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Psychosocial interventions for amphetamine-type stimulants use disorder to reduce risk behaviours
Summary of the evidence
Psychosocial interventions for Amphetamine-type stimulants (ATS - meth/amphetamine and ecstasy) use were found in review of reviews with meta-analysis (Tran et al., 2021) that:
- patients in psychological interventions used injectables substantially less (odds ratio (OR) 0.35, 95% CI: 0.24 to 0.49, low quality evidence)
- the risk of unsafe sex in the psychosocial intervention group was lower than in the control group (RR 0.49, 95% CI: 0.34 to 0.71, moderate quality evidence)
Psychosocial interventions considered in the analysis were:
1. Cognitive behaviour therapy (CBT)/ Cognitive Behaviour Therapy combined with Text messages/ Computer-based Cognitive Behaviour Therapy intervention; 2. Contingency management (CM); 3. Psychosocial therapies (combined CBT+ MI+ CM+BI + others); Matrix; 4. Motivational interviewing (MI); 5. Brief intervention (BI); 6. Case management; 7. Community-based management, therapeutic community; harm reduction group therapy; 8. Mindfulness; 9. 12 steps facilitation; 10. Family therapy.
Details
Note: this evidence summary is only valid for the outcomes, target groups, settings and substances/patterns of use described below.