Integrated Motivational Interviewing and Cognitive-Behavioural Therapy for Bipolar Disorder with Comorbid Substance Use

2011 ◽  
Vol 18 (5) ◽  
pp. 426-437 ◽  
Author(s):  
Steven H. Jones ◽  
Christine Barrowclough ◽  
Rory Allott ◽  
Christine Day ◽  
Paul Earnshaw ◽  
...  
Keyword(s):  
Bipolar Disorder ◽  
Substance Use ◽  
Motivational Interviewing ◽  
Cognitive Behavioural Therapy ◽  
Behavioural Therapy ◽  
Cognitive Behavioural

scholarly journals Cognitive-behavioural therapy for substance use disorders in people with psychotic disorders

2006 ◽  
Vol 188 (5) ◽  
pp. 439-448 ◽  
Author(s):  
Amanda Baker ◽  
Sandra Bucci ◽  
Terry J. Lewin ◽  
Frances Kay-Lambkin ◽  
Paul M. Constable ◽  
...  
Keyword(s):  
Substance Use ◽  
Motivational Interviewing ◽  
Cognitive Behavioural Therapy ◽  
Psychotic Disorders ◽  
Community Sample ◽  
Behavioural Therapy ◽  
Treatment As Usual ◽  
Cognitive Behavioural ◽  
General Functioning ◽  
Amphetamine Use

BackgroundFew randomised controlled trials have been aimed specifically at substance use reduction among people with psychotic disorders.AimsTo investigate whether a 10-session intervention consisting of motivational interviewing and cognitive-behavioural therapy (CBT) was more efficacious than routine treatment in reducing substance use and improving symptomatology and general functioning.MethodA community sample of people with a psychotic disorder and who reported hazardous alcohol, cannabis and/or amphetamine use during the preceding month was recruited. Participants were randomly allocated to motivational interviewing/CBT (n=65) or treatment as usual (n=65), and were assessed on multiple outcomes at baseline, 15 weeks, 6 months and 12 months.ResultsThere was a short-term improvement in depression and a similar trend with regard to cannabis use among participants who received the motivational interviewing/CBT intervention, together with effects on general functioning at 12 months. There was no differential benefit of the intervention on substance use at 12 months, except for a potentially clinically important effect on amphetamine use.ConclusionsThe motivational interviewing/CBT intervention was associated with modest improvements.

scholarly journals Overcoming challenges in delivering integrated motivational interviewing and cognitive behavioural therapy for bipolar disorder with co-morbid alcohol use: therapist perspectives

2020 ◽  
Vol 48 (5) ◽  
pp. 615-620
Author(s):  
Katherine Berry ◽  
Christine Barrowclough ◽  
Mike Fitsimmons ◽  
Rosalyn Hartwell ◽  
Claire Hilton ◽  
...  
Keyword(s):  
Bipolar Disorder ◽  
Alcohol Use ◽  
Focus Group ◽  
Motivational Interviewing ◽  
Cognitive Behavioural Therapy ◽  
Alcohol Misuse ◽  
Mental Health Problems ◽  
Behavioural Therapy ◽  
Client Group ◽  
Cognitive Behavioural

AbstractBackground:Alcohol misuse is common in bipolar disorder and is associated with worse outcomes. A recent study evaluated integrated motivational interviewing and cognitive behavioural therapy for bipolar disorder and alcohol misuse with promising results in terms of the feasibility of delivering the therapy and the acceptability to participants.Aims:Here we present the experiences of the therapists and supervisors from the trial to identify the key challenges in working with this client group and how these might be overcome.Method:Four therapists and two supervisors participated in a focus group. Topic guides for the group were informed by a summary of challenges and obstacles that each therapist had completed at the end of therapy for each individual client. The audio recording of the focus group was transcribed and data were analysed using thematic analysis.Results:We identified five themes: addressing alcohol use versus other problems; impact of bipolar disorder on therapy; importance of avoidance and overcoming it; fine balance in relation to shame and normalising use; and ‘talking the talk’ versus ‘walking the walk’.Conclusions:Findings suggest that clients may be willing to explore motivations for using alcohol even if they are not ready to change their drinking, and they may want help with a range of mental health problems. Emotional and behavioural avoidance may be a key factor in maintaining alcohol use in this client group and therapists should be aware of a possible discrepancy between clients’ intentions to reduce misuse and their actual behaviour.

scholarly journals Ethnicity and impact on the receipt of cognitive–behavioural therapy in people with psychosis or bipolar disorder: an English cohort study

BMJ Open ◽  
2020 ◽  
Vol 10 (12) ◽  
pp. e034913
Author(s):  
Rohan Michael Morris ◽  
William Sellwood ◽  
Dawn Edge ◽  
Craig Colling ◽  
Robert Stewart ◽  
...  
Keyword(s):  
Bipolar Disorder ◽  
Cohort Study ◽  
Cognitive Behavioural Therapy ◽  
Secondary Care ◽  
Behavioural Therapy ◽  
Single Session ◽  
Black African ◽  
Cognitive Behavioural ◽  
Black Caribbean ◽  
To Receive

