Historique
Périodique
Comparison of individual and group cognitive-behavioral therapy for alcohol and/or drug-dependent patients
(Comparaison des thérapies cognitivo-comportementales individuelles et de groupe dans le traitement de patients dépendants à l'alcool et/ou à d'autres drogues.)
Auteur(s) :
MARQUES, A. C. P. R. ;
FORMIGONI, M. L. O. S.
Année
2001
Page(s) :
835-846
Langue(s) :
Anglais
Refs biblio. :
66
Domaine :
Plusieurs produits / Several products
Thésaurus mots-clés
PSYCHOTHERAPIE
;
THERAPIE COGNITIVO-COMPORTEMENTALE
;
THERAPIE DE GROUPE
;
EFFICACITE
;
COMPARAISON
Note générale :
Addiction, 2001, 96, (6), 835-846
Note de contenu :
tabl.
Résumé :
FRANÇAIS :
Les deux modalités de traitement, individuelle ou de groupe, sont évaluées respectivement chez 77 et 78 patients sur deux phases : 8 sessions régulières et un suivi de 9 sessions sur 8 mois. Il s'avère que les deux modalités ont des résultats similaires. La thérapie de groupe ayant un meilleur ratio coût/bénéfice, elle peut être privilégiée sans crainte d'une moindre compliance ou d'une moindre efficacité du traitement.
ENGLISH :
Aims and design. A randomized clinical trial was performed to evaluate the influence of two formats of cognitive-behavioral psychotherapy (individual vs. group) in the treatment of alcohol and/or drug dependent patients. Setting. Public outpatient drug dependence service. Participants. One hundred and fifty-five alcohol and/or drug-dependent patients. Intervention. The patients were randomly assigned to individual (n=77) or group (n=78) treatment formats. The treatment was developed into two phases: acquisition (eight sessions) and maintenance (nine sessions), distributed over an 8-month period. Measurements. Alcohol and drug use, severity of dependence, and alcohol- and drug-related problems were evaluated at pretreatment and 15 months after admission to treatment. Findings. At follow-up evaluation both groups of patients presented similar levels of drug consumption, dependence and associated problems. Although, group-treated patients reported slightly higher levels of alcohol consumption (both at baseline and follow-up) differences between the formats disappear if baseline levels are included as covariates. Compliance with treatment and a measure of drug severity were predictors of success for the drug dependents. The number of sessions attended and high GGT levels at admission were positively correlated with success for the alcohol dependents. Conclusions. The two modalities presented similar outcomes and, as the group format could present a better cost-benefit ratio, it may be used without decreasing compliance with treatment or treatment effectiveness. (Author' s abstract)
Les deux modalités de traitement, individuelle ou de groupe, sont évaluées respectivement chez 77 et 78 patients sur deux phases : 8 sessions régulières et un suivi de 9 sessions sur 8 mois. Il s'avère que les deux modalités ont des résultats similaires. La thérapie de groupe ayant un meilleur ratio coût/bénéfice, elle peut être privilégiée sans crainte d'une moindre compliance ou d'une moindre efficacité du traitement.
ENGLISH :
Aims and design. A randomized clinical trial was performed to evaluate the influence of two formats of cognitive-behavioral psychotherapy (individual vs. group) in the treatment of alcohol and/or drug dependent patients. Setting. Public outpatient drug dependence service. Participants. One hundred and fifty-five alcohol and/or drug-dependent patients. Intervention. The patients were randomly assigned to individual (n=77) or group (n=78) treatment formats. The treatment was developed into two phases: acquisition (eight sessions) and maintenance (nine sessions), distributed over an 8-month period. Measurements. Alcohol and drug use, severity of dependence, and alcohol- and drug-related problems were evaluated at pretreatment and 15 months after admission to treatment. Findings. At follow-up evaluation both groups of patients presented similar levels of drug consumption, dependence and associated problems. Although, group-treated patients reported slightly higher levels of alcohol consumption (both at baseline and follow-up) differences between the formats disappear if baseline levels are included as covariates. Compliance with treatment and a measure of drug severity were predictors of success for the drug dependents. The number of sessions attended and high GGT levels at admission were positively correlated with success for the alcohol dependents. Conclusions. The two modalities presented similar outcomes and, as the group format could present a better cost-benefit ratio, it may be used without decreasing compliance with treatment or treatment effectiveness. (Author' s abstract)
Affiliation :
Dprt Psychobiology, Federal Univ. of Sao Paulo, Sao Paulo- SP
Brésil. Brazil.
Brésil. Brazil.