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PSYCH up2date 2024; 18(03): 201-216
DOI: 10.1055/a-2119-2677
Abhängigkeitserkrankungen

Psychotherapie bei Substanzabhängigkeit und psychischer Komorbidität

Angela Buchholz
,
Jeanette Röhrig
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Bei Menschen mit Substanzkonsumstörungen treten besonders häufig affektive Störungen, schizophrene Psychosen, Angsterkrankungen und posttraumatische Belastungsstörungen auf. Die richtige Diagnosestellung und eine störungsspezifische Psychotherapie sind für den weiteren Erkrankungsverlauf entscheidend. Obwohl eine integrierte Behandlung der komorbiden Störungen in aktuellen Leitlinien empfohlen wird, wird sie durch viele Barrieren erschwert.

Schlüsselwörter

Substanzkonsumstörung - SKS - affektive Störung - Angsterkrankungen - Psychosen


Publication History

Article published online:
03 May 2024

© 2024. Thieme. All rights reserved.

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  • Literatur

  • 1 Dauber H, Braun B, Pfeiffer-Gerschel T. et al. Co-occurring mental disorders in substance abuse treatment: The current health care situation in Germany. Int J Ment Health Addict 2018; 16: 66-80
    CrossrefPubMedSearch in Google Scholar
  • 2 Moggi F, Preuss U. Suchterkrankungen und komorbide psychische Störungen. et al. In: Soyka M, Batra A, Heinz A. Suchtmedizin. München: Elsevier; 2019: 333-347
    Search in Google Scholar
  • 3 Dirks H, Scherbaum N, Kis B. et al. ADHD in adults and comorbid substance use disorder: Prevalence, clinical diagnostics and integrated therapy. Fortschr Neurol Psychiatr 2017; 85: 336-344
    Thieme ConnectPubMedSearch in Google Scholar
  • 4 Singer S, Maier L, Paserat A. et al. Wartezeiten auf einen Psychotherapieplatz vor und nach der Psychotherapiestrukturreform. Psychotherapeut 2022; 67: 176-184
    CrossrefSearch in Google Scholar
  • 5 Wangensteen T, Hystad J. Trust and collaboration between patients and staff in SUD treatment: A qualitative study of patients' reflections on inpatient SUD treatment four years after discharge. Nordisk Alkohol Nark 2022; 39: 418-436
    CrossrefPubMedSearch in Google Scholar
  • 6 Enke M, Wallenwein E, Weber T. Entwöhnungsbehandlung (Sucht-Rehabilitation) der Alkoholabhängigkeit. PSYCH up2d 2022; 16: 109-127
    Thieme ConnectSearch in Google Scholar
  • 7 Morrens M, Dewilde B, Sabbe B. et al. Treatment outcomes of an integrated residential programme for patients with schizophrenia and substance use disorder. Eur Addict Res 2011; 17: 154-163
    CrossrefPubMedSearch in Google Scholar
  • 8 Swofford CD, Kasckow JW, Scheller-Gilkey G. et al. Substance use: A powerful predictor of relapse in schizophrenia. Schizophr Res 1996; 20: 145-151
    CrossrefPubMedSearch in Google Scholar
  • 9 Cantwell R. Substance use and schizophrenia: Effects on symptoms, social functioning and service use. Br J Psych 2003; 182: 324-329
    CrossrefPubMedSearch in Google Scholar
  • 10 Baker AL, Hiles SA, Thornton LK. et al. A systematic review of psychological interventions for excessive alcohol consumption among people with psychotic disorders. Acta Psychiatra Scand 2012; 126: 243-255
    CrossrefPubMedSearch in Google Scholar
  • 11 Barrowclough C, Haddock G, Wykes T. et al. Integrated motivational interviewing and cognitive behavioural therapy for people with psychosis and comorbid substance misuse: Randomised controlled trial. BMJ 2010; 341: c6325
    CrossrefPubMedSearch in Google Scholar
  • 12 Baker AL, Thornton LK, Hiles S. et al. Psychological interventions for alcohol misuse among people with co-occurring depression or anxiety disorders: A systematic review. J Affect Dis 2012; 139: 217-229
    CrossrefPubMedSearch in Google Scholar
  • 13 Gregory Jr VL, Ellis RJB. Cognitive-behavioral therapy and buprenorphine for opioid use disorder: A systematic review and meta-analysis of randomized controlled trials. Am J Drug Alcoh Ab 2020; 46: 520-530
