Cognition, Commitment Language, and Behavioral Change Among Cocaine-Dependent Patients
Cognition, Commitment Language, and Behavioral Change Among Cocaine-Dependent Patients
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DOI：
10.1037/a0012971
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发表时间：
2008-12-01
影响因子：
3.4
通讯作者：
Hasin, Deborah S.
中科院分区：
文献类型：
--
作者：
Aharonovich, Efrat;Arnrhein, Paul C.;Hasin, Deborah S.
患者的认知能力和承诺行为改变的口头表达预测药物滥用治疗结果的不同方面，但这两个特征从未被联合检查。因此，作者调查了患者的认知能力和承诺行为改变的口头表达作为保留和药物使用结果的预测因素，在门诊认知行为治疗（CBT）的成人可卡因依赖患者。在基线时进行神经心理成套测试。两个独立的评分者使用CBT会话的记录来编码跨时间段的承诺语言强度（例如，开始、中间和结束）。更好的认知能力预测治疗保留（p <0.01），但不是药物使用，而整个会话段的平均承诺强度预测减少药物使用（p = 0.01）。结果表明，虽然承诺的行为改变，如禁欲可能会发生独立的患者的认知能力，参与行为干预过程似乎取决于认知能力，未来的临床研究应进一步调查认知和承诺的变化和治疗过程和结果的差异贡献之间的关系。
Patients' cognitive abilities and verbal expressions of commitment to behavioral change predict different aspects of substance abuse treatment outcome, but these 2 traits have never been examined conjointly. The authors therefore investigated patients' cognitive abilities and verbal expressions of commitment to behavioral change as predictors of retention and drug use outcomes in an outpatient cognitive behavioral treatment (CBT) of adult cocaine-dependent patients. A neuropsychological battery was administered at baseline. Two independent raters used recordings of CBT sessions to code commitment language strength across the temporal segments (e.g., beginning, middle, and end) of I session per patient. Better cognitive abilities predicted treatment retention (p < .01) but not drug use, whereas mean commitment strength across the session segments predicted reduced drug use (p = .01). Results indicate that although commitment to behavioral changes such as abstinence may occur independently of patients' cognitive abilities, engagement in the behavioral intervention process appears to depend on cognitive abilities, Future clinical studies should further investigate the relations between cognition and commitment to change and their differential contributions to treatment processes and outcome.