A novel cognitive-behavioral approach for treatment-resistant drug dependence

Despite the application of treatments that combine methadone administration, weekly counseling, and contingency reinforcement strategies, many opiate-dependent patients continue illicit drug use. In this controlled study we piloted a novel cognitive-behavioral treatment (CBT) designed to reduce illicit drug use among patients receiving methadone treatment. The treatment targeted the reduction of sensitivity to interoceptive cues associated with drug craving, and trained alternative responses to these cues. Patients (N = 23) were randomly assigned to either this novel CBT program or a program of increased counseling, such that the two programs of treatment were equated for therapist contact, assessment time, and contingency-reinforcement strategies. We found that, compared to a doubling of contact with their outpatient counselor, the new program was associated with significantly greater reductions in illicit drug use for women, but not for men. Reasons for differential performance by women and men and future directions for this new treatment are discussed.

Medienart:

Artikel

Erscheinungsjahr:

2002

Erschienen:

2002

Enthalten in:

Zur Gesamtaufnahme - volume:23

Enthalten in:

Journal of substance abuse treatment - 23(2002), 4 vom: 17. Dez., Seite 335-42

Sprache:

Englisch

Beteiligte Personen:

Pollack, Mark H [VerfasserIn]
Penava, Susan A [VerfasserIn]
Bolton, Elisa [VerfasserIn]
Worthington, John J [VerfasserIn]
Allen, Gretchen Lanka [VerfasserIn]
Farach, Francisco J [VerfasserIn]
Otto, Michael W [VerfasserIn]

Themen:

Clinical Trial
Illicit Drugs
Journal Article
Methadone
Randomized Controlled Trial
Research Support, U.S. Gov't, P.H.S.
UC6VBE7V1Z

Anmerkungen:

Date Completed 23.06.2003

Date Revised 10.12.2019

published: Print

Citation Status MEDLINE

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM122793544