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Benzodiazepine Withdrawal in Primary Care: A Comparison of Behavioural Group Training and Individual Sessions

Published online by Cambridge University Press:  16 June 2009

Stephen R. Onyett  and
Graham Turpin
Stephen R. Onyett
Affiliation:
St. Charles Hospital, London Plymouth Polytechnic, Plymouth
Graham Turpin
Affiliation:
St. Charles Hospital, London Plymouth Polytechnic, Plymouth
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Abstract

Group training in anxiety management was compared with individual general practitioner appointments as a means of reducing dosage of benzodiazepines. Subjects were encouraged to withdraw at their own pace. Drug reduction, self-ratings of anxiety, depression and Health Locus of Control comprised the outcome measures. Process changes were recorded using visual analogue scales, and daily diary records. At the end of a six-week intervention period, the average dosage had significantly reduced in both groups. This reduction was maintined at a 15-week follow-up. There were no other differences in outcome between conditions. Although subjects reported a variety of symptoms during drug withdrawal, their occurrence was not significantly associated with the degree of dosage reduction.

Type
Research Article
Information
Behavioural and Cognitive Psychotherapy , Volume 16 , Issue 4 , October 1988 , pp. 297 - 312
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 1988

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References

Ashton, H. (1984). Benzodiazepine withdrawl: an unfinished story. British Medical Journal 288, 1135–1140.CrossRefGoogle Scholar
Beck, A. T., Ward, C. H., Mendelson, M., Mock, J. and Erbaugh, J. (1961). An inventory for measuring depression. Archives of General Psychiatry 4, 561–569.CrossRefGoogle ScholarPubMed
Bond, A. J. and Lader, M.H. (1974). The use of analogue scales in rating subjective feelings. British Journal of Medical Psychology 47, 211–218.Google Scholar
Catalan, J. and Gath, D. H. (1985). Benzodiazepines in general practice: time for decision. British Medical Journal 290, 1374–1376.CrossRefGoogle ScholarPubMed
Committee on the Review of Medicines (1980). Systematic review of the benzodiazepines. British Medical Journal 280, 910–912.Google Scholar
Cormack, M. and Sinnott, A. (1983) Psychological alternatives to long-term benzodiazepine use. Journal of the Royal College of General Practitioners 33, 279–281.Google ScholarPubMed
Eayrs, C. B., Rowan, D. and Harvey, P. G. (1984). Behavioural group training for anxiety management. Behavioural Psychotherapy 12, 117–129.CrossRefGoogle Scholar
Fontaine, R., Chouinard, G. and Annable, L. (1984). Rebound anxiety in anxiety patients after abrupt withdrawal of benzodiazepine treatment. American Journal of Psychiatry 141, 848–852.Google ScholarPubMed
Hallstrom, C. and Lader, M. H. (1981). Benzodiazepine withdrawal phenomena. International Pharmacopsychiatry 16, 235–244.CrossRefGoogle ScholarPubMed
Higgit, A. C., Lader, M. H. and Fonagy, P. (1985). Clinical managment of benzodiazepine dependence. British Medical Journal 291, 688–690.CrossRefGoogle Scholar
Hopkins, D. R., Sethi, K. B.S. and Mucklow, J. C. (1982). Benzodiazepine withdrawal in general practice, Journal of the Royal College of General Practitioners 32, 758–762.Google ScholarPubMed
Jupp, H. and Dudley, M. (1984). Group/cognitive anxiety management. Journal of Advance Nursing 9, 573–580.CrossRefGoogle ScholarPubMed
Lader, M. H. and Higgitt, A. C. (1986). Management of benzodiazepine dependence-update 1986. British Journal of Addiction 81, 7–10.CrossRefGoogle ScholarPubMed
Lindsay, W. R., Gamsu, C. V., McLaughlin, E.Hood, E. M. and Espie, C. A. (1987). A controlled trial of treatments for generalized anxiety. British Journal of Clinical Psychology 26, 3–15.CrossRefGoogle ScholarPubMed
Mackinnon, G. L. and Parker, W. A. (1982). Benzodiazepine withdrawal syndrome: a literature review and evaluation. American Journal of Drug and Alcohol Abuse 9, 19–33.CrossRefGoogle ScholarPubMed
Miller, E. (1986). Benzodiazepine and the behaviour therapist: Managing withdrawal and the problems of concurrent treatment with these drugs. Behavioural Psychotherapy 14, 1–21.CrossRefGoogle Scholar
Nathan, R. G., Robinson, D., Cherek, D. R., Sebastian, C. S. and Hack, M. (1986). Alternative treatments for withdrawing the long-term benzodiazepine user: a pilot study. International Journal of the Addictions 21(2), 195–211.Google Scholar
Olajide, D. and Lader, M. H. (1984). Depression following withdrawal from long-term benzodiazepine use: a report of four cases. Psychological Medicine 14, 937–940.CrossRefGoogle ScholarPubMed
Owen, R. T. and Tyrer, P. (1983). Benzodiazepine dependence: a review of the evidence. Drugs 25, 385–398.Google Scholar
Petursson, H. and Lader, M. (1984). Dependence on Tranquillisers. Maudesley Monograph No. 28. Oxford University Press.Google Scholar
Power, K. G., Jerrom, D. W. A., Simpson, R. J. and Mitchell, M. (1985). Controlled study of withdrawal symptoms and rebound anxiety after six-week course of diazepam for general anxiety. British Medical Journal 290, 1246–1248.Google Scholar
Release. (1984). Trouble with tranquillisers London: Release Publications.Google Scholar
Robson, M., Crouch, G. and Hallstrom, C. (1986). Psychological treatment for benzodiazepine dependence. Journal of the Royal College of General Practitioners 36, 523.Google ScholarPubMed
Salkind, M. R. (1973). The Construction and Validation of a Self-rating Anxiety Inventory. Ph.D Thesis, University of London.Google Scholar
Smith, D. E. and Wesson, D. R. (1983). Benzodiazepine dependency syndromes. Journal of Psychoactive Drugs 15, 85–95.CrossRefGoogle ScholarPubMed
Stopforth, B. (1986). Outpatient benzodiazepine withdrawal and the Occupational Therapist. British Journal of Occupational Therapy 49, 318–322.Google Scholar
Teare, P. (1984). Skills not pills: learning to cope with anxiety symptoms. Journal of the Royal College of General Practitioners 34, 258–260.Google Scholar
Trepka, C., Laing, I., and Smith, S. (1986). Group treatment for general practice anxiety problems. Journal of the Royal College of General Practitioners 36, 114–117.Google ScholarPubMed
Tyrer, P., Owen, R. T. and Dawling, S. (1983). Gradual withdrawal of diazepam after long-term therapy. Lancet 1, 1402–1406.CrossRefGoogle ScholarPubMed
Tyrer, P. and Owen, R. T. (1984). Anxiety in primary care: is short-term drug treatment appropriate? Journal of Psychiatric Research 18, 73–78.CrossRefGoogle ScholarPubMed
Wallston, B. S., Wallston, K. A., Kaplan, G. D. and Maides, S. A. (1976). Development and validation of the Health Locus of Control (HLC) scale. Journal of Consulting and Clinical Psychology 44, 58–585.CrossRefGoogle ScholarPubMed
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