Contingency management treatments that reinforce completion of goal-related activities: Participation in family activities and its association with outcomes

Lewis, Marilyn W.; Petry, Nancy M.

doi:10.1016/j.drugalcdep.2005.01.016

Cited by 20 publications

(9 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…For example, patients contract with their therapist each week to do certain activities, such as attending a medical appointment or 12‐step meetings or completing a job application. If these activities are completed and verified via receipts or other documentation, patients can earn vouchers or prizes 3, 4, 5, 6, 7, 8 . For example, Iguchi et al 5 found that reinforcing activities that are incompatible with drug use, such as those described above, resulted in greater abstinence than reinforcing abstinence directly in a sample of methadone‐maintained patients.…”

Section: Introductionmentioning

confidence: 99%

Participation in Religious Activities During Contingency Management Interventions Is Associated with Substance Use Treatment Outcomes

2008

Self Cite

View full text Add to dashboard Cite

Many drug abuse treatment programs encourage participation in religious activities, yet there is scant research regarding their effectiveness. Contingency management (CM) interventions sometimes reinforce the completion of non-drug related activities, and church attendance is a popular activity. Cocaine abusers (n = 184) randomized to CM interventions were categorized based on whether or not they engaged in three or more religious activities. Engagers in religious activities (n = 34) remained in treatment longer, were abstinent for longer durations, and submitted more substance-negative samples than non-engagers (n = 150), even after controlling for number of activities completed overall. Thus, encouraging religious involvement during CM treatment may improve during treatment outcomes.

show abstract

Section: Introductionmentioning

confidence: 99%

Participation in Religious Activities During Contingency Management Interventions Is Associated with Substance Use Treatment Outcomes

2008

Self Cite

View full text Add to dashboard Cite

show abstract

“…Such procedures are hypothesized to improve overall functioning, thereby possibly extending beneficial effects even after reinforcement for negative samples is discontinued. 28 Contingency management interventions are usually considered an add-on to other forms of therapy, and growing evidence suggests that they may augment outcomes when combined with other effective therapies, including pharmacotherapies. In a study of desipramine hydrochloride paired with CM, for example, Kosten et al 29 found that the number of drug-free samples increased more rapidly in the desipramine and CM group than in those treated with either desipramine or CM alone.…”

Section: Arch Genmentioning

confidence: 99%

Six-Month Trial of Bupropion With Contingency Management for Cocaine Dependence in a Methadone-Maintained Population

Poling¹,

Oliveto²,

Petry³

et al. 2006

Arch Gen Psychiatry

157

142

View full text Add to dashboard Cite

Context:No effective pharmacotherapies exist for cocaine dependence, although contingency management (CM) has demonstrated efficacy.Objective: To compare the efficacy of bupropion hydrochloride and CM for reducing cocaine use in methadone hydrochloride-maintained individuals.Design: This 25-week, placebo-controlled, doubleblind trial randomly assigned participants to 1 of 4 treatment conditions: CM and placebo (CMP), CM and 300 mg/d of bupropion hydrochloride (CMB), voucher control and placebo (VCP), or voucher control and bupropion (VCB).Setting: Outpatient clinic at the Veterans Affairs Connecticut Healthcare System. Participants: A total of 106 opiate-dependent, cocaineabusing individuals.Interventions: All study participants received methadone hydrochloride (range, 60-120 mg). Participants receiving bupropion hydrochloride were given 300 mg/d beginning at week 3. In the CM conditions, each urine sample negative for both opioids and cocaine resulted in a monetary-based voucher that increased for consecutively drug-free urine samples during weeks 1 to 13. Completion of abstinence-related activities also resulted in a voucher. During weeks 14 to 25, only completion of activities was reinforced in the CM group, regardless of sample results. The voucher control groups received vouchers for submitting urine samples, regardless of results, throughout the study.Main Outcome Measure: Thrice-weekly urine toxicologic test results for cocaine and heroin.Results: Groups did not differ in baseline characteristics or retention rates. Opiate use decreased significantly, with all treatment groups attaining equivalent amounts of opiate use at the end of the study. In the CMB group, the proportion of cocaine-positive samples significantly decreased during weeks 3 to 13 (PϽ.001) relative to week 3 and remained low during weeks 14 to 25. In the CMP group, cocaine use significantly increased during weeks 3 to 13 (PϽ.001) relative to week 3, but then cocaine use significantly decreased relative to the initial slope during weeks 14 to 25 (PϽ.001). In contrast, by treatment end, the VCB and VCP groups showed no significant improvement in cocaine use. Conclusion:These findings suggest that combining CM with bupropion for the treatment of cocaine addiction may significantly improve outcomes relative to bupropion alone.

show abstract

“…Thus, it may be that the success of BA in the treatment of substance abusers with depression is due to the alleviatory effects of BA on anhedonic symptoms, which are relatively common among substance/alcohol abusers, particularly cocaine users. Although not a study of BA per se, Lewis and Petry (2005) used CM to increase activity levels among 159 cocaine-dependent adults. They found that participants who engaged in family activities remained in treatment longer, were abstinent for more weeks, and reported greater reduction in family conflict compared to participants who did not engage in family activities.…”

Section: Discussionmentioning

confidence: 99%

Symptoms of anhedonia, not depression, predict the outcome of treatment of cocaine dependence

Crits‐Christoph

Wadden

Gaines

et al. 2018

Journal of Substance Abuse Treatment

View full text Add to dashboard Cite

The purpose of this paper is to reanalyze data from two studies to determine if anhedonia specifically, rather than depression overall, predicts treatment outcome for patients with cocaine use disorders. Measures of baseline anhedonia symptoms were created using anhedonia items from the Beck Depression Inventory (BDI) to re-examine National Institute on Drug Abuse Cocaine Collaborative Treatment study data (Crits-Christoph et al., 1999) and the contingency management group from the McKay et al. (2010) trial. Baseline anhedonia was used to predict cocaine abstinence rates across the treatment period in both studies. Anhedonia was a significant predictor of cocaine abstinence, even when overall depression scores excluding anhedonia were included in the models. The development of treatments to target individuals with cocaine use disorder who have symptoms of anhedonia has the potential to improve overall outcomes for those with this disorder.

show abstract

Contingency management treatments that reinforce completion of goal-related activities: Participation in family activities and its association with outcomes

Cited by 20 publications

References 19 publications

Participation in Religious Activities During Contingency Management Interventions Is Associated with Substance Use Treatment Outcomes

Participation in Religious Activities During Contingency Management Interventions Is Associated with Substance Use Treatment Outcomes

Six-Month Trial of Bupropion With Contingency Management for Cocaine Dependence in a Methadone-Maintained Population

Symptoms of anhedonia, not depression, predict the outcome of treatment of cocaine dependence

Contact Info

Product

Resources

About