Efficacy of Dialectical Behavior Therapy in Women with Methamphetamine Addiction: A Literature Review
Main Article Content
Abstract
Introduction: dialectical behavioral therapy, derived from cognitive-behavioral science, focuses on context, function, and awareness to reduce or avoid psychological and physical distress through adaptive strategies. In methamphetamine addiction, this therapy stands out for its focus on craving, a factor that can predispose women with substance abuse problems to relapse.
Objective: to analyze empirical evidence on the application of dialectical behavioral therapy in women with methamphetamine addiction during the period from 2012 to 2023.
Method: the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) method was employed, and the databases consulted included PubMed, EBSCO, OVID, SCOPUS, Wiley Online Library, and ScienceDirect. Of the 1,240 articles identified, two met the criteria for analysis.
Results: the selected articles examined adult women with an education beyond the secondary level, predominantly of white ethnicity, unemployed, and single, who participated after a detoxification period. One study specifically analyzed the effectiveness of dialectical behavioral therapy in methamphetamine addiction, while the other addressed multiple substances, including alcohol, marijuana, and medications, in addition to methamphetamine.
Discussion and conclusions: dialectical behavioral therapy shows promising results in women with methamphetamine addiction, since it promotes craving control, emotional regulation, and impulse management, with benefits sustained for at least six months. Although research remains limited, its application in addiction treatment has gained increased support in the scientific literature.
Article Details

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
References
Addiction Center. (2024). The Differences In Addiction Between Men And Women. https://www.addictioncenter.com/addiction/differences-men-women/
Albarrán, S., Alva, P., Correa, M., De la Cruz, E., & Ramírez, T. (2021). El límite de Marsha: terapia dialéctica conductual para el trastorno límite de personalidad. Journal of Neuroscience and Public Health, 1(1), 5-11. https://doi.org/10.46363/jnph.v1i1.1
Armendáriz, G., Rodríguez, A., Guzmán, R., López, A., Ahumada, G., & Alonso, M. A. (2015). Revisiones sistemáticas en el fenómeno de drogas. En K. L. López-García, M. M. Alonso-Castillo, N. A. Armendáriz-García, F. R. Guzmán-Facundo, B. A. Alonso-Castillo, & L. Rodríguez-Aguilar (Eds.), Experiencias de investigación de la red mexicana de facultades y escuelas de enfermería: predicción del consumo de alcohol y tabaco en jóvenes de preparatoria (pp. 31-41).Editorial Universitaria.
Balandeh, E., Omidi, A., & Ghaderi, A. (2021). A Narrative Review of Third-Wave Cognitive-Behavioral Therapies in Addiction. Addiction & Health, 13(1), 52-65. https://doi.org/10.22122/ahj.v13i1.298
Baracz, S. J., & Cornish, J. L. (2016). The neurocircuitry involved in oxytocin modulation of methamphetamine addiction. Frontiers in Neuroendocrinology, 43, 1-18. https://doi.org/10.1016/j.yfrne.2016.08.001
Basereh, S., Safarzadeh, S., & Hooman, F. (2022). The Effectiveness of Group Dialectical Behavior Therapy and Structured Matrix Treatment on Quit Addiction Self-efficacy, Distress Tolerance, and Mindfulness in Individuals with Stimulant Drug Abuse. Journal of Health Reports and Technology, 8(4). https://doi.org/10.5812/jhrt-127427
Bedics, J. (2020). The handbook of dialectical behavior therapy: Theory, research, and evaluation. Academic Press. https://doi.org/10.1016/B978-0-12-816384-9.00022-1
Chapman, A. L., & Owens, L. (2020). Mechanisms of change in dialectical behavior therapy. In The Handbook of Dialectical Behavior Therapy (pp. 51-70). Academic Press. https://doi.org/10.1016/B978-0-12-816384-9.00003-8
