Titre : | Cognitive-behavioral therapy plus contingency management for cocaine use: findings during treatment and across 12-month follow-up (2003) |
Titre traduit : | (Thérapie cognitivo-comportementale associée à des interventions d'urgence face à l'usage de cocaïne : résultats observés lors du traitement et au cours de 12 mois de suivi) |
Auteurs : | D. H. EPSTEIN ; W. E. HAWKINS ; L. COVI ; A. UMBRICHT ; K. L. PRESTON |
Type de document : | Article : Périodique |
Dans : | Psychology of Addictive Behaviors (Vol.17, n°1, March 2003) |
Article en page(s) : | 73-82 |
Note générale : | Psychology of Addictive Behaviors, 2003, 17, (1), 73-82 |
Langues: | Anglais |
Discipline : | TRA (Traitement et prise en charge / Treatment and care) |
Mots-clés : |
Thésaurus mots-clés COCAINE ; SEVRAGE ; THERAPIE COGNITIVO-COMPORTEMENTALE ; EFFICACITE ; SUIVI DU PATIENT |
Résumé : | Contingency management (CM) rapidly reduces cocaine use, but its effects subside after treatment. Cognitive-behavioral therapy (CBT) produces reductions months after treatment. Combined, the 2 might be complementary. One hundred ninety-three cocaine-using methadone-maintained outpatients were randomly assigned to 12 weeks of group therapy (CBT or a control condition) and voucher availability (CM contingent on cocaine-negative urine or noncontingent). Follow-ups occurred 3, 6, and 12 months posttreatment. Primary outcome was cocaine-negative urine (urinalysis 3 times/week during treatment and once at each follow-up). During treatment, initial effects of CM were dampened by CBT. Posttreatment, there were signs of additive benefits, significant in 3- versus 12-month contrasts. Former CBT participants were also more likely to acknowledge cocaine use and its effects and to report employment. (Author's abstract) |
Domaine : | Drogues illicites / Illicit drugs |
Refs biblio. : | 35 |
Affiliation : |
National Institute on Drug Abuse, Intramural Research Program Treatment Section, 5500 Nathan Shock Drive, Baltimore, Maryland 21224. Etats-Unis. United States. |
Numéro Toxibase : | 206999 |
Centre Emetteur : | 02 Coordonnateur |
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