Objectives(1) To explore the role of ethnicity in receiving cognitive–behavioural therapy (CBT) for people with psychosis or bipolar disorder while adjusting for differences in risk profiles and symptom severity. (2) To assess whether context of treatment (inpatient vs community) impacts on the relationship between ethnicity and access to CBT.DesignCohort study of case register data from one catchment area (January 2007–July 2017).SettingA large secondary care provider serving an ethnically diverse population in London.ParticipantsData extracted for 30 497 records of people who had diagnoses of bipolar disorder (International Classification of Diseases (ICD) code F30-1) or psychosis (F20–F29 excluding F21). Exclusion criteria were: <15 years old, missing data and not self-defining as belonging to one of the larger ethnic groups. The sample (n=20 010) comprised the following ethnic groups: white British: n=10 393; Black Caribbean: n=5481; Black African: n=2817; Irish: n=570; and ‘South Asian’ people (consisting of Indian, Pakistani and Bangladeshi people): n=749.Outcome assessmentsORs for receipt of CBT (single session or full course) as determined via multivariable logistic regression analyses.ResultsIn models adjusted for risk and severity variables, in comparison with White British people; Black African people were less likely to receive a single session of CBT (OR 0.73, 95% CI 0.66 to 0.82, p<0.001); Black Caribbean people were less likely to receive a minimum of 16-sessions of CBT (OR 0.83, 95% CI 0.71 to 0.98, p=0.03); Black African and Black Caribbean people were significantly less likely to receive CBT while inpatients (respectively, OR 0.76, 95% CI 0.65 to 0.89, p=0.001; OR 0.83, 95% CI 0.73 to 0.94, p=0.003).ConclusionsThis study highlights disparity in receipt of CBT from a large provider of secondary care in London for Black African and Caribbean people and that the context of therapy (inpatient vs community settings) has a relationship with disparity in access to treatment.

scholarly journals Understanding eHealth Cognitive-Behavioural Therapy Targeting Substance Use: A Realist Review (Preprint)

10.2196/20557 ◽  
2020 ◽  
Author(s):  
Farhud Shams ◽  
James S.H. Wong ◽  
Mohammadali Nikoo ◽  
Ava Outadi ◽  
Ehsan Moazen-Zadeh ◽  
...  
Keyword(s):  
Substance Use ◽  
Cognitive Behavioural Therapy ◽  
Realist Review ◽  
Behavioural Therapy ◽  
Cognitive Behavioural

scholarly journals The impact of interventions for youth experiencing homelessness on housing, mental health, substance use, and family cohesion: a systematic review

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Jean Zhuo Wang ◽  
Sebastian Mott ◽  
Olivia Magwood ◽  
Christine Mathew ◽  
Andrew Mclellan ◽  
...  
Keyword(s):  
Substance Use ◽  
Randomized Controlled Trials ◽  
Cognitive Behavioural Therapy ◽  
Systematic Reviews ◽  
Behavioural Therapy ◽  
Controlled Trials ◽  
Housing Stability ◽  
Randomized Controlled ◽  
Cognitive Behavioural ◽  
Family Based

Abstract Background Youth often experience unique pathways into homelessness, such as family conflict, child abuse and neglect. Most research has focused on adult homeless populations, yet youth have specific needs that require adapted interventions. This review aims to synthesize evidence on interventions for youth and assess their impacts on health, social, and equity outcomes. Methods We systematically searched Medline, Embase, PsycINFO, and other databases from inception until February 9, 2018 for systematic reviews and randomized controlled trials on youth interventions conducted in high income countries. We screened title and abstract and full text for inclusion, and data extraction were completed in duplicate, following the PRISMA-E (equity) review approach. Results Our search identified 11,936 records. Four systematic reviews and 18 articles on randomized controlled trials met the inclusion criteria. Many studies reported on interventions including individual and family therapies, skill-building, case management, and structural interventions. Cognitive behavioural therapy led to improvements in depression and substance use, and studies of three family-based therapies reported decreases in substance use. Housing first, a structural intervention, led to improvements in housing stability. Many interventions showed inconsistent results compared to services as usual or other interventions, but often led to improvements over time in both the intervention and comparison group. The equity analysis showed that equity variables were inconsistently measured, but there was data to suggest differential outcomes based upon gender and ethnicity. Conclusions This review identified a variety of interventions for youth experiencing homelessness. Promising interventions include cognitive behavioural therapy for addressing depression, family-based therapy for substance use outcomes, and housing programs for housing stability. Youth pathways are often unique and thus prevention and treatment may benefit from a tailored and flexible approach.

scholarly journals Cognitive-behavioural therapy for bipolar disorder

2006 ◽  
Vol 188 (5) ◽  
pp. 488-489 ◽  
Author(s):  
J. Scott ◽  
E. Paykel ◽  
R. Morriss ◽  
R. Bentall ◽  
P. Kinderman ◽  
...  
Keyword(s):  
Bipolar Disorder ◽  
Cognitive Behavioural Therapy ◽  
Behavioural Therapy ◽  
Cognitive Behavioural
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