| Titre : | Abstinence rates following behavioral treatments for marijuana dependence (2007) |
| Auteurs : | R. M. KADDEN ; M. D. LITT ; E. KABELA-CORMIER ; N. M. PETRY |
| Type de document : | Article : Périodique |
| Dans : | Addictive Behaviors (Vol.32, n°6, June 2007) |
| Article en page(s) : | 1220-1236 |
| Langues: | Anglais |
| Discipline : | TRA (Traitement et prise en charge / Treatment and care) |
| Mots-clés : |
Thésaurus Géographique ETATS-UNISThésaurus TOXIBASE CANNABIS ; THERAPIE COMPORTEMENTALE ; DEPENDANCE ; ABSTINENCE ; MOTIVATION |
| Résumé : | Previous studies have noted particular difficulty in achieving abstinence among those who are marijuana dependent. The present study employed a dismantling design to determine whether adding contingency management (ContM) to motivational enhancement therapy plus cognitive behavioral therapy (MET+CBT), an intervention used in prior studies of treatment for marijuana dependence, would enhance abstinence outcomes. 240 marijuana dependent participants were recruited via advertisements and assigned to either MET+CBT, ContM-only, MET+CBT+ContM, or to a case-management control condition. All interventions involved 9 weekly 1-h sessions, except for the ContM-only condition whose sessions lasted about 15 min. ContM provided reinforcement for marijuana-free urine specimens, in the form of vouchers redeemable for goods or services. Follow-up data were collected at posttreatment and at 3-month intervals for 1 year. The two ContM conditions had superior abstinence outcomes: ContM-only had the highest abstinence rates at posttreatment, and the MET+CBT+ContM combination had the highest rates at later follow-ups. The roles of contingency management and coping skills training in the treatment of marijuana dependence are discussed. |
| Domaine : | Drogues illicites / Illicit drugs |
| Affiliation : | Department of Psychiatry, University of Connecticut Health Center, Farmington, CT 06030-3944, USA |
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