Evidence map›Paper›PMID 41108580›Full record

SynthesisInternational journal of mental health nursing2025

Cognitive Behavioural Therapy and Dual Diagnosis: A Systematic Review Exploring Its Effectiveness and Implications for Nursing Practice.

Dominic Nessbach, Alan Simpson

Abstract readSystematic Review
In one paragraph

Synthesis in International journal of mental health nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

2 authors.

Dominic NessbachFlorence Nightingale Faculty of Nursing, Midwifery & Palliative Care, James Clerk Maxwell Building, Kings College London Waterloo Campus, London, UK.
Alan SimpsonFlorence Nightingale Faculty of Nursing, Midwifery & Palliative Care, James Clerk Maxwell Building, Kings College London Waterloo Campus, London, UK.ORCID https://orcid.org/0000-0003-3286-9846

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Dual diagnosis (DD) is defined as the presence of a co-occurring mental health and substance use disorder. It is associated with poor treatment outcomes, which can be further fuelled by frequent exclusion from specialist treatment due to the separation between mental health and drug and alcohol services. Cognitive Behavioural Therapy (CBT) has an extensive evidence base in treating mental health and substance use disorders in isolation, but there is a paucity of evidence regarding its efficacy in treating DD. The current systematic review aimed to explore the use and effectiveness of CBT as a treatment for individuals with DD. Sources were derived in September 2024 from electronic databases including Medline, PsychINFO, Embase and CINAHL; topically relevant meta-analyses were also citation tracked. Twenty-three studies were included in this review from a total of 2364 which were initially retrieved. Study outcomes highlighted that CBT-based interventions provided some level of improvement to mental health or substance use symptoms, although several interventions did not display superiority when compared to typical addiction approaches. Mental health nurses are well suited to deliver CBT-based interventions and could address the current treatment gap experienced by individuals with DD. This could include supporting patients in maintaining and generalising CBT skills that have already been acquired, which would help guarantee accessibility to CBT-based interventions over a longer time period. However, additional support structures would need to be implemented to allow nurses to deliver CBT effectively, such as access to training, supervision, protected time and reflective practice.

Indexed as

Cognitive Behavioral TherapyMental DisordersPsychiatric NursingSubstance-Related DisordersDiagnosis, Dual (Psychiatry)HumansTreatment Outcomecognitive behavioural therapydual diagnosismental healthmental health nursesubstance use

Identifiers

PMID41108580
PMCPMC12535280

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.