An Evaluation of Cognitive Behavioral Therapy for Substance Use Disorders: A Systematic Review and Application of the Society of Clinical Psychology Criteria for Empirically Supported Treatments

Cognitive behavioral therapy (CBT) is a commonly used treatment for substance use disorders (SUDs) but has not been evaluated using the American Psychological Association's "Tolin Criteria " for determining the empirical basis of psychological treatments. The current systematic review evaluated five meta-analyses of CBT for SUD. One meta-analysis had sufficient quality to be considered in the evaluation of effect sizes. CBT produced small to moderate effects on substance use when compared with inactive treatment and was most effective at early follow-up (1-6 months posttreatment) compared with late follow-up (8+ months posttreatment). Sensitivity analyses including all five meta-analyses found similar results. A "strong recommendation " was provided for CBT as an empirically supported treatment for SUD, based on effects on substance use, quality of the evidence, and consideration of contextual factors (e.g., efficacy in diverse populations).