Historique
Périodique
The effects of 12-step self-help group attendance and participation on drug use outcomes among cocaine-dependent patients
(Les effets de la fréquence et de la participation à un programme en douze étapes sur l'évolution des usages de drogues chez des patients dépendants de cocaïne)
Auteur(s) :
WEISS, R. D. ;
GRIFFIN, M. L. ;
GALLOP R. J. ;
NAJAVITS L. M. ;
FRANK, A. ;
CRITS-CHRISTOPH, P. ;
THASE M. E. ;
BLAINE, J. ;
GASTFRIEND, D. R. ;
DALEY, D. ;
LUBORSKY L.
Année
2005
Page(s) :
177-184
Langue(s) :
Anglais
Refs biblio. :
41
Domaine :
Drogues illicites / Illicit drugs
Thésaurus mots-clés
COCAINE
;
DEPENDANCE
;
TRAITEMENT
;
THERAPIE DE GROUPE
;
ENTRAIDE
;
EFFICACITE
;
EVALUATION
Note générale :
Drug and Alcohol Dependence, 2005, 77, (2), 177-184
Note de contenu :
fig. ; tabl.
Résumé :
ENGLISH :
Objective: Although cocaine-dependent patients are frequently referred to 12-step self-help groups, little research has examined the benefits of 12-step group attendance in this population. Moreover, the distinction between attending meetings and actively participating in 12-step activities has not typically been examined. Method: In the National Institute on Drug Abuse Collaborative Cocaine Treatment Study, 487 cocaine-dependent outpatients were recruited at five sites for a randomized controlled trial of 24-week behavioral treatments. Study data were examined to see whether self-help attendance or active participation were related to subsequent drug use. Results: Twelve-step group attendance did not predict subsequent drug use. However, active 12-step participation in a given month predicted less cocaine use in the next month. Moreover, patients who increased their 12-step participation during the first 3 months of treatment had significantly less cocaine use and lower ASI Drug Use Composite scores in the subsequent 3 months. Finally, Individual Drug Counseling, based on a 12-step model, and increasing levels of 12-step participation each offered discrete benefits. Conclusions: Results suggest that active 12-step participation by cocaine-dependent patients is more important than meeting attendance, and that a combination of Individual Drug Counseling and active 12-step participation is effective for these patients. (Review's abstract.)
Affiliation :
Dept. Psychiatr., Harvard Med. Sch., Boston, MA 02115
Etats-Unis. United States.
Etats-Unis. United States.