Combined Use of Cognitive Behavioral Therapy (CBT) and Its Healing Impact on Drug Abusers Who Are Addicted to Drugs: A Scoping Review

Authors

  • Nurul Aeni Department of Psychiatric Nursing, Faculty of Nursing, Padjadjaran University, Bandung, Indonesia
  • Iyus Yosep Department of Psychiatric Nursing, Faculty of Nursing, Padjadjaran University, Bandung, Indonesia
  • Aat Sriati Department of Psychiatric Nursing, Faculty of Nursing, Padjadjaran University, Bandung, Indonesia

DOI:

https://doi.org/10.20956/icon.v9i1.35565

Keywords:

Drug Abuser, Cognitive Behaviour Therapy (CBT), Addicted

Abstract

Aims: The aim of this study is to assist individuals in healing from addiction; it is essential to implement a combination of interventions, such as CBT, that are proven to be effective in treating drug abuse with a holistic approach that integrates psychological and social aspects for optimal results, according to empirical evidence.

Methods: The search databases for this study were PubMed, ScienceDirect, and Google Scholar. Identify articles published in the last 10 years (2014-2024), Randomized Control Trials (RCTs), English and Indonesian, Full-Text, and Teenagers to the Elderly. Using the PRISMA flowchart, data extraction and scoping with keywords (English): "Drug Addict OR Substance Abuse AND Cognitive Behaviour Therapy AND Dependence OR Substance-Related Disorder" and keywords in the Indonesian language "Pecandu Narkoba OR Penyalahguna Zat AND Cognitive Behaviour Therapy AND Ketergantungan OR Gangguan Terkait Zat."

Results: The study found eight articles that met the criteria, the main findings showed the use of Modified Cognitive Behavioral Therapy (M-CBT) in enhancing recovery motivation among cocaine-dependent individuals. Interventions such as galantamine, C-CBT, and computer-based CBT also show promise in reducing cocaine use. Additionally, combining CBT with contingency management (CM) facilitates changes in neural activity related to cognitive control. CBT paired with MET+ABI+ATTI and Female-Specific CBT (FS-CBT) effectively addresses alcohol use in adolescents and women.

Conclusion: This study highlights various CBT approaches that can be combined, such as M-CBT for cocaine independence and computer-based CBT, as well as the combination of CBT with contingent management that influences neural activity related to cognitive control.

References

Aharonovich, E., Hasin, D. S., Nunes, E. V., Stohl, M., Cannizzaro, D., Sarvet, A., Bolla, K., Carroll, K. M., & Genece, K. G. (2018). Modified cognitive behavioral therapy (M-CBT) for cocaine dependence: Development of treatment for cognitively impaired users and results from a Stage 1 trial. Psychology of Addictive Behaviors, 32(7), 800–811. https://doi.org/10.1037/adb0000398

Alhammad, M., Aljedani, R., Alsaleh, M., Atyia, N., Alsmakh, M., Alfaraj, A., Alkhunaizi, A., Alwabari, J., & Alzaidi, M. (2022). Family, Individual, and Other Risk Factors Contributing to Risk of Substance Abuse in Young Adults: A Narrative Review. Cureus, 14(12), 12–16. https://doi.org/10.7759/cureus.32316

Carroll, K. M., Nich, C., DeVito, E. E., Shi, J. M., & Sofuoglu, M. (2018a). Galantamine and computerized cognitive behavioral therapy for cocaine dependence: A randomized clinical trial. Journal of Clinical Psychiatry, 79(1). https://doi.org/10.4088/JCP.17m11669

Carroll, K. M., Nich, C., DeVito, E. E., Shi, J. M., & Sofuoglu, M. (2018b). Galantamine and computerized cognitive behavioral therapy for cocaine dependence: A randomized clinical trial. Journal of Clinical Psychiatry, 79(1). https://doi.org/10.4088/JCP.17m11669

Chapoutot, M., Peter-Derex, L., Bastuji, H., Leslie, W., Schoendorff, B., Heinzer, R., Siclari, F., Nicolas, A., Lemoine, P., Higgins, S., Bourgeois, A., Vallet, G. T., Anders, R., Ounnoughene, M., Spencer, J., Meloni, F., & Putois, B. (2021). Cognitive behavioral therapy and acceptance and commitment therapy for the discontinuation of long-term benzodiazepine use in insomnia and anxiety disorders. In International Journal of Environmental Research and Public Health (Vol. 18, Issue 19). MDPI. https://doi.org/10.3390/ijerph181910222

Devito, E. E., Dong, G., Kober, H., Xu, J., Carroll, K. M., & Potenza, M. N. (2017). Functional neural changes following behavioral therapies and disulfiram for cocaine dependence. Psychology of Addictive Behaviors, 31(5), 534–547. https://doi.org/10.1037/adb0000298

DeVito, E. E., Kiluk, B. D., Nich, C., Mouratidis, M., & Carroll, K. M. (2018). Drug Stroop: Mechanisms of response to computerized cognitive behavioral therapy for cocaine dependence in a randomized clinical trial. Drug and Alcohol Dependence, 183, 162–168. https://doi.org/10.1016/j.drugalcdep.2017.10.022

Ding, K., & Li, H. (2023). Digital Addiction Intervention for Children and Adolescents: A Scoping Review. In International Journal of Environmental Research and Public Health (Vol. 20, Issue 6). MDPI. https://doi.org/10.3390/ijerph20064777