De Andrés, S. (2017). Factores asociados con la adherencia al tratamiento en pacientes con drogodependencias. Metas de enfermería, 20(2). https://dialnet.unirioja.es/servlet/articulo?codigo=5856649
De la Vega, I., & Sánchez, S. (2013). Terapia dialéctico conductual para el trastorno de personalidad límite. Acción Psicológica, 10(1), 45-56. https://doi.org/10.5944/ap.10.1.7032
Degenhardt, L., Sara, G., McKetin, R., Roxburgh, A., Dobbins, T., Farrell, M., Burns, L., & Hall, W. D. (2016). Crystalline methamphetamine use and methamphetamine-related harms in Australia. Drug and Alcohol Review, 36(2), 160-170. https://doi.org/10.1111/dar.12426
Dehghani, Z., & Khodabakhshi-Koolaee, A. (2017). Effectiveness of Group Hope Therapy on Quality of life and Resilience in Addicted Women. Journal of Education and Community Health ,4(1), 28-34. https://doi: 10.21859/jech.4.1.28
Dimeff, L., & Linehan, M. M. (2008). Dialectical Behavior Therapy for Substance Abusers. Addiction Science & Clinical Practice, 4(2), 39-47. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2797106/
Esmaeili, A., Khodadadi, M., Norozi, E., & Miri, M. R. (2017). Effectiveness of mindfulness-based cognitive group therapy on cognitive emotion regulation of patients under treatment with methadone. Journal of Substance Use, 23(1), 58-62. https://doi.org/10.1080/14659891.2017.1348553
Fitri, K. M., & Widyastuti, R. H. (2021). Overcoming methamphetamine withdrawal syndrome through cognitive behavioural therapy in female correctional inmates. Media Keperawatan Indonesia, 4(4), 323-329. https://doi.org/10.26714/mki.4.4.2021.323-329
Gempeler, J. (2008). Terapia conductual dialéctica. Revista Colombiana de Psiquiatría, 37(1), 136-148. https://www.redalyc.org/pdf/806/80615420011.pdf
George, B. (2015). Efficacy of Acceptance and Mindful Based Relapse Prevention Program on Emotion Regulation Difficulty among Alcoholics in Kerala India. Journal of Alcoholism & Drug Dependence, 3(3). https://doi.org/10.4172/2329-6488.1000205
Gold, A. K., Stathopoulou, G., & Otto, M. W. (2020). Emotion regulation and motives for illicit drug use in opioid-dependent patients. Cognitive Behaviour Therapy, 49(1), 74-80. https://doi.org/10.1080/16506073.2019.1579256
Grigg, J., Manning, V., Arunogiri, S., Volpe, I., Frei, M., Phan, V., Rubenis, A., Dias, S., Petrie, M., Sharkey, M., & Lubman, D. I. (2018). Methamphetamine Treatment Guidelines: Practice Guidelines for Health Professionals (Second Edition). Turning Point. https://researchmgt.monash.edu/ws/portalfiles/portal/273933211/273932950_oa.pdf
Guasco-Pérez, L. (2020). Terapia Dialéctica Conductual (TDC): Tolerancia al Dolor Emocional. Vida Científica Boletín Científico de la Escuela Preparatoria No. 4, 8(16), 15-20. https://repository.uaeh.edu.mx/revistas/index.php/prepa4/article/view/6124/7370
Haghani, S., & Khodabakhshi-Koolaee, A. (2022). Role of Spiritual Intelligence and Positive Thinking in the Prediction of Psychological Hardiness in Women Recovered from Addiction. Avicenna Journal of Neuro Psycho Physiology, 9(3), 90-95. https://doi.org/10.32592/ajnpp.2022.9.3.100
Higgins, J., Thomas, J., Chandler, J., Cumpston, M., Li, T., Page, M., & Welch, V. (Eds.). (2024). Cochrane handbook for systematic reviews of interventions. Cochrane Training. https://training.cochrane.org/handbook/current
Instituto Nacional del Abuso de Drogas (National Institute on Drug Abuse [NIDA]). (2019a). Enfoques de tratamiento para la drogadicción. https://academiasenda.gob.cl/wp-content/uploads/2023/08/Enfoque-de-Tratamiento-para-la-Drogadiccion.pdf
Instituto Nacional del Abuso de Drogas (National Institute on Drug Abuse [NIDA]). (2019 b). Serie de Reportes La metanfetamina. https://nida.nih.gov/sites/default/files/rrmetanfeta.pdf
