Diagnostic compared with abstinence outcomes of day treatment and contingency management among cocaine-dependent homeless persons.

Diagnostic compared with abstinence outcomes of day treatment and contingency management among cocaine-dependent homeless persons.
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对可卡因依赖的无家可归者进行日间治疗和应急管理的诊断与戒断结果的比较。

DOI:
10.1037/1064-1297.11.2.146
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发表时间:
2003
影响因子:
2.3
通讯作者:
Usdan,Stuart
Usdan,Stuart
中科院分区:
医学3区
文献类型:
--
作者:
Schumacher,JosephE;Milby,JesseB;Wallace,Dennis;Simpson,Cathy;Frison,Sonja;McNamara,Cecelia;Usdan,Stuart

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在主要患有快克/可卡因障碍的无家可归者中,将药物使用障碍诊断用作日间治疗(DT)和日间治疗加应急管理(DT+)的随机比较中的治疗结果衡量标准。参与者(N= 127,DT+= 69,DT= 58,73.2% 男性,82.7% 非洲裔美国人)在基线和 6 个月治疗完成时进行评估。按治疗组比较可卡因、大麻和酒精的二元阳性和阴性诊断结果。 DT+ 获得积极治疗结果的可能性是 DT 的 2.1 倍。发现诊断变化与点戒断和持续戒断结果之间的一致性。诊断变化的使用可以成为药物毒理学和自我报告治疗结果测量的实际补充,用于研究和实践。
Substance use disorder diagnoses were used as a treatment outcome measure in a randomized comparison of day treatment (DT) and day treatment plus contingency management (DT+) among homeless persons with primarily crack/cocaine disorders. Participants (N= 127, DT+= 69, DT= 58, 73.2% male, 82.7% African American) were assessed at baseline and 6-month treatment completion. Binary positive and negative diagnostic outcomes for cocaine, marijuana, and alcohol were compared by treatment group. DT+ was 2.1 times more likely to have a positive treatment outcome than DT. Concordance between diagnostic change and point and continuous abstinence outcomes were found. The use of diagnostic change can be a practical addition to drug toxicology and self-report treatment outcome measures for research and practice.
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DOI: 10.1176/ajp.148.9.1218
发表时间: 1991
期刊: The American journal of psychiatry
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