Non-pharmacological interventions for methamphetamine use disorder: a systematic review

•Non pharmacological interventions are effective in treating METH use disorder.•Contingency management and cognitive behavioural therapy yield better outcomes.•Heterogeneity noted across the studies in terms of methodology and interpretation.•The methodology should be standardised to allow compariso...

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Veröffentlicht in:	Drug and alcohol dependence Jg. 212; S. 108060
Hauptverfasser:	AshaRani, PV, Hombali, Aditi, Seow, Esmond, Ong, Wei Jie, Tan, Jit Hui, Subramaniam, Mythily
Format:	Journal Article
Sprache:	Englisch
Veröffentlicht:	Ireland Elsevier B.V 01.07.2020 Elsevier Science Ltd
Schlagworte:	abstinence Amphetamine-Related Disorders - psychology Amphetamine-Related Disorders - therapy Amphetamines Appraisal Behavior Behavior Therapy - methods Cognitive ability Cognitive aspects Cognitive behavioral therapy Cognitive Behavioral Therapy - methods Cognitive-behavioral factors Contingency Contingency learning Craving Disorders Dropping out Efficacy Evaluation Exercise - physiology Exercise - psychology Health services utilization Help seeking behavior Humans Intervention Magnetic fields Methamphetamine Methamphetamine - adverse effects Methamphetamine use disorder Non-pharmacological intervention Non-pharmacological interventions Nursing Randomized Controlled Trials as Topic - methods Rehabilitation Residential care Systematic review Therapy Transcranial magnetic stimulation Treatment needs Treatment Outcome abstinence Non-pharmacological interventions Methamphetamine use disorder Methamphetamine
ISSN:	0376-8716, 1879-0046, 1879-0046
Online-Zugang:	Volltext
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Zusammenfassung:	•Non pharmacological interventions are effective in treating METH use disorder.•Contingency management and cognitive behavioural therapy yield better outcomes.•Heterogeneity noted across the studies in terms of methodology and interpretation.•The methodology should be standardised to allow comparison across the studies. Methamphetamine (METH) use is on the rise globally, with the number of treatment seekers increasing exponentially across the globe. Evidence-based therapies are needed to meet rising treatment needs. This systematic review intends to appraise the existing evidence to identify effective non-pharmaceutical approaches for the treatment of METH use disorder. Five electronic bibliographic databases-Ovid (Medline), Embase, Cumulative Index of Nursing and Allied Health Literature (CINAHL), Web of Science and PsycINFO- were searched to identify relevant studies that were published between January 1995 to February 2020. Studies were selected and assessed by two independent reviewers. A systematic review of data from both randomised control trials (RCT) and non-RCTs was conducted to appraise the evidence. A total of 44 studies were included in the review. Behavioural interventions, i.e. cognitive behavioural therapy (CBT), contingency management (CM), exercise, residential rehabilitation based therapies, repetitive transcranial magnetic stimulation (rTMS), and matrix model demonstrated treatment efficacy in promoting abstinence, reducing methamphetamine use or craving in the participants. While CM interventions showed the strongest evidence favouring the outcomes assessed, tailored CBT alone or with CM was also effective in the target population. Behavioural interventions should be considered as the first line of treatment for methamphetamine use disorder. Future studies should address the longevity of the effects, and limitations due to smaller sample sizes and high dropout rates to enable better assessment of evidence.
Bibliographie:	ObjectType-Article-2 SourceType-Scholarly Journals-1 content type line 14 ObjectType-Feature-3 ObjectType-Evidence Based Healthcare-1 ObjectType-Article-1 ObjectType-Feature-2 content type line 23 ObjectType-Undefined-3
ISSN:	0376-8716 1879-0046 1879-0046
DOI:	10.1016/j.drugalcdep.2020.108060