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Randomized controlled trial of a positive affect intervention for methamphetamine users.

Adam W Carrico1, Walter Gόmez2, Jennifer Jain3

  • 1Department of Public Health Sciences, University of Miami School of Medicine, 1120 NW 14th St., Office 1005, Miami, FL 33136 USA.

Drug and Alcohol Dependence
|September 9, 2018
PubMed
Summary
This summary is machine-generated.

Adding a positive affect intervention to contingency management (CM) improved affect regulation and reduced methamphetamine craving and use in HIV-positive sexual minority men. This approach shows promise for substance use treatment.

Keywords:
Contingency managementHIVMen who have sex with menMethamphetamineMindfulnessPositive affect

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Area of Science:

  • Addiction Medicine
  • Psychology
  • Public Health

Background:

  • Contingency management (CM) is an evidence-based treatment for stimulant use disorders.
  • HIV-positive sexual minority men who use methamphetamine face unique challenges.
  • Enhancing CM with psychological interventions may improve treatment outcomes.

Purpose of the Study:

  • To test the efficacy of a positive affect intervention delivered alongside CM.
  • To assess the impact on affect regulation, methamphetamine craving, and stimulant use.
  • To evaluate outcomes in HIV-positive, methamphetamine-using sexual minority men.

Main Methods:

  • A randomized controlled trial with 110 participants.
  • Comparison of a positive affect intervention group versus an attention-control group.
  • Interventions delivered over three months during CM, with outcomes assessed over the same period.

Main Results:

  • Participants receiving the positive affect intervention showed increased positive affect and mindfulness.
  • Improvements in affect regulation were associated with decreased methamphetamine craving.
  • Self-reported stimulant use also decreased in the positive affect intervention group.

Conclusions:

  • A positive affect intervention may enhance affect regulation in this population.
  • This intervention may reduce methamphetamine craving and stimulant use during CM.
  • Findings suggest a potential adjunctive treatment strategy for HIV-positive men who use methamphetamine.