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Related Experiment Videos

Achieving cocaine abstinence with a behavioral approach

S T Higgins1, A J Budney, W K Bickel

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

The American Journal of Psychiatry
|May 1, 1993
PubMed
Summary

A multicomponent behavioral treatment significantly improved treatment retention and cocaine abstinence rates in outpatients compared to standard drug abuse counseling. This approach offers a more effective intervention for cocaine dependence.

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Area of Science:

  • Addiction Medicine
  • Behavioral Psychology
  • Clinical Psychology

Background:

  • Cocaine dependence poses significant public health challenges.
  • Effective outpatient treatments are crucial for managing cocaine use disorder.
  • Existing treatments show variable efficacy in retaining patients and achieving abstinence.

Purpose of the Study:

  • To compare the efficacy of a multicomponent behavioral treatment with standard drug abuse counseling.
  • To evaluate treatment retention and cocaine abstinence rates in cocaine-dependent individuals.

Main Methods:

  • 38 outpatient individuals with cocaine dependence were randomized into two groups.
  • One group received multicomponent behavioral treatment (community reinforcement approach with incentives).

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  • The other group received standard drug abuse counseling (disease model of dependence).

    • Main Results:

    • 58% of patients in the behavioral treatment group completed 24 weeks versus 11% in the counseling group.
    • Behavioral treatment achieved significantly higher rates of continuous cocaine abstinence (68% for 8 weeks, 42% for 16 weeks) compared to counseling (11% and 5%).

    Conclusions:

    • Multicomponent behavioral treatment demonstrates superior effectiveness in patient retention.
    • This behavioral intervention is effective in establishing and maintaining cocaine abstinence in outpatient settings.