Combining medical treatment and CBT in treating alcohol-dependent patients: Effects on life quality and general well-being

Abstract

The aim of the study was to examine how the combination of medication and a brief cognitive behavioral intervention for alcohol dependency can affect patients'quality of life (QL), symptoms of depression and smoking habits. Methods: We conducted a randomized, open-label, multicenter naturalistic study for 243 voluntary-treatment-seeking alcohol-dependent adult outpatients in two phases: first, 12 weekswith continuous medication followed by targeted medication for up to 52 weeks, andsecond, a follow-up period of 67 weeks (altogether 2.5 years). The subjects were randomized 1:1:1 to receive supervised naltrexone, acamprosate or disulfiram, plus a brief manual-based cognitive behavioral intervention (CBT). Results: All three study groups showed a significant reduction in drinking from baseline to the end ofthe study. In the QL test EQ-5D, patients exhibited significant positive changes in sleeping, action, pain and mood dimensions. Severity of depression decreased during the whole study. Smoking decreased more in the disulfiram group than in the naltrexone and acamprosate groups. Conclusion: A combination of medical treatment (naltrexone, acamprosate or disulfiram) with the CBT-booklet (patient guide) appearsto help reduce patients' symptoms of depression and improve their QL. Treatment isalso associated with success at quitting smoking, especially among patients using disulfiram. © The Author 2013. Medical Council on Alcohol and Oxford University Press.