Historique
Article de Périodique
Cognitive-behavioral therapy plus contingency management for cocaine use: findings during treatment and across 12-month follow-up (2003)
(Thérapie cognitivo-comportementale associée à des interventions d'urgence face à l'usage de cocaïne : résultats observés lors du traitement et au cours de 12 mois de suivi)
Auteur(s) :
D. H. EPSTEIN ;
W. E. HAWKINS ;
L. COVI ;
A. UMBRICHT ;
K. L. PRESTON
Article en page(s) :
73-82
Refs biblio. :
35
Domaine :
Drogues illicites / Illicit drugs
Langue(s) :
Anglais
Thésaurus mots-clés
COCAINE
;
SEVRAGE
;
THERAPIE COGNITIVO-COMPORTEMENTALE
;
EFFICACITE
;
SUIVI DU PATIENT
Note générale :
Psychology of Addictive Behaviors, 2003, 17, (1), 73-82
Résumé :
Contingency management (CM) rapidly reduces cocaine use, but its effects subside after treatment. Cognitive-behavioral therapy (CBT) produces reductions months after treatment. Combined, the 2 might be complementary. One hundred ninety-three cocaine-using methadone-maintained outpatients were randomly assigned to 12 weeks of group therapy (CBT or a control condition) and voucher availability (CM contingent on cocaine-negative urine or noncontingent). Follow-ups occurred 3, 6, and 12 months posttreatment. Primary outcome was cocaine-negative urine (urinalysis 3 times/week during treatment and once at each follow-up). During treatment, initial effects of CM were dampened by CBT. Posttreatment, there were signs of additive benefits, significant in 3- versus 12-month contrasts. Former CBT participants were also more likely to acknowledge cocaine use and its effects and to report employment. (Author's abstract)
Affiliation :
National Institute on Drug Abuse, Intramural Research Program Treatment Section, 5500 Nathan Shock Drive, Baltimore, Maryland 21224.
Etats-Unis. United States.
Etats-Unis. United States.