Manejo de Contingência Aplicado ao Transtorno por Uso de Álcool: Revisão Sistemática
DOI:
https://doi.org/10.1590/0102.3772e38215.ptPalavras-chave:
manejo de contingência, transtorno por uso de álcool, práticas baseadas em evidências, revisão sistemática, ensaios clínicos randomizadosResumo
Esta revisão sistemática avaliou a eficácia do Manejo de Contingência (MC) no tratamento do Transtorno por Uso de Álcool. Para isso, foi utilizada a recomendação PRISMA e consultadas as bases de dados: Cochrane Library, MEDLINE Complete, PsycINFO e Pubmed. Foram incluídos oito ensaios clínicos randomizados nesta revisão. Em sete, o MC foi mais eficaz em promover abstinência continuada. Dos dois que avaliaram a retenção no tratamento, ambos encontraram resultados estatisticamente favoráveis ao MC. Dos três que apresentaram resultados de avaliação de seguimento, em dois o MC foi mais eficaz em promover abstinência. Todos apresentaram boa qualidade metodológica. A aplicação do MC em larga escala pode promover melhorias substanciais para a saúde pública e deve ser encorajada.
Downloads
Referências
Os estudos incluídos nesta revisão sistemática estão destacados com asterisco (*)
Abdalla, R. R., Massaro, L., Miguel, A. D. Q. C., Laranjeira, R., Caetano, R., & Madruga, C. S. (2018). Association between drug use and urban violence: Data from the II Brazilian National Alcohol and Drugs Survey (BNADS). Addictive Behaviors Reports, 7, 8-13. https://doi.org/10.1016/j.abrep.2017.11.003
*Alessi, S. M., & Petry, N. M. (2013). A randomized study of cellphone technology to reinforce alcohol abstinence in the natural environment. Addiction, 108(5), 900-909. https://doi.org/10.1111/add.12093
American Psychiatric Association (APA). (2014). Manual diagnóstico e estatístico de transtornos mentais: DSM 5. Porto Alegre: Artmed.
Andreuccetti, G., De Carvalho, H. B., de Carvalho Ponce, J., De Carvalho, D. G., Kahn, T., Muñoz, D. R., & Leyton, V. (2009). Alcohol consumption in homicide victims in the city of São Paulo. Addiction, 104(12), 1998-2006. https://doi.org/10.1111/j.1360-0443.2009.02716.x
*Averill, F., Brown, T. G., Robertson, R. D., Tchomgang, A., Berbiche, D., Nadeau, L., & Ouimet, M. C. (2018). Transdermal alcohol monitoring combined with contingency management for driving while impaired offenders: A pilot randomized controlled study. Traffic Injury Prevention, 19(5), 455-461. https://doi.org/10.1080/15389588.2018.1448079
*Barnett, N. P., Celio, M. A., Tidey, J. W., Murphy, J. G., Colby, S. M., & Swift, R. M. (2017). A preliminary randomized controlled trial of contingency management for alcohol use reduction using a transdermal alcohol sensor. Addiction, 112(6), 1025-1035. https://doi.org/10.1111/add.13767
Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale: Lawrence Erlbaum Associates.
Davis, D. R., Kurti, A. N., Skelly, J. M., Redner, R., White, T. J., & Higgins, S. T. (2016). A review of the literature on contingency management in the treatment of substance use disorders, 2009”“2014. Preventive Medicine, 92, 36-46. https://doi.org/10.1016/j.ypmed.2016.08.008
de Carvalho Ponce, J., Muñoz, D. R., Andreuccetti, G., de Carvalho, D. G., & Leyton, V. (2011). Alcohol-related traffic accidents with fatal outcomes in the city of Sao Paulo. Accident Analysis & Prevention, 43(3), 782-787. https://doi.org/10.1016/j.aap.2010.10.025
Degenhardt, L., Charlson, F., Ferrari, A., Santomauro, D., Erskine, H., Mantilla-Herrara, A., ... & Rehm, J. (2018). The global burden of disease attributable to alcohol and drug use in 195 countries and territories, 1990”“2016: a systematic analysis for the Global Burden of Disease Study 2016. The Lancet Psychiatry, 5(12), 987-1012. https://doi.org/10.1016/S2215-0366(18)30337-7
Diehl, A., Cordeiro, D. C., & Laranjeira, R. (Orgs.) (2019). Dependência química: prevenção, tratamento e políticas públicas (2a ed.). Porto Alegre: Artmed.
