EXPECTANCY BASED COPING SKILLS THERAPY

社会学习理论(SLT)已经成为理解 滥用药物。而基于学习原则的方法，如 应对技能和复发预防一直很有前途，他们已经 最近涉及酒精的经验性治疗研究的不同结果 和滥用可卡因。拟议的研究旨在开发和试点 一种修订和重新定位的认知-行为心理治疗方法 可卡因滥用者，基于与可卡因相关的预期。期望值 似乎是一个中心结构，在临床上有很大的希望 涉及可卡因的评估、病因和治疗的研究 虐待。然而，尽管其他模型确实解决了某些方面的预期 尽管如此，期待并没有受到临床治疗的重视。 此外，与可卡因有关的预期寿命很容易使用 经过验证的、多因素的自我报告工具，由 本研究的主要调查者(可卡因预期问卷， CEQ)，并代表了一个可以随着谈话而改变的领域 心理治疗。出于这些原因，我们相信预期是有希望的。 对治疗的影响，干预计划以 预期是合理的，这样的干预可能会 大幅提高治疗效果。这项研究建议发展 并评估手动驱动、基于预期的应对措施的好处 治疗可卡因滥用的技能疗法(ECS)。仪器 例如CEQ，再加上这种人性化的干预，使其 可以评估和使用对可卡因的期望在一个明确的 为可卡因滥用者提供能够可靠提供的特定治疗， 进行监控和评估。

Social learning theory (SLT) has been a useful model for understanding substance abuse. While approaches based on learning principles such as coping skills and relapse prevention have been promising, they have had varied results in recent empirical treatment studies involving alcohol and cocaine abuse. The proposed study is designed to develop and pilot a revised and refocused cognitive-behavioral psychotherapy approach for cocaine abusers, based on cocaine-related expectations. Expectancies appear to be a central construct that holds much promise for clinical research involving the assessment, etiology, and treatment of cocaine abuse. However, while other models do address expectation in some manner, expectancies have received little clinical treatment emphasis. Moreover, cocaine-related expectancies are readily measured using a validated, multifactorial, self-report instrument developed by the principle investigator of this study (Cocaine Expectancy Questionnaire, CEQ) and represent a domain that is amenable to change with talking therapy. For these reasons, we believe that expectancies have promising implications for treatment, that an intervention program centered around expectancies is warranted, and that such an intervention may substantially improve treatment efficacy. This study proposes to develop and assess the benefits of a manual driven, Expectancy-based Coping Skills Therapy (ECS) for the treatment of cocaine abuse. Instruments such as the CEQ, combined with such manualized interventions, make it possible to assess and use expectations about cocaine in a clearly specified treatment for cocaine abusers that can be reliably delivered, monitored, and evaluated.