Practice makes progress? Homework assignments and outcome in treatment of cocaine dependence

Practice makes progress? Homework assignments and outcome in treatment of cocaine dependence
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DOI:
10.1037/0022-006x.73.4.749
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发表时间:
2005-08-01
影响因子:
5.9
通讯作者:
Ball, SA
Ball, SA
中科院分区:
心理学1区
文献类型:
--
作者:
Carroll, KM;Nich, C;Ball, SA

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在60名接受认知行为治疗(CBT)的可卡因依赖者中,对治疗结果与参与者完成家庭作业的程度之间的关系进行了评估。作业分配在所有会议的72%,并在48%的会议中,它被分配的参与者发起。家庭作业的完成与参与者的基线特征和治疗依从性的几个指标无关。完成更多家庭作业的参与者在应对技能的数量和质量方面表现出显着的增长,并且在治疗期间和1年的随访中使用的可卡因显着减少。这些数据表明,参与者愿意完成额外任务的程度可能是CBT反应的重要中介。
The relationship between treatment outcome and the extent to which participants completed homework assignments was evaluated among 60 cocaine-dependent individuals assigned to cognitive-behavioral therapy (CBT). Homework was assigned in 72% of all sessions and initiated by participants in 48% of the sessions in which it was assigned. Completion of homework was unrelated to participants' baseline characteristics and several indicators of treatment compliance. Participants who completed more homework assignments demonstrated significantly greater increases in the quantity and quality of their coping skills and used significantly less cocaine during treatment and through a 1-year follow-up. These data suggest that the extent to which participants are willing to complete extrasession assignments may be an important mediator of response to CBT.