Effective psychosocial treatment for patients with substance use disorders and comorbid psychiatric disorders: a mission impossible?

Moggi, Franz (2014). Effective psychosocial treatment for patients with substance use disorders and comorbid psychiatric disorders: a mission impossible? Suchttherapie, 15(1), pp. 9-15. Thieme 10.1055/s-0033-1358693

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Results on the effectiveness of psychosocial treatments for patients with a comorbidity of psychiatric and substance use disorders (dual diagnosis) will be discussed based on relevant meta-analyses and comprehensive reviews. The findings will be presented for severe (e. g., schizophrenia) and for mild to moderate (e. g., anxiety disorders) dual diagnoses. Due to the heterogeneity in patients’, treatments’, settings’, and outcomes’ characteristics it is difficult to generally conclude which psychosocial treatments are effective. Promising treatments seem to be integrative stagewise programs that comprise motivational interviewing, cognitive-behavioral interventions, substance use reducing interventions such as relapse prevention and contingency management and/or family interventions. Such programs are mostly superior to control groups (e. g., waiting list) and they are sometimes superior to other active treatments (e. g., treatment as usual) in outcomes of substance use, psychiatric disorders and social functioning.

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