Terapias de tercera generación (MBI, ACT, DBT-SUD) en la intervención de trastornos por consumo de sustancias
Third-generation therapies (MBI, ACT, DBT-SUD) in the treatment of substance useBarra lateral del artículo
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El consumo de sustancias psicoactivas es un problema de salud pública, especialmente en población joven y universitaria, por su impacto en salud mental y rendimiento académico. Esta revisión integrativa sintetizó la evidencia reciente sobre la eficacia de las terapias de tercera generación (mindfulness, ACT, DBT-SUD) y modalidades digitales en el tratamiento de trastornos por consumo de sustancias. Se analizaron 17 estudios (2020–2025) identificados en bases de datos internacionales. Los resultados muestran que el mindfulness reduce craving y previene recaídas, la ACT incrementa abstinencia y adherencia, y la DBT-SUD mejora la regulación emocional y disminuye la deserción. Las intervenciones digitales potencian la vinculación y el mantenimiento de la abstinencia. Estos hallazgos respaldan la integración de terapias de tercera generación en programas híbridos, escalables y culturalmente adaptables, y sugieren la necesidad de estudios longitudinales para evaluar la sostenibilidad de los efectos.
Substance use disorders (SUDs) represent a public health issue, particularly among university students, due to their effects on mental health and academic performance. This integrative review synthesized recent evidence on the effectiveness of third-wave therapies (mindfulness, ACT, DBT-SUD) and digital modalities for SUD treatment. Seventeen studies (2020–2025) were analyzed. Findings indicate that mindfulness reduces craving and relapse, ACT improves abstinence and adherence, and DBT-SUD enhances emotional regulation while reducing dropout. Digital interventions further support engagement and abstinence maintenance. Results highlight the value of integrating third- wave therapies into scalable, culturally adapted hybrid programs and call for longitudinal studies to confirm their long-term impact.
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