Abstract

Substance dependence is a chronic and highly prevalent condition leading to dysfunction in personal, occupational and social area that can occur during periods of heavy alcohol consumption and even following treatment. According to WHO estimates in year 2010, 3.4-6.6 per cent of the world’s population in age group of 15-64 had used an illicit substance at least once in their life (WHO, 2012). Illicit drug use globally led deaths in range of 99,000 to 253,000 in the year 2010 (WHO, 2012). Recent report of WHO (2014) suggests that 38.3% of the global population consume alcohol and on an average, an individual over 15 years of age consume 6.2 litres of alcohol annually. Thus drug dependence has become a worldwide crisis as it is associated with adverse social and economic consequences as well as physical and mental illness.

Highlights

  • Substance dependence is a chronic and highly prevalent condition leading to dysfunction in personal, occupational and social area that can occur during periods of heavy alcohol consumption and even following treatment

  • Both were effective but effectiveness of CM & cognitive behaviour therapy (CBT) was greater than CBT alone

  • Identification and modification of Alcohol. Both CBT+Naltraxone and CBT alone were effective in terms of subjective health status

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Summary

Introduction

Substance dependence is a chronic and highly prevalent condition leading to dysfunction in personal, occupational and social area that can occur during periods of heavy alcohol consumption and even following treatment. Recent report of WHO (2014) suggests that 38.3% of the global population consume alcohol and on an average, an individual over 15 years of age consume 6.2 litres of alcohol annually. Found to be associated with substance dependence and dealt with using number of intervention strategies but still relapse rate found to be too high among these individuals. The research has established the clinical relevance of identification and modification of cognitive components as it is often associated with better treatment outcome and low rate of relapse across various disorders. It is important to study systematically the substance use disorders in terms of associated cognitive elements. The current article is aimed to review systematically the published literature on identification and modification of dysfunctional cognition in substance use disorders

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