Livingstone-Banks, Jonathan (2019) Clinical question: Can psychosocial interventions, given alone or added to treatment as usual, improve outcomes for people who misuse psychostimulants? Cochrane Clinical Answers, DOI: 10.1002/cca.2598.
External website: https://www.cochranelibrary.com/cca/doi/10.1002/cc...
Low‐certainty evidence suggests that when compared with no treatment, psychosocial interventions for combatting psychostimulant misuse (such as cognitive‐behavioral therapy, contingency management, motivational interviewing, interpersonal therapy, psychodynamic therapy, and 12‐step facilitation) may increase abstinence rates at end of treatment (on average, 104 vs 49 per 1000 people), but this effect was less clear at longest follow‐up (mean 12 months). Psychosocial interventions may also modestly decrease the frequency of drug intake compared with no treatment.
When compared with treatment as usual, the effect of psychosocial interventions on abstinence was uncertain at end of treatment (low‐certainty evidence), and no studies assessed abstinence at longest follow‐up nor frequency of drug intake.
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