Brief treatments for cannabis dependence: Findings from a randomized multisite trial
Brief treatments for cannabis dependence: Findings from a randomized multisite trial
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DOI：
10.1037/0022-006x.72.3.455
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发表时间：
2004-06-01
影响因子：
5.9
通讯作者：
Vendetti, J
中科院分区：
文献类型：
--
作者：
Babor, TF;Carroll, K;Vendetti, J
这项研究评估了2种简短干预措施对大麻依赖成年人的有效性。一项多中心随机对照试验比较了3种研究条件下的大麻使用结果：（a）2次动机增强治疗（MET）;（B）9次多组分治疗，包括MET，认知行为治疗和病例管理;（c）延迟治疗控制（DTC）条件。参与者是450名成年大麻吸烟者，他们有一本精神障碍诊断和统计手册（第4版;美国精神病学协会，1994年）大麻依赖的诊断。在基线和随机化后4、9和15个月进行评估。9疗程治疗减少大麻吸烟和相关后果显着超过2疗程治疗，这也减少了大麻使用相对于DTC条件。治疗之间的大部分差异在随访期间保持不变。讨论的重点是这些简短的治疗的相对疗效和观察到的大麻使用变化的临床意义。
This study evaluated the efficacy of 2 brief interventions for cannabis-dependent adults. A multisite randomized controlled trial compared cannabis use outcomes across 3 study conditions: (a) 2 sessions of motivational enhancement therapy (MET); (b) 9 sessions of multicomponent therapy that included MET, cognitive-behavioral therapy, and case management; and (c) a delayed treatment control (DTC) condition. Participants were 450 adult marijuana smokers with a Diagnostic and Statistical Manual of Mental Disorders (4th ed.; American Psychiatric Association, 1994) diagnosis of cannabis dependence. Assessments were conducted at baseline, and at 4, 9, and 15 months postrandomization. The 9-session treatment reduced marijuana smoking and associated consequences significantly more than the 2-session treatment, which also reduced marijuana use relative to the DTC condition. Most differences between treatments were maintained over the follow-up period. Discussion focuses on the relative efficacy of these brief treatments and the clinical significance of the observed changes in marijuana use.