Outpatient Treatment for Cocaine Abuse: A Controlled Comparison of Relapse Prevention and Twelve-Step Approaches
作者:
WellsElizabeth A.,
PetersonPeggy L,
GaineyRandy R.,
HawkinsJ. David,
CatalanoRichard F.,
期刊:
The American Journal of Drug and Alcohol Abuse
(Taylor Available online 1994)
卷期:
Volume 20,
issue 1
页码: 1-17
ISSN:0095-2990
年代: 1994
DOI:10.3109/00952999409084053
出版商: Taylor&Francis
数据来源: Taylor
摘要:
This study sought to assess the efficacy of treatment for cocaine abuse and to compare the relative effectiveness of a cognitive-behavioral relapse prevention treatment with that of a Twelve-Step recovery support group in an outpatient group treatment setting. One hundred ten subjects seeking treatment were alternately assigned to relapse prevention or Twelve-Step treatment. Self-report data were collected at baseline, posttreatment, and 6-month follow-up. There were no differentia] effects of treatment type on cocaine or marijuana use over time. However, subjects in both treatment conditions reduced cocaine and marijuana use at post-treatment. Subjects in both groups reduced their alcohol use from pretreatment to posttreatment. Subjects receiving Twelve-Step treatment showed greater increases from posttreatment to 6-month follow-up in alcohol use than did relapse prevention participants. Treatment attendance was negatively related to cocaine use at posttreatment and cocaine and marijuana use at 6-month follow-up. Difficulties in conducting cocaine treatment outcome research are discussed as are treatment and research implications of the findings.
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