Evidence map›Paper›PMID 24304463›Full record

SynthesisAddiction (Abingdon, England)2014

Treatment of comorbid alcohol use disorders and depression with cognitive-behavioural therapy and motivational interviewing: a meta-analysis.

Heleen Riper, Gerhard Andersson, Sarah B Hunter, Jessica de Wit, Matthias Berking, Pim Cuijpers

Open access · hybridAbstract readMeta-AnalysisReview
In one paragraph

Synthesis in Addiction (Abingdon, England), 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 111 papers, 11 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
111citing papers in PubMed, 11 pooled it
7.5field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

111 citing papers in PubMed, 11 syntheses or guidelines pooled it, 272 citations in OpenAlex.

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51 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 6 institutions in 4 countries.

Heleen RiperDepartment of Clinical Psychology, VU University Amsterdam, Amsterdam, the Netherlands; EMGO Institute for Health and Care Research, VU University and VU University Medical Centre, Amsterdam, the Netherlands; Division of Online Health Training, Innovation Incubator, Leuphana University Lüneburg, Lüneburg, Germany.
Gerhard Andersson
Sarah B Hunter
Jessica de Wit
Matthias Berking
Pim Cuijpers
Amsterdam UMC Location VUmc · NLEMGO Institute for Health and Care Research · NLLeuphana University of Lüneburg · DELinköping University · SEPhilipps University of Marburg · DERAND Corporation · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsTo review published studies on the effectiveness of combining cognitive-behavioural therapy (CBT) and motivational interviewing (MI) to treat comorbid clinical and subclinical alcohol use disorder (AUD) and major depression (MDD) and estimate the effect of this compared with usual care.

methodsWe conducted systematic literature searches in PubMed, PsycINFO and Embase up to June 2013 and identified additional studies through cross-references in included studies and systematic reviews. Twelve studies comprising 1721 patients met our inclusion criteria. The studies had sufficient statistical power to detect small effect sizes.

resultsCBT/MI proved effective for treating subclinical and clinical AUD and MDD compared with controls, with small overall effect sizes at post-treatment [g=0.17, confidence interval (CI)=0.07-0.28, P<0.001 for decrease of alcohol consumption and g=0.27, CI: 0.13-0.41, P<0.001 for decrease of symptoms of depression, respectively]. Subgroup analyses revealed no significant differences for both AUD and MDD. However, digital interventions showed a higher effect size for depression than face-to-face interventions (g= 0.73 and g=0.23, respectively, P=0.030).

conclusionsCombined cognitive-behavioural therapy and motivational interviewing for clinical or subclinical depressive and alcohol use disorders has a small but clinically significant effect in treatment outcomes compared with treatment as usual.

Indexed as

Alcohol-Related DisordersCognitive Behavioral TherapyHumansMajor Depressive DisorderMotivational InterviewingTreatment OutcomeAlcohol use disorderscognitive-behavioural therapycomorbiditymajor depressionmeta-analysismotivational interviewingrandomized controlled trialstreatment effect

Identifiers

PMID24304463
PMCPMC4227588
OpenAlexW1522072170

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.