Comparison of individual and group cognitive-behavioral therapy for alcohol and/or drug-dependent patients
Abstract
Aims and design. A randomized clinical trial was performed to evaluate the influence of two formats of cognitive‐behavioral psychotherapy (individual vs. group) in the treatment of alcohol and/or drug dependent patients. Setting. Public outpatient drug dependence service. Participants. One hundred and fifty‐five alcohol and/or drug‐dependent patients. Intervention. The patients were randomly assigned to individual ( n = 77) or group ( n = 78) treatment formats. The treatment was developed into two phases: acquisition (eight sessions) and maintenance (nine sessions), distributed over an 8‐month period. Measurements. Alcohol and drug use, severity of dependence, and alcohol‐ and drug‐related problems were evaluated at pre‐treatment and 15 months after admission to treatment. Findings. At follow‐up evaluation both groups of patients presented similar levels of drug consumption, dependence and associated problems. Although group‐treated patients reported slightly higher levels of alcohol consumption (both at baseline and follow‐up) differences between the formats disappear if baseline levels are included as covariates. Compliance with treatment and a measure of drug severity were predictors of success for the drug dependents. The number of sessions attended and high GGT levels at admission were positively correlated with success for the alcohol dependents. Conclusions. The two modalities presented similar outcomes and, as the group format could present a better cost‐benefit ratio, it may be used without decreasing compliance with treatment or treatment effectiveness.
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Most commonly, psychotherapy or counseling interventions used MI techniques or cognitive behavioral therapy (CBT).
“Most commonly, interventions used MI techniques [22,23,61,69,72,83] or cognitive behavioral therapy (CBT) [53,64,68,77,78,87].”
From Patient-level interventions to reduce alcohol-related harms in low- and middle-income countries: A systematic review and meta-summary (2022) · cites this paper as [64]
Marques and colleagues found a reduction in many alcohol-related outcomes for group and individual intervention arms at 15 months, but the intervention arms were not significantly different from each other.
“Marques and colleagues found a reduction in many of their alcohol-related outcomes for the group and individual intervention arms at 15 months, but the intervention arms were not significantly different from each other [64].”
From Patient-level interventions to reduce alcohol-related harms in low- and middle-income countries: A systematic review and meta-summary (2022) · cites this paper as [64]
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- Authors
- Marques, A. C. P. R., & Formigoni, M. L. O. S.
- Venue
- Addiction
- Publisher
- Wiley
- Published
- 2001-06
- Volume
- 96
- Issue
- 6
- Pages
- 835-846
- ISSN
- 0965-2140 (ISSN-L)
- 1360-0443
- OpenAlex
- W2053001670
- Cited by
- 89
- References
- 0
- Citations by year
- 2026: 2 · 2025: 1 · 2023: 2 · 2022: 3 · 2021: 6 · 2020: 4 · 2019: 6 · 2018: 3 · 2017: 4 · 2016: 6 · 2015: 4 · 2014: 2 · 2013: 1 · 2012: 4
- FWCI
- 3.56
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Addiction (publishedVersion)
- PubMed (publishedVersion)
- UNIFESP Institutional Repository (Universidade Federal de São Paulo) (submittedVersion)
- Funders
- Associação Fundo de Incentivo à Pesquisa
- 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, individual psychotherapy, group therapy, alcoholism, drug addiction, outpatient addiction treatment, medication adherence, predictors of treatment success, gamma-glutamyl transferase, alcohol consumption, cost-benefit analysis
- MeSH terms
- Adult, Alcoholism, Analysis of Variance, Female, Humans, Male, Patient Compliance, Psychotherapy, Group, Severity of Illness Index, Cognitive Behavioral Therapy, Chi-Square Distribution, Logistic Models, Treatment Outcome, Substance-Related Disorders
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