Historique
Article de Périodique
Efficacy of a targeted cognitive-behavioral treatment program for cannabis use disorders (CANDIS) (2012)
Auteur(s) :
HOCH, E. ;
NOACK, R. ;
HENKER, J. ;
PIXA, A. ;
HÖFLER, M. ;
BEHRENDT, S. ;
BÜHRINGER, G. ;
WITTCHEN, H. U.
Année
2012
Page(s) :
267-280
Langue(s) :
Anglais
Domaine :
Drogues illicites / Illicit drugs
Thésaurus géographique
ALLEMAGNE
Thésaurus mots-clés
CANNABIS
;
ETUDE RANDOMISEE
;
THERAPIE COGNITIVO-COMPORTEMENTALE
;
TRAITEMENT
;
EFFICACITE
;
PROGRAMME
;
ABSTINENCE
Résumé :
AIMS: To examine the efficacy, 3- and 6-month follow-up effects of a psychological treatment for older adolescents and adults with DSM-IV cannabis use disorders. The program was tailored to the needs of this patient population.
EXPERIMENTAL PROCEDURES: A randomized controlled clinical trial of 122 patients aged 16 to 44 years with DSM-IV cannabis dependence as the main substance use diagnosis was conducted. Patients were randomly assigned to either Active Treatment (AT, n = 90) or a Delayed Treatment Control group (DTC, n = 32). Treatment consisted of 10 sessions of therapy, detailed in a strictly enforced manual. Assessments were conducted at baseline, during each therapy session, at post treatment and at follow-up assessments at 3 and 6 months.
RESULTS: The treatment retention rate was 88%. Abstinence was achieved in 49% of AT patients and in 13% of those in DTC (p < 0.001; intend-to-treat (ITT) analysis). Further, AT patients improved significantly (p <= 0.001) in the frequency of cannabis use per week, addiction severity, number of disability days, and overall level of psychopathology. Program effects were maintained over a 3-month- (abstinence rate: 51%) and 6-month follow-up (45%) period.
CONCLUSION: The treatment program is effective in obtaining abstinence as well as reducing cannabis use and improves the associated social and mental health burden.
Copyright © 2011 Elsevier B.V. and ECNP. All rights reserved.
EXPERIMENTAL PROCEDURES: A randomized controlled clinical trial of 122 patients aged 16 to 44 years with DSM-IV cannabis dependence as the main substance use diagnosis was conducted. Patients were randomly assigned to either Active Treatment (AT, n = 90) or a Delayed Treatment Control group (DTC, n = 32). Treatment consisted of 10 sessions of therapy, detailed in a strictly enforced manual. Assessments were conducted at baseline, during each therapy session, at post treatment and at follow-up assessments at 3 and 6 months.
RESULTS: The treatment retention rate was 88%. Abstinence was achieved in 49% of AT patients and in 13% of those in DTC (p < 0.001; intend-to-treat (ITT) analysis). Further, AT patients improved significantly (p <= 0.001) in the frequency of cannabis use per week, addiction severity, number of disability days, and overall level of psychopathology. Program effects were maintained over a 3-month- (abstinence rate: 51%) and 6-month follow-up (45%) period.
CONCLUSION: The treatment program is effective in obtaining abstinence as well as reducing cannabis use and improves the associated social and mental health burden.
Copyright © 2011 Elsevier B.V. and ECNP. All rights reserved.
Affiliation :
Institute of Clinical Psychology and Psychotherapy, Technische Universität Dresden, Dresden, Germany