Historique
Article de Périodique
CANDIS treatment program for cannabis use disorders: Findings from a randomized multi-site translational trial (2014)
Auteur(s) :
HOCH, E. ;
BÜHRINGER, G. ;
PIXA, A. ;
DITTMER, K. ;
HENKER, J. ;
SEIFERT, A. ;
WITTCHEN, H. U.
Année :
2014
Page(s) :
185-193
Langue(s) :
Anglais
Domaine :
Drogues illicites / Illicit drugs
Thésaurus géographique
ALLEMAGNE
Thésaurus mots-clés
CANNABIS
;
TRAITEMENT
;
PROGRAMME
;
ETUDE RANDOMISEE
;
MOTIVATION
;
THERAPIE COGNITIVO-COMPORTEMENTALE
;
PSYCHOTHERAPIE
Résumé :
Background: In a recent paper, we reported the efficacy of a modular cognitive-behavioral intervention for treating adolescents and adults with cannabis use disorders (CUD). In this study, we examine the outcome of this intervention after translating it into clinical practice.
Methods: A multi-site, randomized controlled trial of 279 treatment seekers with ICD-10 cannabis use disorders aged 16-63 years was conducted in 11 outpatient addiction treatment centers in Germany. Patients were randomly assigned to an Active Treatment (AT, n = 149) or Delayed Treatment Control (DTC, n = 130). Treatment consisted of 10 sessions of fully manualized individual psychotherapy that combined Cognitive-Behavioral Therapy, Motivational Enhancement Therapy and problem-solving training. Assessments were conducted at baseline, during each therapy session, at post-treatment and at three and six month follow-ups.
Results: At post assessment 53.3% of AT patients reported abstinence (46.3% negative urine screenings) compared to 22% of DTC patients (17.7% negative drug screenings) (p Conclusions: The intervention can successfully be translated to and applied in clinical practice. It has the potential to improve access to evidence-based care for chronic CUD patients.
Methods: A multi-site, randomized controlled trial of 279 treatment seekers with ICD-10 cannabis use disorders aged 16-63 years was conducted in 11 outpatient addiction treatment centers in Germany. Patients were randomly assigned to an Active Treatment (AT, n = 149) or Delayed Treatment Control (DTC, n = 130). Treatment consisted of 10 sessions of fully manualized individual psychotherapy that combined Cognitive-Behavioral Therapy, Motivational Enhancement Therapy and problem-solving training. Assessments were conducted at baseline, during each therapy session, at post-treatment and at three and six month follow-ups.
Results: At post assessment 53.3% of AT patients reported abstinence (46.3% negative urine screenings) compared to 22% of DTC patients (17.7% negative drug screenings) (p Conclusions: The intervention can successfully be translated to and applied in clinical practice. It has the potential to improve access to evidence-based care for chronic CUD patients.
Affiliation :
Institute of Clinical Psychology and Psychotherapy, Technische Universitaet Dresden, Dresden, Germany