Cocaine withdrawal symptoms and initial urine toxicology results predict treatment attrition in outpatient cocaine dependence treatment
Cocaine withdrawal symptoms and initial urine toxicology results predict treatment attrition in outpatient cocaine dependence treatment
复制标题
DOI：
10.1037/0893-164x.15.1.52
复制
发表时间：
2001-03-01
影响因子：
3.4
通讯作者：
O'Brien, CP
中科院分区：
文献类型：
--
作者：
Kampman, KM;Alterman, AI;O'Brien, CP
本研究评估了可卡因戒断症状的能力，通过可卡因选择性严重程度评估（CSSA）和初始尿液毒理学结果来预测128名参与为期4周的日间医院治疗计划的可卡因依赖退伍军人的治疗损耗。给予CSSA，并在入院时和日间医院开始时（约1周后）进行尿液毒理学筛查。阳性尿液毒理学筛查和摄入时的高CSSA评分相结合，可预测无法完成治疗。尿毒理学结果在一天的医院开始，但不是在摄入量，预测未能完成治疗。在没有其他精神疾病的参与者中，在入院时的高综援分数预示着无法完成治疗。可卡因戒断症状和阳性尿液毒理学筛查的存在是治疗损耗的临床有用的预测因子。
This study evaluated the ability of cocaine withdrawal symptoms, measured by the Cocaine Selective Severity Assessment (CSSA) and initial urine toxicology results, to predict treatment attrition among 128 cocaine dependent veterans participating in a 4-week day hospital treatment program. The CSSA was administered and a urine toxicology screen was obtained at intake and at the start of the day hospital (about 1 week later). The combination of a positive urine toxicology screen and a high CSSA score at intake predicted failure to complete treatment. Urine toxicology results at the start of the day hospital, but not at intake, predicted failure to complete treatment. Among participants without other psychiatric illness, high CSSA scores at intake, predicted failure to complete treatment. The presence of cocaine withdrawal symptoms and a positive urine toxicology screen are clinically useful predictors of treatment attrition.