已发表论文

成人酒精使用障碍心理社会干预最佳证据总结:基于证据的综述

 

Authors Yan L , Ji CF , Xia LP , Sun W, Shi JQ, Wu XD 

Received 19 May 2025

Accepted for publication 19 September 2025

Published 2 October 2025 Volume 2025:18 Pages 6315—6327

DOI https://doi.org/10.2147/JMDH.S538359

Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 2

Editor who approved publication: Dr Rajendra Badgaiyan

Lu Yan, Cai-Fang Ji, Li-Ping Xia, Wenxi Sun, Jian-Qin Shi, Xiao-Dong Wu

Department of Psychiatric Rehabilitation, Suzhou Guangji Hospital, Suzhou, Jiangsu, 215000, People’s Republic of China

Correspondence: Cai-Fang Ji, Department of Psychiatric Rehabilitation, Suzhou Guangji Hospital, Suzhou, Jiangsu, 215000, People’s Republic of China, Tel +86 15306211208; +86 15306213988, Email 1284652350@qq.com Li-Ping Xia, Department of Psychiatric Rehabilitation, Suzhou Guangji Hospital, Suzhou, Jiangsu, 215000, People’s Republic of China, Tel +86 15306211208; +86 15306213988, Email jsszgjyyxlp@163.com

Background: Alcohol Use Disorder (AUD) is the most common of all substance use disorders worldwide. Psychosocial interventions have been established as a core component of AUD management. However, current research evidence on psychosocial interventions for AUD is fragmented and lacks systematic, standardized protocols in this population, which constrains its standardized implementation in clinical practice.
Purpose: To retrieve, evaluate, and summarize the evidence on psychosocial interventions for adults with AUD, aiming to inform clinical decision-making and support healthcare professionals in tailoring personalized psychosocial interventions for patients.
Patients and Methods: A systematic search was performed across 22 databases and websites for clinical decisions, recommended practices, guidelines, evidence summaries, expert consensus, systematic reviews, and randomized controlled trials regarding psychosocial interventions for adults with AUD. The search period extended from the inception of the database to February 2025. Two trained researchers independently evaluated the literature’s quality and systematically extracted and summarized the available evidence.
Results: A total of 20 studies were included, consisting of six clinical decisions, four guidelines, six systematic reviews, and four randomized controlled trials. Synthesis of evidence from these studies identified twenty-seven pieces of evidence, which were further categorized into eight dimensions: pre-intervention assessment, intervention goals, scope of application, multidisciplinary team involvement, intervention timing, intervention frequency, monitoring frequency and indicators, and precautions. These dimensions represent the primary areas of evidence derived from the included studies.
Conclusion: This study systematically synthesized the most robust evidence for psychosocial interventions in adults with AUD. The evidence confirmed that implementing psychosocial interventions based on considering hospital resources and patient preferences can effectively reduce alcohol consumption, depression, anxiety, and improve long-term outcomes in adults with AUD. This evidence-based framework established a practical and scientific basis for standardized psychosocial intervention delivery in clinical settings.

Keywords: alcohol use disorder, adults, psychosocial interventions, evidence summary, evidence-based nursing