Outpatient behavioral treatment for cocaine dependence: One-year outcome.

Higgins, Stephen T.; Budney, Alan J.; Bickel, Warren K.; Badger, Gary J.; Foerg, Florian E.; Ogden, Doris

doi:10.1037/1064-1297.3.2.205

Cited by 153 publications

(96 citation statements)

References 13 publications

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“…The effectiveness of CRA for alcohol-dependent individuals led to applications of the treatment to patients dependent on cocaine and/or opioids. Patients who receive CRA with incentives for abstinence are more likely to complete treatment and to be abstinent from cocaine at 6-month to 1-year follow-ups than are patients who receive 12-step oriented drug counseling or than patients who receive CRA without specific incentives for abstinence (Higgins et al, 2002;Higgins et al, 1995;Miller et al, 2001;Roozen et al, 2004).…”

Section: Rationale and Effectivenessmentioning

confidence: 99%

Theory-based active ingredients of effective treatments for substance use disorders

Moos

2007

Drug and Alcohol Dependence

261

240

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This paper describes four related theories that specify common social processes that protect individuals from developing substance use disorders and may underlie effective psychosocial treatments for these disorders: social control theory, behavioral economics and behavioral choice theory, social learning theory, and stress and coping theory. It then provides an overview of the rationale and evidence for four effective psychosocial treatments for substance use disorders: motivational interviewing and motivational enhancement therapy, 12-step facilitation treatment, cognitive-behavioral treatment and behavioral family counseling, and contingency management and community reinforcement approaches. The presumed active ingredients of these treatments are described in terms of how they exemplify the social processes highlighted by the four theories. The identified common components of effective treatment include support, goal direction, and structure; an emphasis on rewards that compete with substance use, a focus on abstinence-oriented norms and models, and attempts to develop self-efficacy and coping skills. Several issues that need to be addressed to enhance our understanding of the active ingredients involved in effective treatment are discussed, including how to develop measures of these ingredients, how well the ingredients predict outcomes and influence conceptually comparable aspects of clients' life contexts, and how much their influence varies depending upon clients' demographic and personal characteristics.

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Section: Rationale and Effectivenessmentioning

confidence: 99%

Theory-based active ingredients of effective treatments for substance use disorders

Moos

2007

Drug and Alcohol Dependence

261

240

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“…Even if clinicians are trained to perform psychosocial treatments, such as a cognitive behavioral treatment, they cannot prevent the relapse due to the lack of unremitting patients' supervision (McGovern et al, 2013). Furthermore, the relapse rate of the existing treatment practices has been reported to be over 70% (Higgins et al, 1995). Last but not least, the treatment outcomes were found to be short-term because 60% of the patients relapsed one year after treatment completion (Gossop et al, 2002).…”