Gao J., Cao J., Guo T., & Xiao Y. (2018). Association between alcoholic interventions and abstinence rates for alcohol use disorder: A meta-analysis. Medicine, 97(50). https://doi.org/10.1097/MD.0000000000013566
*Hagedorn, H. J., Noorbaloochi, S., Simon, A. B., Bangerter, A., Stitzer, M. L., Stetler, C. B., & Kivlahan, D. (2013). Rewarding early abstinence in Veterans Health Administration addiction clinics. Journal of Substance Abuse Treatment, 45(1), 109-117. https://doi.org/10.1016/j.jsat.2013.01.006
Higgins, J. P. T., Altman, D. G., Gøtzsche, P. C., Jüni, P., Moher, D., Oxman, A. D., ... & Sterne, J. A. (2011). The Cochrane Collaboration’s tool for assessing risk of bias in randomised trials. BMJ, 343, d5928. https://doi.org/10.1136/bmj.d5928
Higgins, S. T., Silverman, K., & Heil, S. H. (Eds.). (2007). Contingency management in substance abuse treatment. New York: Guilford Press.
Kendall, J. (2003). Designing a research project: randomised controlled trials and their principles. Emergency Medicine Journal, 20(2), 164. https://doi.org/10.1136/emj.20.2.164
Kirby, K., & Petry, N. (2004). Heroin and cocaine abusers have higher discount rates for delayed rewards than alcoholics or non-drug-using controls. Addiction, 99(4), 461-471. https://doi.org/10.1111/j.1360-0443.2003.00669.x
Kirby, K., Petry, N., & Bickel, W. (1999). Heroin addicts have higher discount rates for delayed rewards than non-drug-using controls. Journal of Experimental Psychology: General, 128(1), 78-87. https://doi.org/10.1037//0096-3445.128.1.78
*Koffarnus, M. N., Bickel, W. K., & Kablinger, A. S. (2018). Remote alcohol monitoring to facilitate incentive" based treatment for alcohol use disorder: A randomized trial. Alcoholism: Clinical and Experimental Research, 42(12), 2423-2431. https://doi.org/10.1111/acer.13891
Lussier, J. P., Heil, S. H., Mongeon, J. A., Badger, G. J., & Higgins, S. T. (2006). A meta" analysis of voucher" based reinforcement therapy for substance use disorders. Addiction, 101(2), https://doi.org/10.1111/j.1360-0443.2006.01311.x
Massaro, L. T. D. S., Adesse, L., Laranjeira, R., Caetano, R., & Madruga, C. S. (2019). Estupros no Brasil e relações com o consumo de álcool: estimativas baseadas em autorrelato sigiloso. Cadernos de Saúde Pública, 35, e00022118. https://doi.org/10.1590/0102-311x00022118
Matta, A., Gonçalves, L. F., & Bizarro, L. (2014). Desvalorização pelo atraso, dependência química e impulsividade. Avances en Psicología Latinoamericana, 32(2), 217-230. https://doi.org/10.12804/apl32.2.2014.03
Mellis A. M., Woodford A. E., Stein J. S., & Bickel W. K. (2017). A second type of magnitude effect: Reinforcer magnitude differentiates delay discounting between substance users and controls. Journal of the Experimental Analysis of Behavior, 107, 151-160. https://doi.org/10.1002/jeab.235
McCrady, B. S. (2016). Transtornos por uso de álcool. In D. H. Barlow (Org.), Manual Clínico dos Transtornos Psicológicos: tratamento passo a passo (5a ed) (pp. 531-583). Porto Alegre: Artmed.
*McDonell, M. G., Leickly, E., McPherson, S., Skalisky, J., Srebnik, D., Angelo, F., ... & Ries, R. K. (2017). A randomized controlled trial of ethyl glucuronide-based contingency management for outpatients with co-occurring alcohol use disorders and serious mental illness. American Journal of Psychiatry, 174(4), 370-377. https://doi.org/10.1176/appi.ajp.2016.16050627
McLeod, J. (2003). Tests, Rating Scales and Survey Questionnaires. In: Doing counseling research (2a ed.). London: Sage Publications, p. 55-70.
