ABSTRACT Alcohol misuse is a common, disabling and costly issue worldwide. Internet-delivered cognitive behavior therapy (ICBT) has the potential to reduce the harms of alcohol misuse, particularly for individuals who are unable or unwilling to access face-to-face therapy. A systematic review was conducted using Medline, CINAHL, EMBASE and PsycINFO databases for all relevant articles published from 1980 to January 2019. Randomized controlled trials (RCTs) were included if (i) an ICBT intervention targeting alcohol misuse was delivered; (ii) participants were aged 18 years or older; and (iii) primary outcomes were quantity of drinking. A qualitative analysis was conducted on the content of the ICBT programs. Fourteen studies met inclusion criteria. Most studies included participants from the general population, while studies conducted within clinic settings with diagnosed individuals were rare. The programs were similar in terms of included modules. Small effects were seen in studies on self-guided ICBT, while therapist-guided ICBT rendered small to large effects. The current review indicates that ICBT has a significant effect in reducing alcohol consumption. Larger studies evaluating ICBT compared to active control groups especially within clinic settings are warranted.

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对酒精滥用的互联网提供的认知行为疗法的系统评价：研究特征、项目内容和结果

摘要 酒精滥用是世界范围内常见的、致残的且代价高昂的问题。互联网提供的认知行为疗法 (ICBT) 有可能减少滥用酒精的危害，特别是对于无法或不愿意接受面对面治疗的个人。使用 Medline、CINAHL、EMBASE 和 PsycINFO 数据库对 1980 年至 2019 年 1 月发表的所有相关文章进行了系统评价。(ii) 参与者年满 18 岁；(iii) 主要结果是饮酒量。对 ICBT 计划的内容进行了定性分析。14 项研究符合纳入标准。大多数研究包括来自一般人群的参与者，而在诊所环境中对确诊患者进行的研究很少见。这些程序在包含的模块方面是相似的。在自我引导 ICBT 的研究中观察到小的效果，而治疗师引导的 ICBT 呈现从小到大的效果。目前的审查表明 ICBT 在减少酒精消费方面具有显着效果。与主动对照组相比，尤其是在临床环境中评估 ICBT 的更大研究是有必要的。