Systematic Reviews of Mindfulness and Acceptance and Commitment Therapy for Alcohol Use Disorder: Should we be using Third Wave Therapies?
Abstract
AIMS: Third wave therapies have shown efficacy for treating emotional disorders and potential for treating substance use disorders. There is developing interest in whether they can more specifically be used for treating alcohol use disorders (AUDs). We were interested in whether third wave therapies have value alongside current evidence-based psychosocial treatments for AUDs. METHOD: We conducted systematic reviews of third wave therapies for AUDs. We searched PsycINFO, Embase and Medline for peer reviewed journal articles where mindfulness or Acceptance and Commitment Therapy (ACT) were used to treat adults with AUDs or alcohol use that caused impairment. RESULTS: We identified 11 studies where mindfulness was used for treating AUDs and 6 where ACT was used for AUDs. The studies identified included RCTs, non-randomized controlled studies and uncontrolled studies. We found preliminary support that both third wave therapies are better than no treatment, treatments of minimal efficacy, as well as some evidence they are comparable to effective psychosocial treatments for AUDs. CONCLUSIONS: We conclude ACT and mindfulness provide an alternative to existing treatments, particularly for patients who have not responded to, or have disengaged from, standard treatments. We also found some evidence ACT and mindfulness are useful for comorbid mental health conditions. Yet while these results are promising, further research is needed to determine their utility, ideally employing randomized-controlled designs, larger clinical samples and longer follow-ups. Furthermore, few studies in this review directly compared third wave therapies to first line treatments, making it difficult to determine their relative efficacy.
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Acceptance and Commitment Therapy has demonstrated efficacy in the treatment of alcohol use disorder.
“an approach with demonstrated efficacy in the treatment of AUD [83, 84].”
A systematic review suggested that ACT provides an alternative to existing treatments for alcohol use disorder, with promising results, but further research is needed.
“A systematic review suggested that ACT provides an alternative to existing treatments for alcohol use disorder, with promising results, but further research is needed (27).”
The literature on ACT for alcohol use is less well-developed with only three preliminary studies published thus far.
“The literature on ACT for alcohol use is less well-developed with only three preliminary studies published thus far [31–34].”
From A Randomized Feasibility/Acceptability Trial of Acceptance and Commitment Therapy for People with HIV Who Drink at Unhealthy Levels. (2026) · cites this paper as [31]
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Four pillars of spirituality: an interpretive guide for the 12 Steps of Alcoholics Anonymous
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Stigma of seeking help for alcohol misuse among men of color
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Acceptance and Commitment Therapy for Substance Use
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Third Wave Therapies and Substance Use Disorders: A Case Example
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- Authors
- Byrne, S. P., Haber, P., Baillie, A., Costa, D. S. J., Fogliati, V., & Morley, K.
- Affiliations
- The University of Sydney (AU)
- The Sydney ACT Centre, 44 Bridge St, Sydney, NSW, Australia
- Corresponding author
- Byrne, Simon P
- Venue
- Alcohol and Alcoholism
- Publisher
- Oxford University Press (OUP)
- Published
- 2019-02-23
- Volume
- 54
- Issue
- 2
- Pages
- 159-166
- ISSN
- 0735-0414 (ISSN-L)
- 1464-3502
- OpenAlex
- W2916257005
- Cited by
- 71
- References
- 49
- Citations by year
- 2026: 7 · 2025: 8 · 2024: 14 · 2023: 12 · 2022: 13 · 2021: 11 · 2020: 4 · 2019: 2
- FWCI
- 0.72
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model (vor)
- Locations
- Alcohol and Alcoholism (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Keywords
- alcoholism, mindfulness-based interventions, acceptance and commitment therapy, third-wave therapies, psychosocial interventions, treatment efficacy, psychiatric comorbidity, treatment non-response
- MeSH terms
- Alcoholism, Humans, Mindfulness, Acceptance and Commitment Therapy
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