Article de Périodique
Clinical trial of abstinence-based vouchers and cognitive-behavioral therapy for cannabis dependence (2006)
(Essai clinique avec des contrats basés sur l'abstinence et thérapies cognitives et comportementales pour la dépendance au cannabis)
Auteur(s) :
A. J. BUDNEY ;
B. A. MOORE ;
ROCHA H.L. ;
S. T. HIGGINS
Article en page(s) :
307-316
Refs biblio. :
32
Domaine :
Drogues illicites / Illicit drugs
Langue(s) :
Français
Thésaurus géographique
ETATS-UNIS
Thésaurus mots-clés
ENQUETE
;
THERAPIE COGNITIVO-COMPORTEMENTALE
;
ABSTINENCE
;
EVALUATION
;
CANNABIS
;
TRAITEMENT
;
PRISE EN CHARGE
;
URGENCE
Résumé :
Ninety cannabis-dependent adults seeking treatment were randomly assigned to receive cognitive-behavioral therapy, abstinence-based voucher incentives, or their combination. Treatment duration was 14 weeks, and outcomes were assessed for 12 months posttreatment. Findings suggest that (a) abstinence-based vouchers were effective for engendering extended periods of continuous marijuana abstinence during treatment, (b) cognitive-behavioral therapy did not add to this during-treatment effect, and (c) cognitive-behavioral therapy enhanced the posttreatment maintenance of the initial positive effect of vouchers on abstinence. This study extends the literature on cannabis dependence, indicating that a program of abstinence-based vouchers is a potent treatment option. Discussion focuses on the strengths of each intervention, the clinical significance of the findings, and the need to continue efforts toward development of effective interventions.
Affiliation :
Univ. of Vermont, USA