Instituto Nacional del Abuso de Drogas (National Institute on Drug Abuse [NIDA]). (2020a). Substance Use in Women Research Report. Sex Differences in Substance Use. https://www.drugabuse.gov/es/publicaciones/drugfacts/el-consumo-de-sustancias-en-las-mujeres
Instituto Nacional del Abuso de Drogas (National Institute on Drug Abuse [NIDA]). (2020b). Principios de tratamientos eficaces (EE.UU).https://nida.nih.gov/sites/default/files/podat_1.pdf
Instituto Nacional del Abuso de Drogas (National Institute on Drug Abuse [NIDA]). (2020c). Sex and Gender Differences in Substance Use. https://nida.nih.gov/publications/research-reports/substance-use-in-women/sex-gender-differences-in-substance-use
Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz (INPRFM), Instituto Nacional de Salud Pública (INSP), Comisión Nacional Contra las Adicciones (CONASAMA), Secretaría de Salud (SSA). (2017). Encuesta Nacional de Consumo de Drogas, Alcohol y Tabaco (ENCODAT) 2016-2017: Reporte de Drogas. https://www.gob.mx/salud%7Cconadic/acciones-y-programas/encuesta-nacional-de-consumo-de-drogas-alcohol-y-tabaco-encodat-2016-2017-136758
Linehan, M. M. (1993a). Cognitive-behavioral Treatment of Borderline Personality Disorder. The Guilford Press. https://books.google.com.mx/books/about/Cognitive_behavioral_Treatment_of_Border.html?id=UZim3OAPwe8C&redir_esc=y
Linehan, M. M. (1993b). Skills Training Manual for Treating Borderline Personality Disorder. The Guilford Press. https://books.google.com.mx/books/about/Skills_Training_Manual_for_Treating_Bord.html?id=qyZ0QgAACAAJ&redir_esc=y
Linehan, M. M. (2015). DBT Skills Training Manual. The Guilford Press. https://mindsplain.com/wp-content/uploads/2020/09/DBT_handouts.pdf
Linehan, M. M., Dimeff, L. A., Reynolds, S. K., Comtois, K. A., Welch, S. S., Heagerty, P., & Kivlahan, D. R. (2002). Dialectical behavior therapy versus comprehensive validation therapy plus 12-step for the treatment of opioid dependent women meeting criteria for borderline personality disorder. Drug and Alcohol Dependence, 67(1), 13-26. https://doi.org/10.1016/s0376-8716(02)00011-x
Pubill, M. I. M. (2018). Alcohol y mujer. Un cambio social. NPunto, 1(9). https://dialnet.unirioja.es/servlet/articulo?codigo=8268290
McKay, M., Wood, J. C., & Brantley, J. (2019). The Dialectical Behavior Therapy Skills Workbook: Practical DBT Exercises for Learning Mindfulness, Interpersonal Effectiveness, Emotion Regulation, & Distress Tolerance. New Harbinger Publications.
Moghadam, M., Makvandi, B., & Naderi, F. (2021). The Effects of Mindfulness Training and Dialectical Behavior Therapy on Drug Craving and Emotion Self-regulation in Clients With Substance-dependence. Journal of Client-centered Nursing Care, 7(2), 131-138. https://doi.org/10.32598/JCCNC.7.2.329.2
Nadimi, M. (2016). Effectiveness of dialectical behavior therapy (based on skills training) on reduce impulsivity and increase emotional regulation in women dependent on Methamphetamine. Rooyesh-e-Ravanshenasi Journal, 5(1), 47-74. https://frooyesh.ir/article-1-310-en.html
Narimani, M., Bagiyan-Kulemarez, M. J., Bavand-Poouri, A. R., &Bakhti, M. (2015). The Effectiveness of Group Psychotherapy based on Dialectical Behavior Therapy (DBT) on the Degree of Craving and Difficulty in Emotional Self-regulation of Methamphetamine Users. Journal of Clinical Psychology, 6(4), 85-101. https://jcp.semnan.ac.ir/article_2185.html?lang=en
Nizama-Valladolid, M., Luna, F., & Cachay, C. (2019). La adiccionología una especialidad médica y subespecialidad de la psiquiatría. Revista de la Facultad de Medicina Humana, 19(2). https://doi.org/10.25176/RFMH.v19.n2.2078
Nyamathi, A. M., Shin, S. S., Smeltzer, J., Salem, B. E., Yadav, K., Ekstrand, M. L., Turner, S. F., &Faucette, M. (2017). Achieving Drug and Alcohol Abstinence Among Recently Incarcerated Homeless Women: A Randomized Controlled Trial Comparing Dialectical Behavioral Therapy-Case Management with a Health Promotion Program. Nursing Research, 66(6), 432-441. https://doi.org/10.22075/jcp.2017.2185