Douaihy, A. B., Kelly, T. M., & Sullivan, C. (2013). Medications for substance use disorders. In Social Work in Public Health (Vol. 28, Issues 3–4, pp. 264–278). https://doi.org/10.1080/19371918.2013.759031

Epstein, E. E., McCrady, B. S., Hallgren, K. A., Cook, S., Jensen, N. K., & Hildebrandt, T. (2018). A randomized trial of female-specific cognitive behavior therapy for alcohol-dependent women. Psychology of Addictive Behaviors, 32(1), 1–15. https://doi.org/10.1037/adb0000330

Fardone, E., Montoya, I. D., Schackman, B. R., & McCollister, K. E. (2023). Economic benefits of substance use disorder treatment: A systematic literature review of economic evaluation studies from 2003 to 2021. Journal of Substance Use and Addiction Treatment, 152, 209084. https://doi.org/10.1016/j.josat.2023.209084

Filges, T., & Jorgensen, A. M. K. (2018). Cognitive–Behavioral Therapies for Young People in Outpatient Treatment for Nonopioid Drug Use. Research on Social Work Practice, 28(3), 363–385. https://doi.org/10.1177/1049731516629803

First, M. B., Yousif, L. H., Clarke, D. E., Wang, P. S., Gogtay, N., & Appelbaum, P. S. (2022). DSM-5-TR: Overview of what's new and what's changed. World Psychiatry, 21(2), 218–219. https://doi.org/10.1002/wps.20989

He, W. (2022). Impacts of Drugs on Neurotransmission. Thesis. College of Health Sciences and Technology. https://repository.rit.edu/theses

Johnson 2021. (2021). The Effectiveness of Cognitive Behavioral Therapy For The Treatment of Substance Abuse in Comparison to Other Major Treatments in The Field. Disertasi. Antioch University Santa Barbara. https://etd.ohiolink.edu/acprod/odb_etd/ws/send_file/send?accession=antioch1620488519045303&disposition=inline.

Kurniawati, H., Purwoko, B., & Muis, T. (2021). Efektivitas Cognitive Behavior Therapy (CBT) untuk Meningkatkan Kemampuan Coping pada Pelajar Pecandu Napza. Indonesian Journal of Educational Counseling, 5(2), 58–63. https://doi.org/10.30653/001.202152.159

Magill, M., Kiluk, B. D., & Ray, L. A. (2023). Efficacy of Cognitive Behavioral Therapy for Alcohol and Other Drug Use Disorders: Is a One-Size-Fits-All Approach Appropriate? Substance Abuse and Rehabilitation, Volume 14, 1–11. https://doi.org/10.2147/sar.s362864

Magill, M., Ray, L., Kiluk, B., Hoadley, A., Bernstein, M., Scott Tonigan, J., & Carroll, K. (2019). A meta-analysis of cognitive-behavioral therapy for alcohol or other drug use disorders: Treatment efficacy by contrast condition. Journal of Consulting and Clinical Psychology, 87(12), 1093–1105. https://doi.org/10.1037/ccp0000447

Magill, M., Tonigan, J. S., Kiluk, B., Ray, L., Walthers, J., & Carroll, K. (2020). The search for mechanisms of cognitive behavioral therapy for alcohol or other drug use disorders: A systematic review. Behavior Research and Therapy, p. 131. https://doi.org/10.1016/j.brat.2020.103648

Mclellan, A. T. (2017). Substance Misuse and Substance Use Disorders: Why Do They Matter in Healthcare? In Transactions of The American Clinical and Climatological Association (Vol. 128).

Nakao, M., Shirotsuki, K., & Sugaya, N. (2021). Cognitive–behavioral therapy for management of mental health and stress-related disorders: Recent advances in techniques and technologies. In BioPsychoSocial Medicine (Vol. 15, Issue 1). BioMed Central Ltd. https://doi.org/10.1186/s13030-021-00219-w

Stanger, et al. (2017). Abstinence Based Incentives plus Parent Training for Adolescent Alcohol and Other Substance Misuse. Physiology & Behavior, 176(1), 139–148. https://doi.org/10.1037/adb0000279.Abstinence

Stephens, R. S., Walker, R., DeMarce, J., Lozano, B. E., Rowland, J., Walker, D., & Roffman, R. A. (2020a). Treating cannabis use disorder: Exploring a treatment as needed model with 34-month follow-up. Journal of Substance Abuse Treatment, p. 117. https://doi.org/10.1016/j.jsat.2020.108088

Stephens, R. S., Walker, R., DeMarce, J., Lozano, B. E., Rowland, J., Walker, D., & Roffman, R. A. (2020b). Treating cannabis use disorder: Exploring a treatment as needed model with 34-month follow-up. Journal of Substance Abuse Treatment, p. 117. https://doi.org/10.1016/j.jsat.2020.108088

UNODC. (2022). Current NPS Threats. Unodc, VI(August), 2.

Xue, Y., Xue, B., Zheng, X., Shi, L., Liang, P., Xiao, S., Dong, F., Zhang, J., Chen, Y., Liu, Y., Qin, Z., & Zhang, C. (2023). Associations between internet addiction and psychological problems among adolescents: description and possible explanations. Frontiers in Psychology, 14. https://doi.org/10.3389/fpsyg.2023.1097331

Additional Files

Published

2024-08-28