A randomized controlled trial of brief cognitive-behavioral interventions for cannabis use disorder
A randomized controlled trial of brief cognitive-behavioral interventions for cannabis use disorder
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DOI：
10.1016/s0740-5472(01)00179-9
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发表时间：
2001-09-01
影响因子：
3.9
通讯作者：
Stephens, R
中科院分区：
文献类型：
--
作者：
Copeland, J;Swift, W;Stephens, R
澳大利亚和国际上对大麻依赖治疗的需求不断增加，导致在有效干预措施的知识方面发现了重大差距。进行了一项关于大麻依赖的简短认知行为干预（CBT）的随机对照试验以解决这一问题。共有229名参与者接受了评估，并被随机分配到六次CBT计划（6CBT），单次CBT干预（ICBT）或延迟治疗对照（DTC）组。与会者获得了促进大麻戒断和保持禁欲的技能。参与者在最后一次出席后的中位数为237天。治疗组的参与者报告了比DTC组更好的治疗结果。他们更有可能报告禁欲，明显不太关心他们对大麻使用的控制，并且报告的大麻相关问题明显少于DTC组。6CBT组的人也报告了比DTC组更显着减少的大麻消费水平。虽然治疗师变量对任何结果都没有影响，但对6CBT和ICBT组的二次分析显示，治疗依从性与依赖性降低和大麻相关问题显著相关。这项研究支持大麻使用障碍的个人CBT干预措施的吸引力和有效性，以及多地点复制试验的必要性。(C)2001 Elsevier Science Inc. All rights reserved.
The increasing demand for treatment for cannabis dependence in Australia and internationally has led to the identification of significant gaps in knowledge of effective interventions. A randomized controlled trial of brief cognitive-behavioral interventions (CBT) for cannabis dependence was undertaken to address this issue. A total of 229 participants were assessed and randomly assigned to either a six-session CBT program (6CBT), a single-session CBT intervention (ICBT), or a delayed-treatment control (DTC) group. Participants were assisted in acquiring skills to promote cannabis cessation and maintenance of abstinence. Participants were followed-up a median of 237 days after last attendance. Participants in the treatment groups reported better treatment outcomes than the DTC group. They were more likely to report abstinence, were significantly less concerned about their control over cannabis use, and reported significantly fewer cannabis-related problems than those in the DTC group. Those in the 6CBT group also reported more significantly reduced levels of cannabis consumption than the DTC group. While the therapist variable had no effect on any outcome, a secondary analysis of the 6CBT and ICBT groups showed that treatment compliance was significantly associated with decreased dependence and cannabis-related problems. This study supports the attractiveness and effectiveness of individual CBT interventions for cannabis use disorders and the need for multisite replication trials. (C) 2001 Elsevier Science Inc. All rights reserved.