Duration effects in contingency management treatment of methamphetamine disorders

Roll, John M.; Chudzynski, Joy; Cameron, J. M.; Howell, Donelle; McPherson, Sterling

doi:10.1016/j.addbeh.2013.03.018

Cited by 54 publications

(57 citation statements)

References 46 publications

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“…As argued elsewhere, our rat model of relapse/incubation after choice-based voluntary abstinence is analogous to the human condition of relapse to drug use after termination of contingency management (Caprioli et al, 2015a). Regarding the 'translational' value of our new model, the data on lack of sex differences in both the efficacy of our choice-based procedure in inhibiting drug selfadministration and relapse after cessation of 'contingency management' agree with the lack of gender differences in the efficacy of contingency management or the high relapse rates after treatment cessation in humans (Epstein et al, 2009;Lussier et al, 2006;Roll et al, 2013).…”

Section: Clinical Implications and Future Research Directionssupporting

confidence: 59%

Incubation of Methamphetamine but not Heroin Craving After Voluntary Abstinence in Male and Female Rats

Vènniro¹,

Zhang²,

Shaham³

et al. 2016

Neuropsychopharmacol

122

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We recently introduced an animal model of incubation of methamphetamine craving after choice-based voluntary abstinence in male rats. Here we studied the generality of this phenomenon to (1) female rats, and (2) male and female rats with a history of heroin self-administration. We first trained rats to self-administer palatable food pellets for 6 days (6 h per day) for either methamphetamine (0.1 mg/kg/infusion) or heroin (0.1 mg/kg/infusion) for 12 days (6 h/day). We then assessed relapse to drug seeking under extinction conditions after 1 and 21 abstinence days. Between tests, the rats underwent either voluntary abstinence (achieved via a discrete choice procedure between drug and palatable food; 20 trials/day) or home-cage forced abstinence. We found no sex differences in methamphetamine self-administration or in the strong preference for the palatable food over methamphetamine during the choice-based voluntary abstinence. In both sexes, methamphetamine seeking in the relapse tests was higher after 21 days of either voluntary or forced abstinence than after 1 day (incubation of methamphetamine craving). We also found no sex differences in heroin self-administration or the strong preference for the palatable food over heroin during the choice-based voluntary abstinence. However, male and female rats with a history of heroin self-administration showed incubation of heroin craving after forced but not voluntary abstinence. Our results show that incubation of methamphetamine craving after voluntary abstinence generalizes to female rats. Unexpectedly, prolonged voluntary abstinence prevented the emergence of incubation of heroin craving in both sexes.

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Section: Clinical Implications and Future Research Directionssupporting

confidence: 59%

Incubation of Methamphetamine but not Heroin Craving After Voluntary Abstinence in Male and Female Rats

Vènniro¹,

Zhang²,

Shaham³

et al. 2016

Neuropsychopharmacol

122

View full text Add to dashboard Cite

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“…Participants received cognitive behavioral therapy, based largely on the Matrix Model (Rawson et al 1990). The details of this approach are presented in Roll et al (2013).…”

Section: Methodsmentioning

confidence: 99%

“…The maximum cash value of vouchers delivered to participants who remained continuously abstinent from methamphetamine was $1,155.00 in all three conditions. This is a typical amount of available reinforcement (Higgins et al 1994; Roll et al 2013; Silverman et al 1996) for studies of this type. In all three contingency management conditions, the amounts of money were adjusted to equate reinforcer magnitudes across conditions.…”

Section: Methodsmentioning

confidence: 99%

Reinforcement Schedule Effects on Long-Term Behavior Change

et al. 2015

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Objective The primary aim of this study was to determine whether different schedules of contingency management (CM), in conjunction with psychosocial treatment, produced different rates of abstinence and treatment attendance among individuals dependent on methamphetamine. Methods Individuals were randomized into 1 of 3 conditions that sought to equate total potential reinforcer magnitude while varying the frequency with which reinforcement was delivered, and comparing these results to those obtained when psychosocial support alone was used. Results Results indicate that all 3 CM schedules occasioned more abstinent attendance than the group only receiving psychosocial treatment. However, the 3 CM conditions did not differ in any appreciable way. Conclusions These results suggest that treatment providers may be able to decrease the frequency of reinforcer delivery in CM paradigms while retaining efficacy to treat psychostimulant use disorders.

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“…At this juncture, it would be helpful to demonstrate the efficacy of “higher value” CM prior to testing lower-cost alternatives, as there is evidence for greater effectiveness of these larger reward CM procedures, particularly with patients evidencing more severe substance use (Petry & Roll, 2011; Petry et al, 2004). In addition, extending the duration of CM procedures has shown promise for improving substance use outcomes among non-SMI populations (Roll, Chudzynski, Cameron, Howell, & McPherson, 2013) and could be of value in improving outcomes among SMI individuals.…”

Section: Contingency Management Interventionsmentioning

confidence: 99%

Behavioral Interventions for Individuals Dually Diagnosed with a Severe Mental Illness and a Substance Use Disorder

2014

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The prevalence of substance abuse among severely mentally ill individuals (SMI) with a schizophrenia-spectrum or bipolar disorder is about three times the rate of the general population. However, few effective interventions exist to address the problem. In this paper, we evaluate recent studies of behavioral interventions for substance abuse among SMI individuals. These include cognitive-behavioral, motivational interviewing, and contingency management interventions, as well as combinations thereof. Consistent with prior systematic reviews, ours indicates that no behavioral intervention has clearly demonstrated efficacy beyond that of usual care. Unfortunately, most of the reviewed studies suffer from methodological problems that hamper detection of treatment effects. Also, it can be argued that interventions tested thus far may not be well-suited for this cognitively-impaired population. A programmatic series of studies is needed to further develop and test behavioral interventions for treating substance abuse in this population.

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Duration effects in contingency management treatment of methamphetamine disorders

Cited by 54 publications

References 46 publications

Incubation of Methamphetamine but not Heroin Craving After Voluntary Abstinence in Male and Female Rats

Incubation of Methamphetamine but not Heroin Craving After Voluntary Abstinence in Male and Female Rats

Reinforcement Schedule Effects on Long-Term Behavior Change

Behavioral Interventions for Individuals Dually Diagnosed with a Severe Mental Illness and a Substance Use Disorder

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