Journal article
Alcohol dependence: the impact of cognitive behaviour therapy with or without naltrexone on subjective health status
Australian and New Zealand Journal of Psychiatry, Vol.38(10), pp.842-848
2004
Abstract
Objectives: To examine the health‐related quality of life of alcohol‐dependent patients across a 12‐week cognitive behaviour treatment (CBT) program and identify whether the patient selection of the anticraving medication naltrexone further enhanced these outcomes.
Method: One hundred and thirty‐six consecutive alcohol‐dependent subjects voluntarily participated and were offered naltrexone, of which 73 (54%) participants declined medication. A matched design was used. Of the 136 subjects, 86 (43 naltrexone and CBT; 43 CBT only) could be individually matched (blind to outcome measures) for gender, age, prior alcohol detoxification and dependence severity. Measures of health status and mental health wellbeing included the Rand Corporation Medical Outcomes Short Form 36 Health Survey (SF‐36) and the General Health Questionnaire (GHQ‐28).
Results: Pre‐treatment, all had SF‐36 and GHQ‐28 scores markedly below national norms. Post‐treatment, significant improvement in seven of the eight SF‐36 subscales and all of the GHQ‐28 subscales occurred, approximating national normative levels. Patients in the CBT + naltrexone group were significantly more likely to have increased days abstinent (p = 0.002) and to complete the program abstinent (p = 0.051). The adjunctive use of naltrexone did not provide additional benefit as reflected in SF‐36 and GHQ‐28 scores, beyond CBT alone.
Conclusions: Patients who completed the CBT‐based treatment program reported significant improvements in self‐reported health status (SF‐36) and wellbeing (GHQ‐28). The adjunctive use of naltrexone demonstrated no additional improvement in these measures.
Details
- Title
- Alcohol dependence: the impact of cognitive behaviour therapy with or without naltrexone on subjective health status
- Authors
- Gerald F. X Feeney (Author) - Princess Alexandra HospitalJason P Connor (Author) - University of QueenslandRoss Young (Author) - Queensland University of TechnologyJane Tucker (Author) - Princess Alexandra HospitalAnnie McPherson (Author) - Princess Alexandra Hospital
- Publication details
- Australian and New Zealand Journal of Psychiatry, Vol.38(10), pp.842-848; 7
- Publisher
- Sage Publications Ltd.
- DOI
- 10.1111/j.1440-1614.2004.01469.x
- ISSN
- 1440-1614
- Organisation Unit
- Office of the Deputy Vice-Chancellor (Research and Innovation); University of the Sunshine Coast, Queensland
- Language
- English
- Record Identifier
- 99551007302621
- Output Type
- Journal article
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