Historique
Périodique
High- and low-structure treatments for substance dependence: role of learned helplessness
(Traitements standards et traitements renforcés pour la dépendance aux drogues : rôle de l'impuissance acquise)
Auteur(s) :
THORNTON, C. C. ;
PATKAR, A. A. ;
MURRAY, H. W. ;
MANNELLI, P. ;
GOTTHEIL, E. ;
VERGARE, M. J. ;
WEINSTEIN, S. P.
Année :
2003
Page(s) :
567-584
Langue(s) :
Anglais
Refs biblio. :
30
Domaine :
Drogues illicites / Illicit drugs
Thésaurus mots-clés
EFFICACITE
;
TRAITEMENT
;
DEPENDANCE
;
STRUCTURE DE PROXIMITE
;
ACCUEIL
;
ACCOMPAGNEMENT
Note générale :
American Journal of Drug and Alcohol Abuse (The), 2003, 29, (3), 567-584
Note de contenu :
tabl.
Résumé :
ENGLISH :
We studied whether pretreatment levels of learned helplessness (LH) were related to outcomes for substance-dependent individuals receiving high-structure, behaviorally oriented (HSB) or low-structure, facilitative (LSF) treatment. The subjects were 120 substance-dependent patients randomly assigned to the HSB or the LSP treatment style for up to 12 weeks of weekly individual counseling. The two groups were compared across pretreatment characteristics as well as in-treatment, end-of treatrnent, and 9-month postadmission follow-up outcome measures. Outcomes reflected reduction in problem severity, abstinence, retention, dropout rate, and ratings of treatment benefit. Significant and comparable reductions in symptoms occurred for the HSB and LSF patients both during treatment and at follow-up. Comparisons of other outcomes also did not consistently favor either treatment style. However, significant and consistent interactions were observed between LH and treatment styles with respect to several outcome measures, and these effects were independent of pretreatment levels of depression, addiction severity, and readiness for treatment. Specifically, the more "helpless" patients did significantly better in HSB treatment, whereas the less "helpless" patients had better outcomes in LSF treatment. A matching approach that assigns patients to high- and low-structure treatments based on pretreatment levels of LH might improve treatment outcomes for substance-dependent patients. (Author' s abstract)
Affiliation :
Thomas Jefferson Univ., 833 Chestnut Street East, Philadelphia, PA 19107
Etats-Unis. United States.
Etats-Unis. United States.