Section: Future Outlookmentioning

confidence: 86%

Resting-state Abnormalities in Heroin-dependent Individuals

Pandria

Kovatsi

Vivas³

et al. 2018

Neuroscience

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Article available under the terms of the CC-BY-NC-ND licence (https://creativecommons.org/licenses/by-nc-nd/4.0/) eprints@whiterose.ac.uk https://eprints.whiterose.ac.uk/ Reuse Unless indicated otherwise, fulltext items are protected by copyright with all rights reserved. The copyright exception in section 29 of the Copyright, Designs and Patents Act 1988 allows the making of a single copy solely for the purpose of non-commercial research or private study within the limits of fair dealing. The publisher or other rights-holder may allow further reproduction and re-use of this version -refer to the White Rose Research Online record for this item. Where records identify the publisher as the copyright holder, users can verify any specific terms of use on the publisher's website. TakedownIf you consider content in White Rose Research Online to be in breach of UK law, please notify us by emailing eprints@whiterose.ac.uk including the URL of the record and the reason for the withdrawal request. AbstractDrug addiction is a major health problem worldwide. Recent neuroimaging studies have shed light into the underlying mechanisms of drug addiction as well as its consequences to the human brain. The most vulnerable, to heroin addiction, brain regions have been reported to be specific regions in the prefrontal, parietal, occipital, and temporal lobes, as well as, some subcortical regions.The brain regions involvedare linked with reward, motivation/drive, memory/learning, inhibition as well as emotional control andseem to form circuitsthat interact with each other. So, along with neuroimaging studies, recent advances in resting-state dynamics might allow further assessments upon the multilayer complexity of addiction. In the current manuscript, we comprehensively reviewand discuss all the existing resting-state neuroimaging findings classified into three overlapping and interconnected groups: functional connectivity alterations, structural deficits and abnormal topological properties. Moreover, behavioral traits of heroin-addicted individuals as well as the limitations of the currently available studies are also reviewed. Finally, in need of a contemporary therapya multimodal therapeutic approach is suggested using classical treatment practices along with current neurotechonologies, such as neurofeedback and goal-oriented video-games Keywords:Heroin addiction, resting-state, functional and structural connectivity, small-world properties, behavioral traits of heroin-dependent individuals. Radial Diffusivity (RD) 5 Drug addiction or substance dependence (Koob and Le Moal, 2005)is defined as a multifaceted neuropsychiatric disorder resulting from complex interactions between neurobiological, environmental, genetic and pharmacological variables (Sutherland et al., 2012).It affects both cognitive as well as emotional processes . Furthermore, the compulsive seeking and taking of the drug despite the negative consequences, (including downward social mobility (Denier et al., 2013b)), constitutes its behavioral phenotype (Volkow ...

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“…In all likelihood, though, the self-reported data can be trusted, as numerous authors have noted that substance abusers in their research studies have provided accurate information about their drug-using behaviors. [21][22][23][24] Second, although the communities where Project NIA was conducted were assigned to the standard or enhanced intervention condition on a random basis, the individuals participating in the study at these locales were not. Thus, the randomization procedure used in this study was practical, considering the study's logistical needs, but not ideal scientifically.…”

Section: Study Limitationsmentioning

confidence: 99%

Project Neighborhoods in Action: An HIV-related intervention project targeting drug abusers in Washington, DC

et al. 1999

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Project Neighborhoods in Action was a human immunodeficiency virus (HIV) outreach and intervention program that was conducted with injection drug users and crack users in several inner-city neighborhoods in the District of Columbia. Study participants were placed randomly in either a standard intervention or an enhanced intervention condition, with more than 800 persons being assigned to each group. Drug use frequency dropped from 15.2 days to 12.4 for alcohol (P <.0001), 2.1 days to 1.6 for marijuana (P < .003), 13.0 days to 8.8 days for crack (P < .0001), 2.4 days to 1.5 days for cocaine (P < .0001), 19.7 days to 15.6 for heroin (P < .0001), and 5.2 days to 3.4 for speedball (P < .0001). Drug injecting decreased from an average of 90.8 times to 66.9 (P < .0001), with both direct sharing and indirect sharing rates decreasing significantly as well (from 2.4 to 1.1 times for the former [P < .002] and from 12.0 to 8.1 times for the latter [P < .0004]). The number of sexual partners dropped from a mean of 1.6 to 1.1 (P < .0001). The number of drug-injecting sexual partners went from 0.3 to 0.2 (P < .01). Having sex while high decreased from 11.2 times to 7.9 (P < .0001). Trading sex for drugs and/or money declined from 1.9 times to 1.3 (P < .001). Protected sex increased from 29.5% to 63.7% (P < .0001), and the number of unprotected sexual acts dropped from 9.6 to 7.2 (P < .0001). Only a few differences were observed for standard versus enhanced intervention respondents, with no particular pattern formed. We were left with the impression that the standard intervention and enhanced intervention used in this program were about equally effective at reducing the involvement of drug abusers in HIV-related risky behaviors.

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Outpatient behavioral treatment for cocaine dependence: One-year outcome.

Cited by 153 publications

References 13 publications

Theory-based active ingredients of effective treatments for substance use disorders

Theory-based active ingredients of effective treatments for substance use disorders

Resting-state Abnormalities in Heroin-dependent Individuals

Project Neighborhoods in Action: An HIV-related intervention project targeting drug abusers in Washington, DC

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