Historique
Périodique
Motivational enhancement and coping skills training for cocaine abusers: effects on substance use outcomes
(Renforcement des motivations ou apprentissage à l'aptitude à faire face : comparaison des résultats de ces interventions chez des usagers de cocaïne.)
Auteur(s) :
ROHSENOW, D. J. ;
MONTI, P. M. ;
MARTIN, R. A. ;
COLBY, S. M. ;
MYERS, M. G. ;
GULLIVER, S. B. ;
BROWN, R. A. ;
MUELLER, T. I. ;
GORDON, A. ;
ABRAMS, D. B.
Année
2004
Page(s) :
862-874
Langue(s) :
Anglais
Refs biblio. :
58
Domaine :
Drogues illicites / Illicit drugs
Thésaurus mots-clés
COCAINE
;
TRAITEMENT
;
MOTIVATION
;
STRATEGIE ACTIVE D'ADAPTATION
;
COMPARAISON
;
EFFICACITE
Note générale :
Addiction, 2004, 99, (7), 862-874
Note de contenu :
fig. ; graph. ; tabl.
Résumé :
FRANÇAIS :
La comparaison de ces deux interventions, auprès de 165 usagers de cocaïne, suivis sur 12 mois, a porté sur la rétention en traitement, le manque de cocaïne, la motivation, lusage de drogues. Le renforcement de la motivation a été plus bénéfique pour les patients qui avaient une motivation initiale faible, que pour ceux dont la motivation initiale était forte. Lapprentissage daptitude à faire face a permis de réduire la consommation dalcool et de cocaïne chez les femmes seulement et a diminué les rechutes de consommation dalcool.
ENGLISH :
Aims: This clinical trial investigated effects of motivational enhancement treatment (MET) and group coping-skills training (CST) tailored for cocaine dependence. Effects of MET were hypothesized to be greater with CST and for less motivated patients. Design and interventions: A 2 x 2 design investigated two individual sessions of MET compared to meditation-relaxation (MRT), followed by four group sessions of CST versus drug education (ED), as daily adjuncts to intensive treatment. Setting: The substance abuse program provided full-day treatment with a learning-theory and 12-Step orientation. Participants: Cocaine-dependent patients were recruited. Measurements: Assessment included treatment retention; change in cocaine-related urge, self-efficacy pros and cons, and motivation; substance use and problems during 12-month follow-up. Findings: Of 165 patients, follow-up status is known for 90%. (n=149). Patients in MET with low initial motivation to change reported less cocaine and alcohol relapse and use days and fewer alcohol problems than MET patients with higher initial motivation. MET produced more employment improvement than MRT, with no other significant benefit for MET. Patients with higher motivation had more cocaine use and alcohol problems after MET than MRT. Group CST reduced cocaine and alcohol use during follow-up for women only and reduced alcohol relapse for men and women. Conclusions: MET is more beneficial for patients with lower initial motivation than for patients with high initial motivation. CST reduced cocaine and alcohol use for women only and reduced alcohol relapses, in contrast to results with lengthier individual CST. (Author' s abstract)
La comparaison de ces deux interventions, auprès de 165 usagers de cocaïne, suivis sur 12 mois, a porté sur la rétention en traitement, le manque de cocaïne, la motivation, lusage de drogues. Le renforcement de la motivation a été plus bénéfique pour les patients qui avaient une motivation initiale faible, que pour ceux dont la motivation initiale était forte. Lapprentissage daptitude à faire face a permis de réduire la consommation dalcool et de cocaïne chez les femmes seulement et a diminué les rechutes de consommation dalcool.
ENGLISH :
Aims: This clinical trial investigated effects of motivational enhancement treatment (MET) and group coping-skills training (CST) tailored for cocaine dependence. Effects of MET were hypothesized to be greater with CST and for less motivated patients. Design and interventions: A 2 x 2 design investigated two individual sessions of MET compared to meditation-relaxation (MRT), followed by four group sessions of CST versus drug education (ED), as daily adjuncts to intensive treatment. Setting: The substance abuse program provided full-day treatment with a learning-theory and 12-Step orientation. Participants: Cocaine-dependent patients were recruited. Measurements: Assessment included treatment retention; change in cocaine-related urge, self-efficacy pros and cons, and motivation; substance use and problems during 12-month follow-up. Findings: Of 165 patients, follow-up status is known for 90%. (n=149). Patients in MET with low initial motivation to change reported less cocaine and alcohol relapse and use days and fewer alcohol problems than MET patients with higher initial motivation. MET produced more employment improvement than MRT, with no other significant benefit for MET. Patients with higher motivation had more cocaine use and alcohol problems after MET than MRT. Group CST reduced cocaine and alcohol use during follow-up for women only and reduced alcohol relapse for men and women. Conclusions: MET is more beneficial for patients with lower initial motivation than for patients with high initial motivation. CST reduced cocaine and alcohol use for women only and reduced alcohol relapses, in contrast to results with lengthier individual CST. (Author' s abstract)
Affiliation :
Brown Univ., Box G-BH, Center for Alcohol and Addiction Studies, Providence, RI 02912. Email : Damaris_Rohsenowbrown.edu
Etats-Unis. United States.
Etats-Unis. United States.