A dose response study of cognitive behavioral therapy in cocaine abusers

A dose response study of cognitive behavioral therapy in cocaine abusers
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DOI:
10.1016/s0740-5472(02)00247-7
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发表时间:
2002-10-01
影响因子:
3.9
通讯作者:
Preston, KL
Preston, KL
中科院分区:
医学2区
文献类型:
--
作者:
Covi, L;Hess, JM;Preston, KL

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为了评估咨询会议的频率的影响,我们研究了保留,可卡因使用和渴望,和精神症状的68可卡因依赖门诊患者随机分配到每周两次,每周一次,或每两周一次的会议,在12周的治疗计划,利用手动为基础的,个人认知行为心理治疗。所有参与者每周接受两次测试和监测。治疗组之间的保留是可比的,无论咨询频率如何,都发现了改善。所有治疗组的可卡因使用(尿液毒理学和自我报告)、可卡因渴求(VAS)和总精神症状(SCL-90)均适度降低,但具有统计学显著性(p < 0.05)。研究结果表明,认知行为疗法是有效的,即使使用较低强度的时间表,减少可卡因的使用。(C)2002年爱思唯尔科学公司All rights reserved.
In order to evaluate the effect of frequency of counseling sessions, we studied retention, cocaine use and craving, and psychiatric symptoms of 68 cocaine-dependent outpatients randomly assigned to twice weekly, once weekly, or biweekly sessions in a 12-week treatment program that utilized manual-based, individual cognitive behavioral psychotherapy. All participants were tested and monitored twice a week. Retention was comparable among treatment groups, and improvement was found regardless of counseling frequency. Cocaine use (urine toxicology and self-report), cocaine craving (VAS), and total psychiatric symptoms (SCL-90) decreased by modest but statistically significant (p < 0.05) amounts in all treatment groups. Findings suggest that cognitive behavioral therapy is effective in reducing cocaine use even if a less intensive schedule is used. (C) 2002 Elsevier Science Inc. All rights reserved.