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Related Concept Videos

Self-Help Support Groups01:28

Self-Help Support Groups

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Self-help support groups are voluntary, community-based organizations that provide a platform for individuals with shared concerns to exchange support, insights, and practical strategies for coping with life challenges. Typically led by group members or paraprofessionals, these groups form a cornerstone of mental health care, especially in reaching populations that are underserved by traditional healthcare systems.
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People can go to great lengths to protect their self-image and present themselves in ways that they want others to see them. Sociologist Erving Goffman presented the idea that a person is like an actor on a stage. Calling his theory dramaturgy, Goffman believed that we use “impression management” to present ourselves to others as we hope to be perceived. Each situation is a new scene, and individuals perform different roles depending on who is present (Goffman, 1959). Think about...
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Ethanol, a clear colorless alcohol, has been consumed by humans for millennia, but its effects on the body are far from benign. At lower doses, it induces decreased inhibitions and loquaciousness, leading to its social appeal. However, it can cause severe consequences at higher doses, such as coma and respiratory depression, due to its zero-order elimination kinetics. Chronic ethanol abuse wreaks havoc on multiple organ systems, particularly the CNS and the liver. Abrupt cessation of ethanol...
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Binge eating disorder is a significant mental health condition characterized by recurrent episodes of excessive food consumption within a short period, accompanied by a perceived loss of control over eating behavior. Unlike occasional overeating, binge eating disorder is marked by distressing emotions such as guilt, shame, and anxiety following binge episodes. The disorder affects individuals across different ages and backgrounds, with profound implications for physical and psychological...
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Coping Strategies: Problem Focused01:27

Coping Strategies: Problem Focused

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Coping strategies are methods people use to manage, tolerate, or reduce the effects of stressors. These strategies involve both behavioral and psychological actions to handle stressful situations. One common approach is problem-focused coping, which aims to change or eliminate the source of stress rather than merely addressing its consequences. This method involves taking direct action to resolve the issue causing stress.
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Medications are typically administered to achieve therapeutic effects. Some drugs can modify an individual's mood and perception, frequently resulting in various enjoyable experiences. However, this can result in drug dependency, a condition marked by continuous drug use despite potential negative consequences. Drug dependency primarily falls into two categories: psychological and physical dependence. Psychological dependence occurs when the pleasurable feelings induced by the drug...
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A Prediction Error-driven Retrieval Procedure for Destabilizing and Rewriting Maladaptive Reward Memories in Hazardous Drinkers
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Web-Based Self-Help for Problematic Alcohol Use: a Large Naturalistic Study.

Magnus Johansson1,2, Kristina Sinadinovic3,4, Anders Hammarberg3,4

  • 1Department of Public Health, Karolinska Institutet, Stockholm, Sweden. magnus.johansson.1@ki.se.

International Journal of Behavioral Medicine
|December 1, 2016
PubMed
Summary
This summary is machine-generated.

A web-based self-help program significantly reduced alcohol consumption in hazardous drinkers. Completing the program and higher baseline readiness predicted lower alcohol use at follow-up.

Keywords:
AlcoholCognitive behavioralHarmful drinkingInternetSubstance use disordersTreatment programeHealth

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Area of Science:

  • Psychology
  • Public Health
  • Digital Health

Background:

  • Problematic alcohol use is a significant public health concern.
  • Web-based interventions offer accessible support for individuals seeking to reduce alcohol consumption.
  • Understanding user characteristics and program effectiveness is crucial for optimizing digital health solutions.

Purpose of the Study:

  • To examine user characteristics and intervention use patterns in an anonymous, web-based self-help program for alcohol reduction.
  • To identify variables associated with reduced alcohol consumption among help-seekers.
  • To evaluate the effectiveness of a web-based cognitive behavioral therapy (CBT) program in managing problematic alcohol use.

Main Methods:

  • An observational study involving 4165 participants with hazardous alcohol use, assessed using the Alcohol Use Disorders Identification Test (AUDIT).
  • A 10-week web-based CBT program was delivered, with assessments including Timeline-followback (TLFB), AUDIT, and quality of life scales.
  • Predictors of change in drinking behavior were analyzed at 10-week follow-up for completers (n=1043).

Main Results:

  • The average user was 41.88 years old, 52% female, with a mean of 27.27 drinks/week at baseline, and 62% indicated probable alcohol dependence.
  • At follow-up, 53% of completers showed clinically significant reductions in alcohol use, with mean consumption decreasing and low-risk consumption rising to 40%.
  • Male gender, higher baseline readiness to change, program completion, and accessing additional support predicted reduced alcohol use.

Conclusions:

  • A publicly available web-based program effectively attracted users with significant alcohol and health issues.
  • The intervention led to reduced alcohol consumption and improved health-related quality of life for program completers.
  • Web-based self-help programs are a viable tool for managing problematic alcohol use and achieving positive behavioral change.