Conflict of interest: None declared.
Acceptability of cognitive-behaviour therapy via the Internet for cessation of benzodiazepine use
Article first published online: 4 MAY 2011
© 2011 Australasian Professional Society on Alcohol and other Drugs
Drug and Alcohol Review
Special Issue: Pharmaceuticals. Guest Editors: Suzanne Nielsen and Raimondo Bruno
Volume 30, Issue 3, pages 306–314, May 2011
How to Cite
PARR, J. M., KAVANAGH, D. J., YOUNG, R. McD. and MITCHELL, G. (2011), Acceptability of cognitive-behaviour therapy via the Internet for cessation of benzodiazepine use. Drug and Alcohol Review, 30: 306–314. doi: 10.1111/j.1465-3362.2010.00183.x
- Issue published online: 4 MAY 2011
- Article first published online: 4 MAY 2011
- Received 30 August 2009; accepted for publication 5 January 2010.
- cognitive-behaviour therapy;
- substance-related disorders
Introduction and Aims: Long-term use of benzodiazepines remains common, and conveys significant risk. Providing psychological intervention in association with gradual dose reduction increases cessation rates above dose reduction alone, but appropriate psychological support is difficult to obtain. This study was undertaken to assess the outcomes of an uncontrolled case series of an Internet-based cognitive-behaviour therapy for benzodiazepine cessation.
Design and Methods: Users of benzodiazepines for >3 months who wanted to reduce or cease benzodiazepines participated in the trial. They completed online assessments and accessed 13 newsletters on managing withdrawal symptoms and developing alternate ways to cope with life events. Therapist assistance was provided by email. Follow up was at 3 and 6 months and feedback was obtained via comments and emails.
Results: Program ratings and emailed comments of the program were positive. Thirty-two people registered for the program and 14 (44%) completed a 6 month follow up. Of these, eight (57%) reduced weekly intake by at least half, including five (36%) who ceased use. Shorter duration of use and birth outside Australia predicted greater percentage reductions at 3 months, while being living with a partner and being in paid employment predicted reductions at 6 months.
Discussion and Conclusions: While results were encouraging, controlled research is required to confirm the efficacy of the program, and engagement of both users and prescribers needs further attention. [Parr JM, Kavanagh DJ, Young RM, Mitchell G. Acceptability of cognitive-behaviour therapy via the Internet for cessation of benzodiazepine use. Drug Alcohol Rev 2011;30:306–314]