Miguel, A. Q. C., Madruga, C. S., Cogo-Moreira, H., Yamauchi, R., Simões, V., da Silva, C. J., . . . & Laranjeira, R. (2016). Contingency management is effective in promoting abstinence and retention in treatment among crack cocaine users in Brazil: a randomized controlled trial. Psychology of Addictive Behaviors, 30(5), 536-543. https://doi.org/10.1037/adb0000192
Miguel, A. Q. C., Madruga, C. S., Cogo-Moreira, H., Yamauchi, R., Simões, V., Ribeiro, A., . . . . & Laranjeira, R. R. (2017). Contingency management targeting abstinence is effective in reducing depressive and anxiety symptoms among crack cocaine-dependent individuals. Experimental and Clinical Psychopharmacology, 25(6), 466”“472. https://doi.org/10.1037/pha0000147
Miguel, A. Q. C., Madruga, C. S., Simões, V., Yamauchi, R., Silva, C. J. D. A., Abdalla, R. R., . . . & Laranjeira, R. R. (2018). Crack cocaine users views regarding treatment with contingency management in Brazil. Substance Abuse Treatment Prevention, and Policy, 13, a7. https://doi.org/10.1186/s13011-018-0144-7
Miguel, A. Q. C., Madruga, C. S., Simões, V., Yamauchi, R., Silva, C. J. D., McDonell, M., ... & Mari, J. D. J. (2019). Contingency management is effective in promoting abstinence and retention in treatment among crack cocaine users with a previous history of poor treatment response: a crossover trial. Psicologia: Reflexão e Crítica, 32. https://doi.org/10.1186/s41155-019-0127-2
Miller, P. M. (1975). A behavioral intervention program for chronic public drunkenness offenders. Archives of General Psychiatry, 32(7), 915-918. https://doi.org/10.1001/archpsyc.1975.01760250107012
Moher, D., Liberati, A., Tetzlaff, J., & Altman, D. G. (2009). Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Annals of Internal Medicine, 151(4), 264-269. https://doi.org/10.7326/0003-4819-151-4-200908180-00135
National Institute on Drug Abuse (NIDA). (1998). A Community Reinforcement Plus Vales Approach: Treating cocaine addiction. (Therapy Manuals for Drug Addiction). Rockyville, ML: NIDA.
*Orr, M. F., Smith, C. L., Finlay, M., Martin, S. C., Brooks, O., Oluwoye, O. A., ... & Layton, M. (2018). Pilot investigation: randomized-controlled analog trial for alcohol and tobacco smoking co-addiction using contingency management. Behavioural Pharmacology, 29(5), 462-468. https://doi.org/10.1097/FBP.0000000000000379
Petry, N. M. (2011). Contingency Management for substance abuse treatment: A guide to implementing this evidenced-based practice. New York: Routledge.
*Petry, N., Martin, B., Cooney, J. L., & Kranzler, H. R. (2000). Give them prizes, and they will come: contingency management for treatment of alcohol dependence. Journal of Consulting and Clinical Psychology, 68(2), 250-257. https://doi.org/10.1037/0022-006X.68.2.250
Pilling, S., Strang, J., Gerada, C., & NICE (2007). Psychosocial interventions and opioid detoxification for drug misuse: summary of NICE guidance. BMJ, 335(7612), 203”“205. https://doi.org/10.1136/bmj.39265.639641.AD
Ponce, J. D. C., Andreuccetti, G., Jesus, M. D. G. D. S., Leyton, V., & Muñoz, D. R. (2008). Álcool em vítimas de suicídio em São Paulo. Archives of Clinical Psychiatry (São Paulo), 35, 13-16. https://doi.org/10.1590/S0101-60832008000700004
Prendergast, M., Podus, D., Finney, J., Greenwell, L., & Roll, J. (2006). Contingency management for treatment of substance use disorders: A meta" analysis. Addiction, 101(11), 1546-1560. https://doi.org/10.1111/j.1360-0443.2006.01581.x
Wong C. J, Silverman K., & Bigelow G. E. (2008). Alcohol. In S. T. Higgins, K. Silverman, & S. H. Heil (Eds.), Contingency management in substance abuse treatment (Cap. 7, pp. 120-139). New York: Guilford Press.
World Health Organization (WHO). (2018). Global status report on alcohol and health 2018. Genebra, Suíça: Organização Mundial da Saúde. Recuperado de https://www.who.int/publications-detail/global-status-report-on-alcohol-and-health-2018
Downloads
Publicado
Como Citar
Edição
Seção
Licença
Copyright (c) 2022 Karina de Souza Silva, Angelo Augusto Silva Sampaio, André de Queiroz Constantino Miguel
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
