Abstinence rates following behavioral treatments for marijuana dependence
Abstinence rates following behavioral treatments for marijuana dependence
复制标题
DOI：
10.1016/j.addbeh.2006.08.009
复制
发表时间：
2007-06-01
影响因子：
4.4
通讯作者：
Petry, Nancy M.
中科院分区：
文献类型：
--
作者：
Kadden, Ronald M.;Litt, Mark D.;Petry, Nancy M.
以前的研究已经注意到，在大麻依赖者中实现禁欲特别困难。本研究采用拆解设计，以确定是否添加应急管理（ContM）的动机增强治疗加认知行为治疗（MET + CBT），在以前的研究中使用的大麻依赖治疗的干预，将提高禁欲的结果。通过广告招募了240名大麻依赖参与者，并将其分配到MET + CBT，仅ContM，MET + CBT + ContM或病例管理控制条件。所有的干预措施涉及9个每周一次的I-H会议，除了ContM唯一的条件，其会议持续了约15分钟。ContM提供了加强无大麻尿液标本，以可兑换商品或服务的代金券形式。随访资料收集在治疗后，并在3个月的时间间隔为1年。两种ContM条件具有上级禁欲结局：仅ContM在治疗后的禁欲率最高，MET + CBT + ContM组合在后续随访中的禁欲率最高。讨论了大麻依赖治疗中应急管理和应对技能训练的作用。(c)2006爱思唯尔有限公司保留所有权利。
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 I-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 I 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. (c) 2006 Elsevier Ltd. All rights reserved.