Continuing care for cocaine dependence: Comprehensive 2-year outcomes

被引:48
作者
McKay, JR
Alterman, AI
Cacciola, JS
O'Brien, CP
Koppenhaver, JM
Shepard, DS
机构
[1] Univ Penn, Dept Psychiat, Treatment Res Ctr, Philadelphia, PA 19104 USA
[2] Brandeis Univ, Inst Hlth Policy, Waltham, MA 02254 USA
关键词
D O I
10.1037/0022-006X.67.3.420
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
This report presents 2-year outcome data from an outpatient continuing care study in which cocaine-dependent patients (N = 132) were randomly assigned to either standard group counseling (STND) or individualized relapse prevention (RP). Data on cocaine outcomes during the 6-month treatment phase of the study were presented in an earlier report (J. R. McKay, A. I. Alterman, J. S. Cacciola, M. R. Rutherford. & C. P. O'Brien, 1997). In the present report, a continuing care condition main effect was obtained on only 1 of 8 outcome variables examined. However, patients who endorsed a goal of absolute abstinence on entering continuing care had better cocaine use outcomes in RP than in STND, whereas the opposite was the case for those with less stringent abstinence goals. In addition, patients with current cocaine or alcohol dependence on entering continuing care who received RP had better cocaine use outcomes in Months 1-6 and batter alcohol use outcomes in Months 13-24 than those in STND.
引用
收藏
页码:420 / 427
页数:8
相关论文
共 20 条
[1]  
Allen JP, 1997, J STUD ALCOHOL, V58, P7
[2]   INTERVIEWER SEVERITY RATINGS AND COMPOSITE SCORES OF THE ASI - A FURTHER LOOK [J].
ALTERMAN, AI ;
BROWN, LS ;
ZABALLERO, A ;
MCKAY, JR .
DRUG AND ALCOHOL DEPENDENCE, 1994, 34 (03) :201-209
[3]  
*AM SOC ADD MED, 1996, PAT PLAC CRIT TREATM
[4]  
[Anonymous], PRACT GUID TREATM PA
[5]  
[Anonymous], 1987, DIAGNOSTIC STAT MANU, V4th
[6]  
[Anonymous], 1989, Handbook of alcoholism treatment approaches: Effective alternatives
[7]   UNDERSTANDING AND PREVENTING RELAPSE [J].
BROWNELL, KD ;
MARLATT, GA ;
LICHTENSTEIN, E ;
WILSON, GT .
AMERICAN PSYCHOLOGIST, 1986, 41 (07) :765-782
[8]  
CARROLL KM, 1994, ARCH GEN PSYCHIAT, V51, P989
[9]  
CARROLL KM, 1994, ARCH GEN PSYCHIAT, V51, P177
[10]   A POWER PRIMER [J].
COHEN, J .
PSYCHOLOGICAL BULLETIN, 1992, 112 (01) :155-159