Cognitive Behavioral Therapy and Acceptance and Commitment Therapy for the Discontinuation of Long-Term Benzodiazepine Use in Insomnia and Anxiety Disorders.

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State: Public
Version: Final published version
License: CC BY 4.0
Serval ID
serval:BIB_9F3D602E71F2
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Cognitive Behavioral Therapy and Acceptance and Commitment Therapy for the Discontinuation of Long-Term Benzodiazepine Use in Insomnia and Anxiety Disorders.
Journal
International journal of environmental research and public health
Author(s)
Chapoutot M., Peter-Derex L., Bastuji H., Leslie W., Schoendorff B., Heinzer R., Siclari F., Nicolas A., Lemoine P., Higgins S., Bourgeois A., Vallet G.T., Anders R., Ounnoughene M., Spencer J., Meloni F., Putois B.
ISSN
1660-4601 (Electronic)
ISSN-L
1660-4601
Publication state
Published
Issued date
28/09/2021
Peer-reviewed
Oui
Volume
18
Number
19
Pages
10222
Language
english
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't ; Review
Publication Status: epublish
Abstract
Benzodiazepines have proven to be highly effective for treating insomnia and anxiety. Although considered safe when taken for a short period of time, a major risk-benefit dilemma arises in the context of long-term use, relating to addiction, withdrawal symptoms, and potential side effects. For these reasons, benzodiazepines are not recommended for treating chronic sleep disorders, anxiety disorders, nor for people over the age of 65, and withdrawal among long-term users is a public health issue. Indeed, only 5% of patients manage to discontinue using these drugs on their own. Even with the help of a general practitioner, this rate does not exceed 25 to 30% of patients, of which approximately 7% manage to remain drug-free in the long term. Cognitive Behavioral Therapies (CBT) offer a crucial solution to this problem, having been shown to increase abstinence success to 70-80%. This article examines traditional and novel CBT techniques in this regard, such as Acceptance and Commitment Therapy, which address both the underlying condition (insomnia/anxiety) and the substance-related disorder. The theoretical framework and evidence supporting the use of these approaches are reviewed. Finally, current research gaps are discussed, and key research perspectives are proposed.
Keywords
Acceptance and Commitment Therapy, Anxiety Disorders/drug therapy, Benzodiazepines/therapeutic use, Cognitive Behavioral Therapy, Humans, Sleep Initiation and Maintenance Disorders/drug therapy, Substance Withdrawal Syndrome/drug therapy, acceptance and commitment therapy, benzodiazepine, benzodiazepine taper, cognitive behavioral therapy, drug withdrawal
Pubmed
Web of science
Open Access
Yes
Create date
19/10/2021 12:15
Last modification date
12/01/2022 8:12
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