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Related Experiment Videos

A behavioral approach to achieving initial cocaine abstinence.

S T Higgins1, D D Delaney, A J Budney

  • 1Department of Psychiatry, University of Vermont, Burlington 05401.

The American Journal of Psychiatry
|September 1, 1991
PubMed
Summary

Behavioral treatment, including contingency management, shows promise for cocaine abstinence. This approach retained more patients and achieved longer abstinence periods than 12-step counseling in outpatient settings.

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Area of Science:

  • Addiction Medicine
  • Behavioral Psychology

Background:

  • Cocaine dependence is a significant public health issue requiring effective outpatient treatment strategies.
  • Traditional 12-step counseling has shown limited success in achieving sustained cocaine abstinence.

Purpose of the Study:

  • To evaluate the effectiveness of a novel behavioral treatment program for promoting initial cocaine abstinence.
  • To compare the efficacy of behavioral treatment with 12-step counseling for cocaine-dependent outpatients.

Main Methods:

  • Outpatients with cocaine dependence were offered either a behavioral treatment (contingency management and community reinforcement approach) or 12-step counseling.
  • Patient retention and continuous cocaine abstinence were tracked over a 12-week period.

Main Results:

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  • The behavioral treatment group demonstrated significantly higher retention rates (11/13) compared to the 12-step group (5/12).
  • More patients in the behavioral treatment group achieved 4 weeks (10/13), 8 weeks (6/13), and 12 weeks (3/13) of continuous cocaine abstinence than in the 12-step group (3/12, 0/12, 0/12 respectively).

Conclusions:

  • The studied behavioral treatment program shows potential as an effective intervention for achieving initial cocaine abstinence in individuals with cocaine dependence.
  • Further research through a randomized trial is warranted to confirm these promising findings and assess generalizability.