Cited by 331Substance Abuse Treatment and OutcomesPsychotherapy Techniques and ApplicationsAnxiety, Depression, Psychometrics, Treatment, Cognitive Processes

The DOI matches its Crossref record; 69 of the 71 references it cites were found in a registry or an index; none of the 30 sources its claims cite is checked for support yet.

A Meta-Analysis of Cognitive-Behavioral Therapy for Alcohol or Other Drug Use Disorders: Treatment Efficacy by Contrast Condition

Open access

Abstract

OBJECTIVE: This meta-analysis examined 30 randomized controlled trials (32 study sites; 35 study arms) that tested the efficacy of cognitive-behavioral therapy (CBT) for alcohol or other drug use disorders. The study aim was to provide estimates of efficacy against three levels of experimental contrast (i.e., minimal [k = 5]; nonspecific therapy [k = 11]; specific therapy [k = 19]) for consumption frequency and quantity outcomes at early (1 to 6 months [kes = 41]) and late (8+ months [kes = 26]) follow-up time points. When pooled effect sizes were statistically heterogeneous, study-level moderators were examined. METHOD: The inverse-variance weighted effect size was calculated for each study and pooled under random effects assumptions. Sensitivity analyses included tests of heterogeneity, study influence, and publication bias. RESULTS: CBT in contrast to minimal treatment showed a moderate and significant effect size that was consistent across outcome type and follow-up. When CBT was contrasted with a nonspecific therapy or treatment as usual, treatment effect was statistically significant for consumption frequency and quantity at early, but not late, follow-up. CBT effects in contrast to a specific therapy were consistently nonsignificant across outcomes and follow-up time points. Of 10 pooled effect sizes examined, two showed moderate heterogeneity, but multivariate analyses revealed few systematic predictors of between-study variance. CONCLUSIONS: The current meta-analysis shows that CBT is more effective than a no treatment, minimal treatment, or nonspecific control. Consistent with findings on other evidence-based therapies, CBT did not show superior efficacy in contrast to another specific modality. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

Overview

Integrity signals

Registry

Crossref · 10.1037/ccp0000447

Cites

69 of 69 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Verification

Claims the paper makes

0 of 30 cited sources checked · 0 supported · 0 flagged

  • It may state two separate claims as one. 16
  • Probably not a substantial claim. 20
35 of 35
  • The paper relies on this without support.

    No CBT meta-analysis across substances or for individual substances had been conducted since Magill and Ray (2009).

    “To our knowledge, this was the last CBT meta-analysis across substances, or for individual substances, conducted to date.”
  • The authors state this as an assumption.

    Small sample and small effect studies characterize unpublished research.

    “Here, small sample/small effect studies are assumed to characterize unpublished research, resulting in a significant and negative relationship, thus an asymmetrical funnel plot, when publication bias is present.”
  • The authors state this as an assumption.

    The population effect size has an assumed distribution with both systematic and random sources of variability.

    “In this approach, there is an assumed distribution for the population effect size with both systematic and random sources of variability (Hedges & Vevea, 1998).”
  • The paper relies on this without support.

    This is the first meta-analysis of CBT efficacy for adults with alcohol and other drug use disorders conducted in 10 years.

    “To our knowledge, this is the first meta-analysis of CBT efficacy for adults with alcohol and other drug use disorders conducted in 10 years, despite ongoing research and utilization of the CBT approach.”
  • The paper relies on this without support.

    Studies using a no treatment or minimal treatment contrast provide the optimal conditions for examining the durability of treatment effect.

    “Studies using a no treatment or a minimal treatment contrast provide the optimal conditions for examining the durability of treatment effect.”
  • The paper relies on this without support.

    There is limited evidence for differential efficacy between specific therapies (the dodo bird effect).

    “despite the known phenomenon of limited evidence for differential efficacy between specific therapies (i.e., the dodo bird effect).”
6 of 6

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

Each contradiction between two passages listed here was confirmed by an independent check.

  • Early minimal-follow-up k differs within Results and Discussion

    Minor

    One part of the paper reports 4 early minimal-contrast frequency studies, while another says frequency outcomes at early follow-up for no/minimal contrast came from 5 studies. These are the same contrast and outcome/timepoint description, so the counts do not match.

  • No treatment/minimal count stated as seven in Discussion but five in Abstract

    Minor

    The Discussion says estimates were sizable only among seven studies contrasting CBT with a minimal comparison, whereas the Abstract lists minimal contrast as k = 5. The paper does not explain this change in denominator or whether one refers to studies and the other to study sites.

  • Minimal-comparison study counts change in the discussion

    Minor

    The results report four early and two late studies for frequency outcomes with a minimal-treatment comparison. The discussion reports five early and four late studies for the same outcomes and comparison.

  • Outcome-type and follow-up totals differ

    Minor

    The abstract reports 41 early and 26 late effect sizes, totaling 67. The discussion reports 19 quantity and 47 frequency effect sizes, totaling 66, although these are the two stated ways of dividing the effect sizes.

4 of 4

Citations

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Metadata

Authors
Magill, M., Ray, L., Kiluk, B., Hoadley, A., Bernstein, M., Tonigan, J. S., & Carroll, K.
Affiliations
  • University of California, Los Angeles (US)
  • Yale University (US)
  • University of New Mexico (US)
Venue
Journal of Consulting and Clinical Psychology
Published
2019-12
Volume
87
Issue
12
Pages
1093-1105
ISSN
  • 0022-006X (ISSN-L)
  • 1939-2117
OpenAlex
W2980109357
Cited by
315
References
71
Citations by year
2026: 55 · 2025: 54 · 2024: 57 · 2023: 62 · 2022: 37 · 2021: 30 · 2020: 20
FWCI
3.16
Type
journal article
Language
en
Open access
Locations
  • Journal of Consulting and Clinical Psychology (publishedVersion, other-oa)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
  • eScholarship (California Digital Library) (submittedVersion)
Funders
National Institute on Alcohol Abuse and Alcoholism (AA026006)
Topics
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
  • Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Keywords
cognitive behavioral therapy, alcoholism, substance use disorders, treatment efficacy, drinking frequency, alcohol consumption quantity, evidence-based treatment
MeSH terms
Alcoholism, Humans, Cognitive Behavioral Therapy, Outcome Assessment, Health Care, Substance-Related Disorders

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