Towards recovery: Therapeutic approaches to improve the treatment of alcohol use disorder

Authors

  • Rosa Jurado-Barba University Hospital 12 de Octubre in Madrid (Spain).
  • Ana Sion University Hospital 12 de Octubre in Madrid (Spain).
  • Laura Esteban-Rodríguez University Hospital 12 de Octubre in Madrid (Spain).
  • Andrés Martínez-Maldonado University Hospital 12 de Octubre in Madrid (Spain).
  • Gabriel Rubio-Valladolid University Hospital 12 de Octubre in Madrid (Spain).

DOI:

https://doi.org/10.7203/metode.12.18427

Keywords:

alcohol use disorder, cognitive-behavioural therapy, motivation, inhibitory control, recovery

Abstract

Currently, the best evidence-based treatments for alcohol dependence are those developed in multidisciplinary programmes based on a cognitive-behavioural approach, including psychological, sociological, and medical dimensions. However, recovery is not always achieved. The percentage of individuals who abandon and relapse is high throughout the process and an adequate state of wellbeing is not always found. This paper outlines some of the complements or techniques that could be incorporated to the most common treatments to enhance behavioural change, taking into account long-term outcomes. Thus, the text highlights the importance of considering recovery as the culmination of the process of change towards improved health, wellbeing, and self-directed life purpose, rather than just abstinence.

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Author Biographies

Rosa Jurado-Barba, University Hospital 12 de Octubre in Madrid (Spain).

Professor at the Department of Psychology of the Camilo José Cela University in Madrid (Spain). She coordinates the Psychophysiology Laboratory of the Biomedical Research Institute at the University Hospital 12 de Octubre (neuroscience-addiction area) in Madrid. Her main line of work focuses on the involvement of cognitive processes in addictions, using neuropsychological and psychophysiological tools.

Ana Sion, University Hospital 12 de Octubre in Madrid (Spain).

Researcher at the Psychophysiology Laboratory of the Biomedical Research Institute of the University Hospital 12 de Octubre (neuroscience-addiction area) in Madrid (Spain). She specialises in the analysis of signals from electroencephalograms and magnetoencephalograms, obtained in the context of alcohol dependence.

Laura Esteban-Rodríguez, University Hospital 12 de Octubre in Madrid (Spain).

Researcher at the Psychophysiology Laboratory of the Biomedical Research Institute of the University Hospital 12 de Octubre (neuroscience-addiction area) in Madrid (Spain). Her research focus lies in long-term recovery, wellbeing, and quality of life in addictions.

Andrés Martínez-Maldonado, University Hospital 12 de Octubre in Madrid (Spain).

Researcher at the Psychophysiology Laboratory of the Biomedical Research Institute of the University Hospital 12 de Octubre (neurosciences-addictions area) in Madrid (Spain), where he has contributed to the implementation of therapeutic complements based on new technologies such as virtual reality to evaluate the repercussions of the therapeutic process on brain activity.

Gabriel Rubio-Valladolid, University Hospital 12 de Octubre in Madrid (Spain).

Head of the Psychiatry Department at the University Hospital 12 de Octubre in Madrid (Spain) and Professor of Psychiatry at the Complutense University of Madrid. He has extensive experience in the care and clinical aspects of alcohol-dependent patients. He has developed integrative therapeutic programmes, which seek to facilitate cooperative work in the health and social sphere, for the continuation of care of alcohol-dependent people.

References

Campbell, E. J., Lawrence, A. J., & Perry, C. J. (2018). New steps for treating alcohol use disorder. Psychopharmacology, 235(6), 1759–1773. https://doi.org/10.1007/s00213-018-4887-7

Carroll, K. M., & Kiluk, B. D. (2017). Cognitive behavioral interventions for alcohol and drug use disorders: Through the stage model and back again. Psychology of Addictive Behaviors, 31(8), 847–861. https://doi.org/10.1037/adb0000311

Cortés, M. T., Fernández, S., García, B., Martínez, V., & Sierra, R. (2018). Intervenciones psicológicas basadas en la evidencia en trastornos adictivos. In C. Pereiro & J. J. Fernández (Eds), Guía de adicciones para especialistas en formación. (pp. 389–399). Socidrogalcohol.

