AA or TSF programmes compared to other psychosocial interventions in reducing alcohol intake, achieving abstinence, maintaining abstinence, improving the quality of life of affected people and their families, and reducing alcohol associated accidents and health problems. SEARCH STRATEGY: We searched the Specialized Register of Trials of the Cochrane Group on Drugs and Alcohol, the Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE from 1966, EMBASE from 1980, CINAHL from 1982, PsychINFO from 1967. Searches were updated in February 2005. We also inspected lists of references for relevant studies. SELECTION CRITERIA: Studies involving adults (<18) of both genders with alcohol dependence attending on a voluntary or coerced basis AA or TSF programmes comparing no treatment, other psychological interventions, 12-step variants. DATA COLLECTION AND ANALYSIS: One reviewer (MF) assessed studies for inclusion and extracted data using a pre-defined data extraction form. Studies were evaluated for methodological quality and discussed by all reviewers. MAIN RESULTS: Eight trials involving 3417 people were included. AA may help patients to accept treatment and keep patients in treatment more than alternative treatments, though the evidence for this is from one small study that combined AA with other interventions and should not be regarded as conclusive. Other studies reported similar retention rates regardless of treatment group. Three studies compared AA combined with other interventions against other treatments and found few differences in the amount of drinks and percentage of drinking days. Severity of addiction and drinking consequence did not seem to be differentially influenced by TSF versus comparison treatment interventions, and no conclusive differences in treatment drop out rates were reported. Included studies did not allow a conclusive assessment of the effect of TSF in promoting complete abstinence. AUTHORS' CONCLUSIONS: No experimental studies unequivocally demonstrated the effectiveness of AA or TSF approaches for reducing alcohol dependence or problems. One large study focused on the prognostic factors associated with interventions that were assumed to be successful rather than on the effectiveness of interventions themselves, so more efficacy studies are needed.

Publication Types:

  • Review

    PMID: 16856072 [PubMed - indexed for MEDLINE]