Single-focussed versus integrated cognitive behaviour therapy for co-occurring depression and alcohol use problems

这项研究意义重大，也是及时的，因为它提出了一项大规模的认知行为治疗(CBT)随机对照试验，用于治疗同时存在抑郁和酒精使用问题的人。到目前为止，很少有研究人员在这一人群中进行研究，他们复杂的表现使治疗提供者难以选择和提供有效的治疗方案。因此，尽管抑郁障碍和酒精使用问题的发生率在我们的社区中有所增加，但如何最好地管理和治疗这一群体仍然不清楚。通常情况下，人们通常会接受治疗，治疗他们陈述的一部分，例如他们的抑郁或酒精使用问题。然而，这两种疾病被综合治疗的情况并不常见。对于心理治疗来说，这当然是正确的。到目前为止，研究项目已经探索了在没有共生疾病的情况下治疗抑郁症和酒精使用的有效方法。目前尚不清楚同时存在酒精使用问题和抑郁症的人对单一重点治疗的反应如何。此外，目前尚不清楚将酒精使用和抑郁治疗方法结合起来是否会带来任何额外的好处。因此，这项研究具有重要意义，因为它是第一批探索同时存在抑郁和酒精使用问题的人的有效治疗方法之一。这些问题的解决将更好地为在心理健康和酒精等药物环境中执业的临床医生的治疗选择提供信息。重要的是，这将潜在地改善治疗与患有抑郁症和药物使用问题的人之间的匹配，后者是社区环境中遇到的临床流行人群。

This study is significant and timely in that it proposes a large-scale randomised controlled trial of cognitive behaviour therapy (CBT) for people with co-occurring depression and alcohol use problems. To date, very few researchers have conducted research within this population, whose complex presentation makes it difficult for treatment providers to select and deliver effective treatment programs. Thus, although rates of depressive disorders and alcohol use problems are on the increase in our community, it is still not clear how best to manage and treat this group of people. Typically, people will often receive treatment for one part of their presentation, for example their depression or alcohol use problem. However, it is uncommon for the two conditions to be treated in an integrated way. This is certainly true for psychological treatments. Research programs to date have explored effective treatments for depression and alcohol use in the absence of the co-occurring condition. Currently it is not known how well people with co-occurring alcohol use problems and depression respond to treatments with a singular focus. Furthermore, it is not known whether integrating both alcohol use and depressive treatment approaches provides any additional benefit. This study is therefore significant, as it is one of the first to explore effective treatment approaches among people with co-occurring depressive and alcohol use problems. Resolution of these issues will better inform the treatment choices of clinicians practicing in both mental health and alcohol-other drug settings. Importantly, this will potentially improve the match between treatment and people with depression and substance use problems, a clinically prevalent population encountered in community settings.