|Titre :||CANDIS treatment program for cannabis use disorders: Findings from a randomized multi-site translational trial (2014)|
|Auteurs :||E. HOCH ; G. BÜHRINGER ; A. PIXA ; K. DITTMER ; J. HENKER ; A. SEIFERT ; H. U. WITTCHEN|
|Type de document :||Article : Périodique|
|Dans :||Drug and Alcohol Dependence (Vol.134, January 2014)|
|Article en page(s) :||185-193|
|Discipline :||TRA (Traitement et prise en charge / Treatment and care)|
Thésaurus mots-clésCANNABIS ; TRAITEMENT ; PROGRAMME ; ETUDE RANDOMISEE ; MOTIVATION ; THERAPIE COGNITIVO-COMPORTEMENTALE ; PSYCHOTHERAPIE
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.
|Domaine :||Drogues illicites / Illicit drugs|
|Affiliation :||Institute of Clinical Psychology and Psychotherapy, Technische Universitaet Dresden, Dresden, Germany|