Outpatient Behavioral Treatment for Cocaine Dependence: One-Year Outcome
Outpatient Behavioral Treatment for Cocaine Dependence: One-Year Outcome
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DOI：
10.1037/1064-1297.3.2.205
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发表时间：
1995-05-01
影响因子：
2.3
通讯作者：
Ogden, Doris
中科院分区：
文献类型：
--
作者：
Higgins, Stephen T.;Budney, Alan J.;Ogden, Doris
本文描述了两项对照试验中患者进入治疗后一年期间所观察到的结果。在这些试验中，可卡因依赖的门诊患者被随机分配到一种多成分行为治疗组，或两种对照治疗组中的一组。行为治疗将社区强化方法（CRA）与一项激励计划相结合，在该计划中，通过可兑换零售物品的代金券来强化可卡因戒断。两种对照治疗分别是药物滥用咨询和无激励计划的社区强化方法。与入组时相比，所有治疗组都有显著改善，并且这些变化在随访期间得以维持。当在治疗和随访期间观察到疗效差异时，有代金券的社区强化方法优于对照治疗。
This article describes outcomes observed during the year after treatment entry from two controlled trials in which cocaine-dependent outpatients were randomly assigned to either a multicomponent behavioral treatment or to one of two control treatments. The behavioral treatment integrated the community reinforcement approach (CRA) with an incentive program in which cocaine abstinence was reinforced with vouchers exchangeable for retail items. The two control treatments were drug abuse counseling and CRA without the incentive program. All treatment groups improved significantly compared to intake, and those changes were maintained through the follow-up period. When efficacy differences were observed during treatment and follow-up, they supported CRA with vouchers over control treatments.