One-Year Follow-up of Psychotherapy and Pharmacotherapy for Cocaine Dependence

Carroll, Kathleen M.; Rounsaville, Bruce J.; Nich, Charla; Gordon, Lynn T.; Wirtz, Philip W.; Gawin, Frank H.

doi:10.1001/archpsyc.1994.03950120061010

Cited by 371 publications

(272 citation statements)

References 21 publications

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“…The program consisted of six lessons, or modules, the content of which was based closely on a NIDA-published CBT manual (38) used in several previous randomized controlled trials in a range of substance-using populations (6,39,40). The modules covered the following core concepts: (1) understanding and changing patterns of substance use, (2) coping with craving, (3) refusing offers of drugs and alcohol, (4) problem-solving skills, (5) identifying and changing thoughts about drugs and alcohol, and (6) improving decision-making skills.…”

Section: Treatmentsmentioning

confidence: 99%

“…Despite evidence of positive and durable outcome (6,7), CBT remains rarely implemented in the range of settings where individuals with substance use disorders are treated (8). There are a number of obstacles to delivering CBT and other empirically validated therapies in clinical practice, including the limited availability of professional and specialty training programs that provide high quality training, supervision and certification in CBT (9), high rates of clinician turnover and lack of a CBT-trained workforce in many treatment settings (10)(11)(12), the relative complexity and cost of training clinicians in CBT (13,14), as well as high case loads and limited resources.…”

Section: Introductionmentioning

confidence: 99%

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Computer-Assisted Delivery of Cognitive-Behavioral Therapy for Addiction: A Randomized Trial of CBT4CBT

Carroll

Ball

Martino

et al. 2008

AJP

Self Cite

376

333

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Objectives-To evaluate the efficacy of a computer-based version of cognitive behavioral therapy (CBT) for substance dependence.Methods-This was a randomized clinical trial in which 77 individuals seeking treatment for substance dependence at an outpatient community setting were randomized to standard treatment or standard treatment with biweekly access to computer-based training in CBT (CBT4CBT).Results-Treatment retention and data availability were comparable across the treatment conditions. Participants assigned to the CBT4CBT condition submitted significantly more urine specimens that were negative for any type of drugs and tended to have longer continuous periods of abstinence during treatment. The CBT4CBT program was positively evaluated by participants. In the CBT4CBT condition, outcome was more strongly associated with treatment engagement than in TAU; further, completion of homework assignments in CBT4CBT was significantly correlated with outcome and a significant predictor of treatment involvement.Conclusions-These data suggest that CBT4CBT is an effective adjunct to standard outpatient treatment for substance dependence and may provide an important means of making CBT, an empirically validated treatment, more broadly available.

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Section: Treatmentsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Computer-Assisted Delivery of Cognitive-Behavioral Therapy for Addiction: A Randomized Trial of CBT4CBT

Carroll

Ball

Martino

et al. 2008

AJP

Self Cite

376

333

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“…One possible explanation is that, at T2, participants did not have time to observe their new behaviour patterns or to practise the learnt strategies. Accordingly, long-term positive outcomes of CBT without immediate effects have been reported in the non-neurological population and attributed to the generalisation of acquired strategies (Carroll et al, 1994). However, previous studies using CBT protocols for managing anger in the TBI population have found immediate effects of intervention, with assessments carried out between zero and three weeks after the completion of the programme (Hart et al, 2012;Walker et al, 2010).…”

Section: Discussionmentioning

confidence: 99%

Feasibility and initial efficacy of a cognitive-behavioural group programme for managing anger and aggressiveness after traumatic brain injury