    CrossrefPubMedSearch in Google Scholar
  • 14 Klerman GWM, Rounsaville B, Chevron E. Interpersonal Psychotherapy of Depression. New York: Basic Books; 1984
    Search in Google Scholar
  • 15 Markowitz JC, Kocsis JH, Christos P. et al. Pilot study of interpersonal psychotherapy versus supportive psychotherapy for dysthymic patients with secondary alcohol abuse or dependence. J Nerv Ment Dis 2008; 196: 468-474
    CrossrefPubMedSearch in Google Scholar
  • 16 Penberthy JK, Khanna S, Lynch M. et al. Effective treatment for co-occurring alcohol use disorder and persistent depression: A case report. MOJ Add Med Ther 2017; 3: 66-69
    Search in Google Scholar
  • 17 Weiss RD, Griffin ML, Kolodziej ME. et al. A randomized trial of integrated group therapy versus group drug counseling for patients with bipolar disorder and substance dependence. Am J Psych 2007; 164: 100-107
    CrossrefPubMedSearch in Google Scholar
  • 18 Schadé A, Marquenie LA, van Balkom AJ. et al. The effectiveness of anxiety treatment on alcohol-dependent patients with a comorbid phobic disorder: A randomized controlled trial. Alcoh Clin Exp Res 2005; 29: 794-800
    CrossrefPubMedSearch in Google Scholar
  • 19 Roberts NP, Lotzin A, Schäfer I. A systematic review and meta-analysis of psychological interventions for comorbid post-traumatic stress disorder and substance use disorder. Eur J Psychotraum 2022; 13: 2041831
    CrossrefPubMedSearch in Google Scholar
  • 20 Mills KL, Teesson M, Back SE. et al. Integrated exposure-based therapy for co-occurring posttraumatic stress disorder and substance dependence: A randomized controlled trial. JAMA 2012; 308: 690-699
    CrossrefPubMedSearch in Google Scholar
  • 21 Najavits LM, Gallop RJ, Weiss RD. Seeking safety therapy for adolescent girls with PTSD and substance use disorder: A randomized controlled trial. J Behav Health Serv Res 2006; 33: 453-463
    CrossrefPubMedSearch in Google Scholar
  • 22 Schäfer I, Lotzin A, Hiller P. et al. A multisite randomized controlled trial of seeking safety vs. relapse prevention training for women with co-occurring posttraumatic stress disorder and substance use disorders. Eur J Psychotraum 2019; 10: 1577092
    CrossrefPubMedSearch in Google Scholar
  • 23 Pilz R, Hartleb R, Konrad G. et al. The role of eye movement desensitization and reprocessing (EMDR) in substance use disorders: A systematic review. Forts Neurol Psych 2017; 85: 584-591
    Thieme ConnectPubMedSearch in Google Scholar
  • 24 van Emmerik-van Oortmerssen K, Vedel E, Kramer FJ. et al. Integrated cognitive behavioral therapy for ADHD in adult substance use disorder patients: Results of a randomized clinical trial. Drug Alcoh Depend 2019; 197: 28-36
    CrossrefPubMedSearch in Google Scholar
  • 25 Bihlar Muld B, Jokinen J, Bölte S. et al. Skills training groups for men with ADHD in compulsory care due to substance use disorder: A feasibility study. Attent Def Hyperact Dis 2016; 8: 159-172
    CrossrefPubMedSearch in Google Scholar
  • 26 Dimeff LA, Linehan MM. Dialectical behavior therapy for substance abusers. Addict Sci Clin Pract 2008; 4: 39-47
    CrossrefPubMedSearch in Google Scholar
  • 27 Gregory RJ, DeLucia-Deranja E, Mogle JA. Dynamic deconstructive psychotherapy versus optimized community care for borderline personality disorder co-occurring with alcohol use disorders: A 30-month follow-up. J Nerv Ment Dis 2010; 198: 292-298
    CrossrefPubMedSearch in Google Scholar
  • 28 Ball SA. Manualized treatment for substance abusers with personality disorders: Dual focus schema therapy. Addict Beh 1998; 23: 883-891
    CrossrefPubMedSearch in Google Scholar
  • 29 Nielsen P, Røjskjær S, Hesse M. Personality-guided treatment for alcohol dependence: A quasi-randomized experiment. Am J Addict 2007; 16: 357-364
    CrossrefPubMedSearch in Google Scholar