Sustained Reductions in Drug Use and Depression Symptoms from Treatment for Drug Abuse in Methamphetamine-Dependent Gay and Bisexual Men

Peck, James A.; Reback, Cathy J.; Yang, Xiaowei; Rotheram-Fuller, Erin; Shoptaw, Steven

doi:10.1093/jurban/jti029

Cited by 68 publications

(84 citation statements)

References 15 publications

(13 reference statements)

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“…Peck et al [24] noted that depression improved posttreatment across the groups and there was no influence of HIV status on these results. The CBT-only group showed higher levels of depression at 1 year posttreatment, but had higher premorbid rates of major depressive disorder.…”

Section: Cbt Approaches For Specific Groups Of Methamphetamine Usersmentioning

confidence: 87%

“…In a series of papers drawn from a common data set, Shoptaw et al [23], Peck et al [24] and Jaffe et al [25] compared four combinations of CBT and CM, including a gay-specific CBT (CBT alone, CM alone, CBT þ CM, gay-specific CBT alone) intervention for gay and bisexual men who were methamphetaminedependent. All interventions were associated with reductions in self-reported methamphetamine use up to 1 year post-treatment.…”

Section: Cbt Approaches For Specific Groups Of Methamphetamine Usersmentioning

confidence: 99%

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A systematic review of cognitive and behavioural therapies for methamphetamine dependence

Lee

Rawson

2008

Drug and Alcohol Review

225

174

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Introduction and Aims. The use of methamphetamine is widespread and poses significant challenges for treatment providers. Much of the treatment knowledge about this group has been extrapolated from studies of treatment for cocaine dependence. Medications have been shown to be of limited effectiveness for methamphetamine users, making psychological interventions the treatment of choice. Approach. This paper describes a systematic review of cognitive -behavioural and behavioural interventions for methamphetamine users. A systematic search of published literature was undertaken focusing only on randomised trials. Key Findings. There were a relatively small number of intervention studies that compared cognitivebehavioural or behavioural interventions using randomised trial methodology. Most commonly, studies examined cognitivebehaviour therapy (CBT) and/or contingency management (CM). Treatment with CBT appears to be associated with reductions in methamphetamine use and other positive changes, even over very short periods of treatment (two and four sessions). CM studies found a significant reduction of methamphetamine during application of the procedure, but it is not clear if these gains are sustained at post-treatment follow-up. Implications. The review highlights that there are effective treatments for methamphetamine dependence. Alcohol and other drug (AOD) clinicians are familiar with these types of interventions and should use them and convey to clients that they are effective. Services and policy makers should ensure that best practice interventions are implemented within AOD services. Conclusion. Psychological intervention is effective in addressing methamphetamine use and dependence. CBT and contingency management are two accessible interventions that are implemented easily within current AOD services. There is still more work to conduct in improving methamphetamine treatment, however, and further research into cognitive -behavioural and behavioural treatments for methamphetamine users is required, with a focus on improving longevity of the effect of intervention and improving effectiveness among more complex presentations.[Lee NK, Rawson RA. A systematic review of cognitive and behavioural therapies for methamphetamine dependence. Drug Alcohol Rev 2008;27:309-317]

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Section: Cbt Approaches For Specific Groups Of Methamphetamine Usersmentioning

confidence: 87%

Section: Cbt Approaches For Specific Groups Of Methamphetamine Usersmentioning

confidence: 99%

A systematic review of cognitive and behavioural therapies for methamphetamine dependence

Lee

Rawson

2008

Drug and Alcohol Review

225

174

View full text Add to dashboard Cite

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“…Despite its stimulating effects, the literature on methamphetamine use indicates that methamphetamine users frequently report high levels of co-occurring psychiatric symptoms, particularly depression (Peck et al, 2005;Sommers et al, 2006;Zweben et al, 2004;Semple et al, 2005). Similar to alcohol, the causal relationship between methamphetamine and depression has not been established (Kalechstein et al, 2000) although it appears that depressive symptoms figure particularly prominently during withdrawal from methamphetamine use (McGregor et al, 2005;Rawson et al, 2002).…”

