Treatment of the Depressed Alcoholic Patient

被引：0
作者：
Jeffrey J. DeVido
Roger D. Weiss
机构：
[1] Harvard Medical School,
[2] McLean Hospital,undefined
来源：
Current Psychiatry Reports | 2012年 / 14卷
关键词：
Depression; Mood disorders; Substance use disorder; SUD; Alcohol; Alcoholism; Alcohol use disorder; AUD; Dual diagnosis; Assessment; Treatment; Outcomes; Pharmacotherapies; Antidepressants; Psychosocial therapies; Motivational enhancement therapy; Cognitive behavioral therapy; Relapse prevention therapy; Contingency management; Twelve-step facilitation;
D O I：
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中图分类号：
学科分类号：
摘要：
Alcohol use disorders (AUDs) and depressive illnesses are highly prevalent, frequently co-occur, and are associated with worse outcomes when paired. The assessment and treatment of patients with co-occurring alcohol use disorders and depressive illnesses is wrought with many significant challenges. When it comes to advocating treatment guidelines for this dually-diagnosed population, the data are limited, but, nonetheless, do suggest that an integrated approach to patients presenting with co-occurring AUD and depressive symptoms can be efficacious. In this approach, ongoing evaluation and treatment are provided under one roof according to the evolving needs of each patient. Utilizing antidepressant medications in conjunction with psychosocial therapies may augment overall treatment efficacy; data also suggest that combining and tailoring psychosocial therapies, such as motivational enhancement therapies, cognitive therapies, and twelve-step facilitation may further improve treatment outcomes for patients with co-occurring depressive and alcohol use disorders.
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页码：610 / 618
页数：8
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