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Related Experiment Videos

Psychotherapy in community methadone programs: a validation study

G E Woody1, A T McLellan, L Luborsky

  • 1Department of Psychiatry, University of Pennsylvania/Philadelphia, USA.

The American Journal of Psychiatry
|September 1, 1995
PubMed
Summary

Supportive-expressive psychotherapy, a form of talk therapy, demonstrated sustained benefits for psychiatrically impaired patients in methadone programs. These long-term gains in addiction treatment surpassed those from supplemental drug counseling alone.

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Area of Science:

  • Addiction Medicine
  • Psychiatry
  • Rehabilitation Counseling

Background:

  • Psychiatrically impaired patients undergoing methadone maintenance treatment often require additional support.
  • Community-based programs aim to integrate various therapeutic modalities for opiate dependence.

Purpose of the Study:

  • To evaluate the efficacy of individual psychotherapy in the rehabilitation of psychiatrically symptomatic opiate-dependent patients.
  • To compare supportive-expressive psychotherapy with supplemental drug counseling in a methadone maintenance setting.

Main Methods:

  • Randomized controlled trial involving 84 opiate-dependent patients in community methadone programs.
  • Participants received 24 weeks of counseling plus either supplemental drug counseling or supportive-expressive psychotherapy.

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  • Follow-up assessments were conducted 1 and 6 months post-treatment.

    • Main Results:

    • Supportive-expressive psychotherapy patients showed fewer cocaine-positive urine samples and lower methadone doses.
    • Both groups achieved initial gains, but only psychotherapy patients maintained improvements at 6-month follow-up.
    • Significant long-term benefits favored supportive-expressive psychotherapy over supplemental drug counseling.

    Conclusions:

    • Individual psychotherapy is feasible and effective for psychiatrically impaired patients in community methadone programs.
    • While supplemental drug counseling offers short-term benefits, supportive-expressive psychotherapy yields sustained improvements in addiction treatment.
    • Psychotherapy's enduring positive effects underscore its value in long-term recovery for this patient population.