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Experience with the cocaine trigger inventory.

G D Shulman1

  • 1Clinical Programs, Addiction Recovery Corporation, Waltham, MA 02154.

Advances in Alcohol & Substance Abuse
|January 1, 1989
PubMed
Summary
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This study identified key triggers for cocaine cravings in hospitalized addicts. "People, Places and Things" and "Work Situations" were the most potent triggers, not "Mood states" or "Romance" as expected.

Area of Science:

  • Addiction Medicine
  • Psychology
  • Neuroscience

Background:

  • Cocaine dependence is a significant public health issue.
  • Identifying triggers for cocaine cravings is crucial for treatment.
  • Existing research has not fully elucidated the most impactful situational triggers.

Purpose of the Study:

  • To identify and rank situations that precipitate cocaine cravings in hospitalized cocaine-dependent patients.
  • To compare perceived trigger potency with actual reported difficulty.
  • To inform the development of targeted interventions for managing cocaine hunger.

Main Methods:

  • Administration of a cocaine trigger inventory to hospitalized cocaine addicts.
  • Ranking of identified cue groups ("situations") based on reported difficulty.

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  • Statistical analysis to determine the most highly ranked situations.

    • Main Results:

    • The four most highly ranked situations precipitating cocaine hunger were "People, Places and Things," "Work Situations," "Celebrations," and "Cocaine Focus."
    • Situations involving "Mood states" and "Romance," initially assumed to be highly problematic, were ranked lower than expected.
    • Significant discrepancies were observed between assumed and actual trigger potency.

    Conclusions:

    • "People, Places and Things," "Work Situations," "Celebrations," and "Cocaine Focus" are primary situational triggers for cocaine cravings.
    • Clinical assumptions about triggers like "Mood states" and "Romance" may not align with patient experience.
    • Understanding these specific triggers is vital for effective relapse prevention strategies in cocaine addiction treatment.