FACOMA. (2016). Ayúdate-Ayúdanos. https://facoma.org/

Jurado-Barba, R., Duque, A., López-Trabada, J. R., Martínez-Gras, I., García-Gutiérrez, M. S., Navarrete, F., López-Muñoz, F., Jiménez-Airrero, M. A., Ávila, C., Manzanares, J., & Rubio, G. (2017). The modulation of the startle reflex as predictor of alcohol use disorders in a sample of heavy drinkers: A 4-year follow-up study. Alcohol Clinical and Experimental Research, 41(6), 1212–1219. https://doi.org/10.1111/acer.13399

Jurado-Barba, R., Rubio Valladolid, G., Martínez-Gras, I., Alvarez-Alonso, M. J., Ponce Alfaro, G., Fernández, A., Moratti, S., Heinz, A., & Jimenez-Arriero, M. A. (2015). Changes on the modulation of the startle reflex in alcohol-dependent patients after 12 weeks of a cognitive-behavioral intervention. European Addiction Research, 21(4), 195–203. https://doi.org/10.1159/000371723

Kelly, J. F., & Hoeppner B. B. (2015). A biaxial formulation of the recovery construct. Addiction Research & Theory, 23(1), 5–9. https://doi.org/10.3109/16066359.2014.930132

Martínez-Maldonado, A., Jurado-Barba, R., Sion, A., Domínguez-Centeno, I., Castillo-Parra, G., Prieto-Montalvo, J., & Rubio, G. (2020). Brain functional connectivity after cognitive-bias modification and behavioral changes in abstinent alcohol-use disorder patients. International Journal of Psychophysiology, 154, 46–58. https://doi.org/10.1016/j.ijpsycho.2019.10.004

McQueen, J., Howe, T. E., Allan, L., Mains, D., & Hardy, V. (2011). Brief interventions for heavy alcohol users admitted to general hospital wards. Cochrane Database of Systematic Reviews, 8, CD005191. https://doi.org/10.1002/14651858.CD005191.pub3

National Academies of Sciences, Engineering and Medicine. (2016). Measuring recovery from substance use or mental disorders: Workshop Summary. The National Academies Press. https://doi.org/10.17226/23589

Prochaska, J. O., & Diclemente, C. C. (1986). Toward a comprehensive model of change. In W. R. Miller, & N. Heather (Eds.), Treating addictive behaviors: Processes of change (pp. 3–27). Plenum Press. https://doi.org/10.1007/978-1-4613-2191-0_1

Rubio, G., Marín, M., Arias, F., López-Trabada, J. R., Iribarren, M., Alfonso, S., Prieto, R., Blanco, A., Urosa, B., Montes, V., Jurado, R., Jiménez-Arriero, M., Á., & de Fonseca, F. R. (2018). Inclusion of alcoholic associations into a public treatment programme for alcoholism improves outcomes during the treatment and continuing care period: A 6-year experience. Alcohol and Alcoholism, 53(1), 78–88. https://doi.org/10.1093/alcalc/agx078

Smedslund, G., Berg, R. C., Hammerstrøm, K. T., Steiro, A., Leiknes, K. A., Dahl, H. M., & Karlsen, K. (2011). Motivational interviewing for substance abuse. Cochrane Database of Systematic Reviews, 5, CD008063. https://doi.org/10.1002/14651858.cd008063.pub2

Wiers, C. E., Stelzel, C., Gladwin, T. E., Park, S. Q., Pawelczack, S., Gawron, C. K., Stuke, H., Heinz, A., Wiers, R. W., Rinck, M., Lindenmeyer, J., Walter, H., & Bermpohl, F. (2015). Effects of cognitive bias modification training on neural alcohol cue reactivity in alcohol dependence. The American Journal of Psychiatry, 172(4), 335–343. https://doi.org/10.1176/appi.ajp.2014.13111495

Wiers, R. W., Eberl, C., Rinck, M., Becker, E. S., & Lindenmeyer, J. (2011). Retraining automatic action tendencies changes alcoholic patients’ approach bias for alcohol and improves treatment outcome. Psychological Science, 22(4), 490–497. https://doi.org/10.1177/0956797611400615

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Published

2022-02-02

How to Cite

Jurado-Barba, R., Sion, A., Esteban-Rodríguez, L., Martínez-Maldonado, A., & Rubio-Valladolid, G. (2022). Towards recovery: Therapeutic approaches to improve the treatment of alcohol use disorder. Metode Science Studies Journal, (12), 79–85. https://doi.org/10.7203/metode.12.18427
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Issue

The future of science (2022)

Section

Willpower hijacked. The science of addictions

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