Oficina de las Naciones Unidas contra la Droga y el Delito (United Nations Office on Drugs and Crime [UNODC]). (2023). World Drug Report 2023. https://www.unodc.org/res/WDR-2023/WDR23_Exsum_fin_SP.pdf
Oliani, S. M., Reichert, R. A., &Banaco, R. A. (2021). Behavior Analysis and Substance Dependence. Springer International Publishing. https://link.springer.com/book/10.1007/978-3-030-75961-2
Potvin, S., Pelletier, J., Grot, S., Hébert, C., Barr, A. M., & Lecomte, T. (2018). Cognitive deficits in individuals with methamphetamine use disorder: A meta-analysis. Addictive Behaviors, 80, 154-160. https://doi.org/10.1016/j.addbeh.2018.01.021
Ritschel, L. A., Lim, N. E., & Stewart, L. M. (2015). Transdiagnostic Applications of DBT for Adolescents and Adults. The American Journal of Psychotherapy, 69(2), 111-128. https://doi.org/10.1176/appi.psychotherapy.2015.69.2.111
Rodríguez-Cano, R., Olivencia-Lorenzo, J. J., López-Ríos, F., & Gómez, G. (2016). Terapia dialéctica conductual para un caso de adicción a la cocaína. Psicología conductual, 24(1), 161-178. https://www.behavioralpsycho.com/producto/terapia-dialectica-conductual-para-un-caso-de-adiccion-a-la-cocaina/
Sahranavard, S., & Miri, M. R. (2018). A comparative study of the effectiveness of group-based cognitive behavioral therapy and dialectical behavioral therapy in reducing depressive symptoms in Iranian women substance abusers. Psicologia: Reflexão e Crítica, 31(1). https://doi.org/10.1186/s41155-018-0094-z
Salsman, N. L. (2022). Dialectical behavior therapy for individuals with substance use problems: theoretical adaptations and empirical evidence. In The Handbook of Dialectical Behavior Therapy (pp. 141-174). Academic Press. https://doi.org/10.1016/B978-0-12-816384-9.00007-5
Sistema de Vigilancia Epidemiológica de las Adicciones (SISVEA). (2020). Informe SISVEA 2020. Secretaría de Salud. https://www.gob.mx/cms/uploads/attachment/file/746477/informe_sisvea_2020.PDF
Slade, T., Chapman, C., Swift, W., Keyes, K., Tonks, Z., &Teesson, M. (2016). Birth cohort trends in the global epidemiology of alcohol use and alcohol-related harms in men and women: systematic review and metaregression. BMJ Open, 6(10). https://doi.org/10.1136/bmjopen-2016-011827
Stotts, A. L., & Northrup, T. F. (2015). The promise of third-wave behavioral therapies in the treatment of substance use disorders. Current Opinion in Psychology, 2, 75-81. https://doi.org/10.1016/j.copsyc.2014.12.028
Valentino, R., & Aston-Jones, G. (2010). Special issue on neuropeptides in stress and addiction: Overview. BrainResearch, 1314, 1-2. https://doi.org/10.1016/j.brainres.2010.01.028
Villarreal-Mata, J. L., Sánchez-Gómez, M., Navarro-Oliva, E. I. P., Breso, E. E., & Sordia, L. H. S. (2020). Inteligencia emocional y estrés en adultos con y sin tratamiento contra la adicción al alcohol y drogas. Journal Health NPEPS, 5(2). https://periodicos.unemat.br/index.php/jhnpeps/article/view/4825
Ward-Ciesielski, E. F., Limowski, A. R., & Krychiw, J. K. (2020). History and overview of dialectical behavior therapy. In The Handbook of Dialectical Behavior Therapy (pp. 3-30). Academic Press. https://doi.org/10.1016/B978-0-12-816384-9.00001-4
World Health Organization(WHO). (2024). Alcohol. https://www.who.int/en/news-room/fact-sheets/detail/alcohol
Zargar, F., Bagheri, N., Javad, M., & Salehi, M. (2019). Effectiveness of Emotion Regulation Group Therapy on Craving, Emotion Problems, and Marital Satisfaction in Patients with Substance Use Disorders: A Randomized Clinical Trial. Iranian Journal of Psychiatry 14(4), 283-290. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7007510/