Historique
Périodique
A comparative trial of psycholtherapies for ambulatory cocaine abusers : Relapse Prevention and Interpersonal Psychotherapy
(Essai comparatif de psychothérapies à destination de cocaïnomanes en ambulatoire ; thérapie de la Prévention de la Rechute et Psychothérapie Interpersonnelle)
Auteur(s) :
K. M. CARROLL ;
B. J. ROUNSAVILLE ;
GAWIN F. H.
Refs biblio. :
44
Domaine :
Drogues illicites / Illicit drugs
Langue(s) :
Anglais
Note générale :
American Journal of Drug and Alcohol Abuse, 1991, 17, (3), 229-247
Résumé :
FRANÇAIS :
Deux formules psychothérapeutiques, l'une qualifiée de thérapie de Prévention de la Rechute, l'autre de thérapie Inter-Personnelle, sont testées auprès de cocaïnomanes, en ambulatoire. La 1ère est à fondements cognitivo-comportementalistes; la 2nde est la situation traditionnelle de clinique thérapeutique individuelle. Si les sujets soumis à la T.P.R ont des résultats globalement meilleurs que l'autre groupe, ceux-ci ne deviennent significativement distincts qu'auprès de sujets présentant une addiction sévère. Il semble bien alors que la situation d'apprentissage, et la possibilité de retrouver des stratégies pour interrompre ou contrôler l'abus de produit, soient plus performants. La spécificité des résultats tient au fait qu'ils valident l'idée de la pertinence de soins uniquement psychothérapiques, quelqu'en soit la méthode.
ENGLISH :
Despite the widespread use of psychotherapy as treatment for cocaine abuse, the effectiveness of psychotherapy has not been explored through clinical trials. Forty-two outpatients who met DSM-III criteria for cocaine abuse were randomly assigned to one of two forms of purely psychotherapeutic treatments of cocaine abuse, either relapse prevention (RPT) or interpersonal psychotherapy (IPT). Subjects assigned to relapse prevention were more likely than subjects in IPT to attain three or more continuous weeks of abstinence (57 versus 33%), be classified as recovered at the point of treatment termination (43 versus 19%), and complete treatment (67 versus 38%). Whereas these differences did not reach statistical significance, significant differences by treatment group did emerge when subjects were stratified by severity of substance use : among the subgroup of more severe users, subjects who received RPT were significantly more likely to achieve abstinence (54 versus 9%) and be classified as recovered (54 versus 0%). Among the subgroups of subjects with lower severity of substance abuse, outcome was comparable for both treatment types. Comparison of results from this investigation with historical controls from a structurally similar pharmacotherapy trial suggests that purely psychotherapeutic treatments may be both viable and effective approaches for many ambulatory cocaine abusers. (Authors' abstract)
Deux formules psychothérapeutiques, l'une qualifiée de thérapie de Prévention de la Rechute, l'autre de thérapie Inter-Personnelle, sont testées auprès de cocaïnomanes, en ambulatoire. La 1ère est à fondements cognitivo-comportementalistes; la 2nde est la situation traditionnelle de clinique thérapeutique individuelle. Si les sujets soumis à la T.P.R ont des résultats globalement meilleurs que l'autre groupe, ceux-ci ne deviennent significativement distincts qu'auprès de sujets présentant une addiction sévère. Il semble bien alors que la situation d'apprentissage, et la possibilité de retrouver des stratégies pour interrompre ou contrôler l'abus de produit, soient plus performants. La spécificité des résultats tient au fait qu'ils valident l'idée de la pertinence de soins uniquement psychothérapiques, quelqu'en soit la méthode.
ENGLISH :
Despite the widespread use of psychotherapy as treatment for cocaine abuse, the effectiveness of psychotherapy has not been explored through clinical trials. Forty-two outpatients who met DSM-III criteria for cocaine abuse were randomly assigned to one of two forms of purely psychotherapeutic treatments of cocaine abuse, either relapse prevention (RPT) or interpersonal psychotherapy (IPT). Subjects assigned to relapse prevention were more likely than subjects in IPT to attain three or more continuous weeks of abstinence (57 versus 33%), be classified as recovered at the point of treatment termination (43 versus 19%), and complete treatment (67 versus 38%). Whereas these differences did not reach statistical significance, significant differences by treatment group did emerge when subjects were stratified by severity of substance use : among the subgroup of more severe users, subjects who received RPT were significantly more likely to achieve abstinence (54 versus 9%) and be classified as recovered (54 versus 0%). Among the subgroups of subjects with lower severity of substance abuse, outcome was comparable for both treatment types. Comparison of results from this investigation with historical controls from a structurally similar pharmacotherapy trial suggests that purely psychotherapeutic treatments may be both viable and effective approaches for many ambulatory cocaine abusers. (Authors' abstract)
Affiliation :
Subst. Abuse Treatment Unit, 27 Sylvan Ave, New Haven, CT 06519
Etats-Unis. United States.
Etats-Unis. United States.
Exemplaires
| Disponibilité |
|---|
| aucun exemplaire |