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Updated: Jun 27, 2026
07:51
A Protocol for Measuring Cue Reactivity in a Rat Model of Cocaine Use Disorder
Published on: June 18, 2018
Contingency management is efficacious for cocaine abusers with prior treatment attempts
Carla J Rash1, Sheila M Alessi, Nancy M Petry
1Department of Psychiatry, University of Connecticut Health Center, 263 Farmington Avenue, Farmington, CT 06030-3944, USA.
Experimental and Clinical Psychopharmacology
|December 18, 2008
Summary
Contingency management (CM) improves treatment retention for individuals with multiple prior substance abuse treatment attempts. This approach offers benefits for patients with extensive treatment histories and substance abuse patients generally.
Area of Science:
- Addiction Medicine
- Behavioral Psychology
Background:
- Identifying patient subgroups responsive to substance abuse treatments is crucial.
- Contingency management (CM) is a behavioral intervention for substance abuse.
Purpose of the Study:
- To examine the impact of prior treatment attempts on outcomes in cocaine abusers receiving standard care (SC) or SC plus CM.
- To determine if CM is more effective for patients with extensive treatment histories.
Main Methods:
- 393 cocaine abusers were randomized to SC or SC plus CM.
- Participants categorized by prior treatment attempts (0-1 vs. ≥2).
- Outcomes assessed included treatment retention and longest duration of abstinence (LDA).
Main Results:
- Participants with ≥2 prior attempts were older, had more severe substance use disorders, and employment problems.
- CM significantly improved retention for those with multiple prior attempts compared to SC.
- A similar, non-significant trend favored CM for LDA.
Conclusions:
- Contingency management is an advantageous treatment option for individuals with multiple prior substance abuse treatment attempts.
- CM shows promise for improving outcomes in patients with extensive treatment histories.
- Results support CM for substance abuse treatment patients broadly.
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