Cited by 694Substance Abuse Treatment and OutcomesPsychotherapy Techniques and ApplicationsAnxiety, Depression, Psychometrics, Treatment, Cognitive Processes

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Cognitive-Behavioral Treatment With Adult Alcohol and Illicit Drug Users: A Meta-Analysis of Randomized Controlled Trials

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Magill, Molly, Ray, Lara A.·2009·Journal of Studies on Alcohol and Drugs

DOI 10.15288/jsad.2009.70.516PMC PMC2696292

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Abstract

OBJECTIVE: This meta-analysis examined 53 controlled trials of cognitive-behavioral treatment (CBT) for adults diagnosed with alcohol- or illicit-drug-use disorders. The aims were to provide an overall picture of CBT treatment efficacy and to identify client or treatment factors predictive of CBT effect magnitude. METHOD: The inverse variance weighted effect size (Hedges' g) was calculated for each study and pooled using fixed and random effects methods. Potential study-level moderators were assessed in subgroup analyses by primary drug, type of CBT, and type of comparison condition. In addition, seven client and treatment variables were examined in meta-regression analyses. RESULTS: Across studies, CBT produced a small but statistically significant treatment effect (g = 0.154, p < .005). The pooled effect was somewhat lower at 6-9 months (g = 0.1 15, p < .005) and continued to diminish at 12-month follow-up (g = 0.096, p < .05). The effect of CBT was largest in marijuana studies (g = 0.513, p < .005) and in studies with a no-treatment control as the comparison condition (g = 0.796, p < .005). Meta-regression analyses indicated that the percentage of female participants was positively associated and the number of treatment sessions was negatively associated with effect size. CONCLUSIONS: The findings demonstrate the utility of CBT across a large and diverse sample of studies and under rigorous conditions for establishing efficacy. CBT effects were strongest with marijuana users, when CBT was compared with no treatment, and may be larger with women than with men and when delivered in a brief format.

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Authors: Magill, M., & Ray, L. A.
Affiliations: Brown University (US)
ORCID: Magill, Molly
Ray, Lara A.
Venue: Journal of Studies on Alcohol and Drugs
Publisher: Alcohol Research Documentation, Inc.
Published: 2009-07
Volume: 70
Issue: 4
Pages: 516-527
ISSN: 1937-1888 (ISSN-L)
1938-4114
DOI: 10.15288/jsad.2009.70.516
PMC: PMC2696292
OpenAlex: W2035068440
Cited by: 694
References: 111
Citations by year: 2026: 21 · 2025: 32 · 2024: 47 · 2023: 45 · 2022: 37 · 2021: 55 · 2020: 128 · 2019: 45 · 2018: 55 · 2017: 39 · 2016: 34 · 2015: 40 · 2014: 45 · 2013: 32 · 2012: 22
FWCI: 1.55
Type: journal article
Language: en
Open access: bronze
doi.org
Locations: Journal of Studies on Alcohol and Drugs (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
Funders: Boston College
National Institute on Alcohol Abuse and Alcoholism (T32 AA07459-22, AA07459, T32AA007459)
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, treatment efficacy, cannabis use, short-term treatment, gender differences
MeSH terms: Adult, Alcoholism, Female, Humans, Male, Sex Characteristics, Time Factors, Cognitive Behavioral Therapy, Randomized Controlled Trials as Topic, Treatment Outcome, Substance-Related Disorders

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Cognitive-Behavioral Treatment With Adult Alcohol and Illicit Drug Users: A Meta-Analysis of Randomized Controlled Trials

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