Eficacia de la terapia cognitivo conductual en consumidores de alcohol en América.

Abstract

Introduction. Cognitive Behavioral Therapy (CBT) is an effective psychotherapeutic intervention for treating problematic alcohol consumption, helping individuals modify the thought and behavioral patterns that contribute to addiction. In the Americas, CBT has demonstrated positive results. However, its effectiveness can be influenced by sociocultural and economic factors, as well as patient adherence to treatment. Objective. To analyze the efficacy of CBT in treating problematic alcohol consumption in the Americas. Methodology. A literature review was conducted following the PRISMA methodology, with a qualitative, descriptive, and exploratory approach, including 20 studies published between 2019 and 2024. Results. CBT has proven effective in reducing alcohol consumption, supporting treatment, and preventing relapse. Its impact varies depending on the social and cultural context, complicating the generalization of results. Therefore, the study compared North and South America. In the United States, its use with regular drinkers has effectively modified dysfunctional patterns of thought and behavior. In South America, its effectiveness has also been reported; however, it is conditioned by sociocultural and economic factors, adapting to resource-limited contexts such as limited access to mental health services, the standardization of protocols, and the lack of long-term follow-up. Conclusion. CBT is an effective therapeutic tool; however, its success depends on the social context, the personalization of treatment, and its integration with complementary approaches. This combination optimizes results for each patient.