Titre : | Clinical outcomes of an integrated treatment for depression and substance use disorders (2010) |
Auteurs : | K. P. LYDECKER ; K. M. CUMMINS ; S. R. TATE ; J. McQUAID ; E. GRANHOLM ; S. A. BROWN |
Type de document : | Article : Périodique |
Dans : | Psychology of Addictive Behaviors (Vol.24, n°3, September 2010) |
Article en page(s) : | p.453-465 |
Langues: | Anglais |
Discipline : | TRA (Traitement et prise en charge / Treatment and care) |
Mots-clés : |
Thésaurus géographique ETATS-UNISThésaurus mots-clés COMORBIDITE ; DEPRESSION ; PRISE EN CHARGE ; ARMEE ; DEPENDANCE ; TRAITEMENT ; TRAITEMENT INTEGRE ; COMPARAISON ; PHARMACOTHERAPIE |
Résumé : | The authors compared longitudinal treatment outcomes for depressed substance-dependent veterans (N = 206) assigned to integrated cognitive–behavioral therapy plus standard pharmacotherapy (ICBT + P) or 12-step facilitation therapy plus standard pharmacotherapy (TSF + P). Drug and alcohol involvement and depressive symptomology were measured at intake and at 3-month intervals during treatment and up to 1 year posttreatment. Participants in both treatment conditions showed decreased depression and substance use from intake. ICBT + P participants maintained improvements in substance involvement over time, whereas TSF + P participants had more rapid increases in use in the months following treatment. Decreases in depressive symptoms were more pronounced for TSF + P than ICBT + P in the 6 months posttreatment. Within both treatment groups, higher attendance was associated with improved substance use and depression outcomes over time. Initial levels of depressive symptomology had a complex predictive relationship with long-term depression outcomes. Early treatment response predicted long-term substance use outcomes for a portion of the sample. Although both treatments were associated with improvements in substance use and depression, ICBT + P may lead to more stable substance use reductions compared with TSF + P. [Review's abstract] |
Domaine : | Plusieurs produits / Several products |
Refs biblio. : | 53 |
Affiliation : |
San Diego State University Etats Unis. United States |
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