Aboulafia-Brakha

Buschbeck

Rochat

et al. 2013

Neuropsychological Rehabilitation

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This study assesses the feasibility of a cognitive-behavioural group programme for treating anger and aggressiveness after a traumatic brain injury (TBI). Five feasibility criteria were considered: demand, implementation, practicality, acceptability and initial efficacy. A self-report questionnaire of aggressiveness (AQ-12) was administered before the intervention (T1), one week following the intervention (T2) and at a four months follow-up (T3). Ten patients with moderate to severe chronic TBI completed the programme through eight once-a-week sessions. The analysis of the feasibility outcomes suggests that:Correspondence should be addressed to Tatiana Aboulafia Brakha Neuropsychology Unit, Department of Neurology, Geneva University Hospitals, rue Gabrielle-Perret-Gentil 4, CH-1211 Geneva 14, Switzerland. E-mail: Tatiana.Aboulafia@hcuge.chThe study was partly supported by the Swiss National Science Foundation (32-138497 to JMA). We would like to thank Blaise Christe and Ann Travis for their comments on the manuscript as well as the Clinical Research Centre of the Geneva University Hospitals for their statistical advices (T Perneger).Published in " " which should be cited to refer to this work.http://doc.rero.ch(1) The recruitment, the process of grouping participants and the characterisation of anger and aggressiveness at baseline need to be re-evaluated and improved for future designs. (2) The use of specific strategies for bypassing cognitive and other behavioural dysfunctions related to TBI is crucial for the success of this intervention and merits special attention. (3) The high retention rate, the convenient meeting schedule, cost advantages and the good acceptability by participants are positive arguments for the implementation of a larger trial. (4) The significant reduction of AQ-12 scores at T3 and the high effect size constitute a change in the expected direction and support the initial efficacy of the programme.

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“…Entretanto, estudos internacionais que avaliam a eficácia desse tipo de programa têm sido realizados e revelam que dependentes químicos podem permanecer várias semanas consecutivas em abstinência, através da intervenção com as linhas telefônicas de ajuda [45][46][47] . Também há demonstração de que os pacientes podem requerer cuidados menos intensivos do que após intervenções do tipo face a face 48 51 .…”

Section: Discussionunclassified

Perfil dos usuários do serviço de teleatendimento sobre drogas de abuso VIVAVOZ

Souza

Kohlrausch

Mazoni

et al. 2008

Rev. psiquiatr. Rio Gd. Sul

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INTRODUÇÃO: O abuso de drogas é um problema importante de saúde pública, e intervenções telefônicas são utilizadas como uma modalidade de tratamento. Objetivou-se descrever o perfil sociodemográfico, o padrão de consumo e a dependência de substâncias psicoativas dos usuários que buscaram auxílio em um serviço de teleatendimento para drogas de abuso. MÉTODOS: Foram utilizados os dados do 1º ano de funcionamento do serviço, coletados por consultores previamente capacitados, através de protocolo informatizado. Foram aplicados instrumentos para caracterização sociodemográfica, padrão de consumo e dependência dos usuários. Utilizou-se estatística descritiva para estimar a distribuição das variáveis, e os dados apresentam-se em freqüências. RESULTADOS: No período, foram atendidas 28.257 ligações, sendo 7.956 incluídas no estudo. No total, foi encontrada maior prevalência de mulheres, estudantes, solteiros, maiores de 35 anos, com ensino fundamental incompleto e renda familiar menor que cinco salários mínimos procurando o teleatendimento. Dentre os usuários de drogas, predominaram homens, de 18 a 25 anos. As drogas mais utilizadas foram tabaco, maconha, álcool e cocaína. O uso de tabaco foi semelhante para ambos os sexos. Indivíduos do sexo masculino usaram mais drogas ilícitas. A maioria dos usuários era dependente, sendo que os homens apresentaram maiores índices de dependência para tabaco e solventes. CONCLUSÕES: Esses resultados traçam o perfil do usuário que procura auxílio telefônico para a questão de drogas, e revelam a importância desses serviços à população, auxiliando no direcionamento de ações preventivas.

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One-Year Follow-up of Psychotherapy and Pharmacotherapy for Cocaine Dependence

Cited by 371 publications

References 21 publications

Computer-Assisted Delivery of Cognitive-Behavioral Therapy for Addiction: A Randomized Trial of CBT4CBT

Computer-Assisted Delivery of Cognitive-Behavioral Therapy for Addiction: A Randomized Trial of CBT4CBT

Feasibility and initial efficacy of a cognitive-behavioural group programme for managing anger and aggressiveness after traumatic brain injury

Perfil dos usuários do serviço de teleatendimento sobre drogas de abuso VIVAVOZ

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