Titre : | The effects of 12-step self-help group attendance and participation on drug use outcomes among cocaine-dependent patients |
Titre traduit : | (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) |
Auteurs : | R. D. WEISS ; M. L. GRIFFIN ; GALLOP R. J. ; NAJAVITS L. M. ; A. FRANK ; P. CRITS-CHRISTOPH ; THASE M. E. ; J. BLAINE ; D. R. GASTFRIEND ; D. DALEY ; LUBORSKY L. |
Type de document : | Périodique |
Année de publication : | 2005 |
Format : | 177-184 / fig. ; tabl. |
Note générale : |
Drug and Alcohol Dependence, 2005, 77, (2), 177-184 |
Langues: | Anglais |
Discipline : | TRA (Traitement et prise en charge / Treatment and care) |
Mots-clés : |
Thésaurus mots-clés COCAINE ; DEPENDANCE ; TRAITEMENT ; THERAPIE DE GROUPE ; ENTRAIDE ; EFFICACITE ; EVALUATION |
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.) |
Note de contenu : | fig. ; tabl. |
Domaine : | Drogues illicites / Illicit drugs |
Refs biblio. : | 41 |
Affiliation : |
Dept. Psychiatr., Harvard Med. Sch., Boston, MA 02115 Etats-Unis. United States. |
Numéro Toxibase : | 804782 |
Centre Emetteur : | 08 CAS Strasbourg |
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