Impact of cognitive behaviour therapy via mail for cessation of benzodiazepine use: a series of case reports

Parr, Jannette M., Kavanagh, David J., Young, Ross McD, Stubbs, Barbara and Bradizza, Nick (2013) Impact of cognitive behaviour therapy via mail for cessation of benzodiazepine use: a series of case reports. Behaviour Change, 30 2: 74-83. doi:10.1017/bec.2013.7


Author Parr, Jannette M.
Kavanagh, David J.
Young, Ross McD
Stubbs, Barbara
Bradizza, Nick
Title Impact of cognitive behaviour therapy via mail for cessation of benzodiazepine use: a series of case reports
Journal name Behaviour Change   Check publisher's open access policy
ISSN 0813-4839
2049-7768
Publication date 2013-06
Year available 2013
Sub-type Critical review of research, literature review, critical commentary
DOI 10.1017/bec.2013.7
Volume 30
Issue 2
Start page 74
End page 83
Total pages 10
Place of publication Cambridge, United Kingdom
Publisher Cambridge University Press
Collection year 2014
Language eng
Abstract Benzodiazepines are widely prescribed to manage sleep disorders, anxiety and muscular tension. While providing short-term relief, continued use induces tolerance and withdrawal, and in older users, increases the risk of falls. However, long-term prescription remains common, and effective interventions are not widely available. This study developed a self-managed cognitive behaviour therapy package for cessation of benzodiazepine use delivered to participants via mail (M-CBT) and trialled its effectiveness as an adjunct to a general practitioner (GP)-managed dose reduction schedule. In the pilot trial, participants were randomly assigned to GP management with immediate or delayed M-CBT. Significant recruitment and engagement problems were experienced, and only three participants were allocated to each condition. After immediate M-CBT, two participants ceased use, while none receiving delayed treatment reduced daily intake by more than 50%. Across the sample, doses at 12 months remained significantly lower than baseline, and qualitative feedback from participants was positive. While M-CBT may have promise, improved engagement of GPs and participants is needed for this approach to substantially impact on community-wide benzodiazepine use.
Keyword Benzodiazepines
Correspondence
Cognitive-behaviour therapy
General practitioner
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collections: Official 2014 Collection
School of Medicine Publications
 
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