Section: Discussionmentioning

confidence: 99%

The impact of illicit drug use and harmful drinking on quality of life among injection drug users at high risk for hepatitis C infection

Costenbader

Zule

Coomes

2007

Drug and Alcohol Dependence

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Background-Heavy alcohol use, hepatitis C and illicit drug use each have been shown to have negative impacts on health-related quality of life (HRQL). To date, considerations of HRQL have not played a prominent role in the design and measurement of intervention strategies for out-oftreatment at-risk populations.Methods-Data were collected from out-of-treatment IDUs recruited through street outreach in North Carolina. Multiple linear regression analyses were used to examine the independent effects of HCV status, harmful drinking (AUDIT), and illicit drug use on HRQL (SF-36).Results-Fifty-one percent of 619 study participants tested HCV-positive; 57% met criteria for harmful or hazardous drinking and 63% reported daily use of hard drugs. HRQL scores for this population were significantly lower than those of the general population. Multiple linear regression analyses demonstrated that harmful levels of alcohol consumption and use of methamphetamine in the past month had the strongest associations with reduced HRQL.Conclusions-Given the high rates of HCV in most IDU communities, new harm reduction approaches are needed for these populations which focus beyond prevention to the functioning and well-being of those already infected. In particular, reducing heavy alcohol use in addition to slowing HCV progression shows promise for improving HRQL.

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“…In contrast, studies with treatment samples have shown more severe substance use problems and higher rates of psychiatric treatment among sexual minorities compared with heterosexuals in substance abuse treatment (15). But clinical studies with targeted sub-groups, such as gay men who are methamphetamine users, may show elevated levels of psychopathology as compared with population-based samples of sexual minorities (16, 17). …”

Section: Introductionmentioning

confidence: 99%

Effects of Sexual Orientation and Gender on Perceived Need for Treatment by Persons With and Without Mental Disorders

Grella¹,

Cochran²,

Greenwell³

et al. 2011

Psychiatric Services

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Objective Research has shown that some individuals with sexual minority status have a higher prevalence of psychiatric disorders (both mental health and substance use) and also tend to seek treatment at higher rates as compared with similar heterosexuals. Relationships among treatment need and treatment use, however, are not well understood. This paper examines the relationship of sexual orientation and gender to perceptions of need and unmet need for treatment among individuals with and without mental health or substance use disorders. Methods Data were obtained from a probability sample of California residents that oversampled for sexual minorities (unweighted N = 2,079). Bivariate analyses compared perceived treatment need and treatment use among groups defined by sexual orientation, gender, and presence of a mood, anxiety, or substance use disorder. Logistic regression models were fit predicting absence of treatment among those who perceived a need for it (unmet need), testing the interactive effects of gender, disorder, and sexual orientation and controlling for socio-demographics. Results Sexual minority women had about half the odds of unmet need for treatment compared with other women, but there was no interaction between sexual minority status and unmet treatment need for men. Among individuals without any of the disorders measured, sexual minorities had lower odds of unmet need for treatment compared with others. Heterosexual men and women were most likely to have unmet treatment needs. Conclusions Sexual orientation and gender differentially influence treatment utilization, particularly among those who do not have a diagnosed disorder but perceive a need for treatment. Diagnostic criteria appear to be less relevant to understanding treatment use among sexual minorities.

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Sustained Reductions in Drug Use and Depression Symptoms from Treatment for Drug Abuse in Methamphetamine-Dependent Gay and Bisexual Men

Cited by 68 publications

References 15 publications

A systematic review of cognitive and behavioural therapies for methamphetamine dependence

A systematic review of cognitive and behavioural therapies for methamphetamine dependence

The impact of illicit drug use and harmful drinking on quality of life among injection drug users at high risk for hepatitis C infection

Effects of Sexual Orientation and Gender on Perceived Need for Treatment by Persons With and Without Mental Disorders

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