Balneotherapy Together with a Psychoeducation Program for Benzodiazepine Withdrawal: A Feasibility Study

Benzodiazepines should be prescribed on a short-term basis, but a significant proportion of patients (%) use them for more than 6 months, constituting a serious public health issue. Indeed, few strategies are effective in helping patients to discontinue long-term benzodiazepine treatments. The aim o...

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Main Authors: P. De Maricourt, P. Gorwood, Th. Hergueta, A. Galinowski, R. Salamon, A. Diallo, C. Vaugeois, J. P. Lépine, J. P. Olié, O. Dubois
Format: Article
Language:English
Published: Hindawi Limited 2016-01-01
Series:Evidence-Based Complementary and Alternative Medicine
Online Access:http://dx.doi.org/10.1155/2016/8961709
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spelling doaj-7878764923e34396959ed39e86461a2e2020-11-24T22:37:41ZengHindawi LimitedEvidence-Based Complementary and Alternative Medicine1741-427X1741-42882016-01-01201610.1155/2016/89617098961709Balneotherapy Together with a Psychoeducation Program for Benzodiazepine Withdrawal: A Feasibility StudyP. De Maricourt0P. Gorwood1Th. Hergueta2A. Galinowski3R. Salamon4A. Diallo5C. Vaugeois6J. P. Lépine7J. P. Olié8O. Dubois9Service Hospitalo Universitaire de Santé Mentale et de Thérapeutique, Université Paris Descartes, Centre Hospitalier Sainte Anne, Paris, FranceINSERM UMR 894, PRES Sorbonne Centre de Psychiatrie et Neurosciences, Université Paris Descartes, Sorbonne Paris Cité, Paris, FranceLaboratoire de Psychopathologie et Processus de Santé (EA 4057), Institut de Psychologie, Université Paris Descartes, Sorbonne Paris Cité, Paris, FranceService Hospitalo Universitaire de Santé Mentale et de Thérapeutique, Université Paris Descartes, Centre Hospitalier Sainte Anne, Paris, FranceInstitute of Public Health, Epidemiology and Development “ISPED”, Bordeaux University, Bordeaux, FranceInstitute of Public Health, Epidemiology and Development “ISPED”, Bordeaux University, Bordeaux, FranceLe Manoir Clinic, 09400 Ussat les Bains, FranceAPHP, Département de Psychiatrie et de Médecine Addictologique, Hôpital Fernand Vidal, Paris, FranceService Hospitalo Universitaire de Santé Mentale et de Thérapeutique, Université Paris Descartes, Centre Hospitalier Sainte Anne, Paris, FranceSaujon Clinic, BP 30, 17600 Saujon, FranceBenzodiazepines should be prescribed on a short-term basis, but a significant proportion of patients (%) use them for more than 6 months, constituting a serious public health issue. Indeed, few strategies are effective in helping patients to discontinue long-term benzodiazepine treatments. The aim of this study was to assess the feasibility and the impact of a program including cognitive behavioural therapy, psychoeducation, and balneotherapy in a spa resort to facilitate long-term discontinuation of benzodiazepines. We conducted a prospective multicentre cohort study. Patients with long-term benzodiazepine use were recruited with the aim of anxiolytic withdrawal by means of a psychoeducational program and daily balneotherapy during 3 weeks. The primary efficacy outcome measure was benzodiazepine use 6 months after the program, compared to use at baseline. A total of 70 subjects were enrolled. At 6 months, overall benzodiazepine intake had decreased by 75.3%, with 41.4% of patients completely stopping benzodiazepine use. The results also suggest a significantly greater improvement in anxiety and depression symptoms among patients who discontinued benzodiazepines compared to patients who only reduced their use. Our findings suggest that balneotherapy in association with a psychoeducative program is efficient in subjects with benzodiazepine addiction.http://dx.doi.org/10.1155/2016/8961709
collection DOAJ
language English
format Article
sources DOAJ
author P. De Maricourt
P. Gorwood
Th. Hergueta
A. Galinowski
R. Salamon
A. Diallo
C. Vaugeois
J. P. Lépine
J. P. Olié
O. Dubois
spellingShingle P. De Maricourt
P. Gorwood
Th. Hergueta
A. Galinowski
R. Salamon
A. Diallo
C. Vaugeois
J. P. Lépine
J. P. Olié
O. Dubois
Balneotherapy Together with a Psychoeducation Program for Benzodiazepine Withdrawal: A Feasibility Study
Evidence-Based Complementary and Alternative Medicine
author_facet P. De Maricourt
P. Gorwood
Th. Hergueta
A. Galinowski
R. Salamon
A. Diallo
C. Vaugeois
J. P. Lépine
J. P. Olié
O. Dubois
author_sort P. De Maricourt
title Balneotherapy Together with a Psychoeducation Program for Benzodiazepine Withdrawal: A Feasibility Study
title_short Balneotherapy Together with a Psychoeducation Program for Benzodiazepine Withdrawal: A Feasibility Study
title_full Balneotherapy Together with a Psychoeducation Program for Benzodiazepine Withdrawal: A Feasibility Study
title_fullStr Balneotherapy Together with a Psychoeducation Program for Benzodiazepine Withdrawal: A Feasibility Study
title_full_unstemmed Balneotherapy Together with a Psychoeducation Program for Benzodiazepine Withdrawal: A Feasibility Study
title_sort balneotherapy together with a psychoeducation program for benzodiazepine withdrawal: a feasibility study
publisher Hindawi Limited
series Evidence-Based Complementary and Alternative Medicine
issn 1741-427X
1741-4288
publishDate 2016-01-01
description Benzodiazepines should be prescribed on a short-term basis, but a significant proportion of patients (%) use them for more than 6 months, constituting a serious public health issue. Indeed, few strategies are effective in helping patients to discontinue long-term benzodiazepine treatments. The aim of this study was to assess the feasibility and the impact of a program including cognitive behavioural therapy, psychoeducation, and balneotherapy in a spa resort to facilitate long-term discontinuation of benzodiazepines. We conducted a prospective multicentre cohort study. Patients with long-term benzodiazepine use were recruited with the aim of anxiolytic withdrawal by means of a psychoeducational program and daily balneotherapy during 3 weeks. The primary efficacy outcome measure was benzodiazepine use 6 months after the program, compared to use at baseline. A total of 70 subjects were enrolled. At 6 months, overall benzodiazepine intake had decreased by 75.3%, with 41.4% of patients completely stopping benzodiazepine use. The results also suggest a significantly greater improvement in anxiety and depression symptoms among patients who discontinued benzodiazepines compared to patients who only reduced their use. Our findings suggest that balneotherapy in association with a psychoeducative program is efficient in subjects with benzodiazepine addiction.
url http://dx.doi.org/10.1155/2016/8961709
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