Rowan-Szal Grace A, Bartholomew Norma G, Chatham Lois R, Simpson D Dwayne
Institute of Behavioral Research, Texas Christian University, Fort Worth, Texas 76129, USA.
J Psychoactive Drugs. 2005 Mar;37(1):75-84. doi: 10.1080/02791072.2005.10399750.
Treating cocaine use by opiate-dependent clients in methadone programs is a well-documented challenge. Both behavioral (contingency management) and cognitive (relapse prevention) interventions have shown promise in helping engage these clients in treatment. In this study, the effectiveness of combining contingency management with a cocaine-specific relapse prevention counseling module was examined. Sixty-one cocaine-using methadone clients were randomly assigned to one of four treatment conditions to participate in the eight-week intervention and eight-week follow-up period. Using analysis of variance (ANOVA), differences in cocaine use and treatment retention were examined. Contingency management was significantly related to reductions in cocaine use and the counseling module was positively related to six-month retention rates. Both interventions were associated with positive treatment response but the effects were reflected in different behavioral outcomes.
在美沙酮项目中治疗阿片类药物依赖患者的可卡因使用问题是一个有充分文献记载的挑战。行为干预（应急管理）和认知干预（预防复发）在帮助这些患者参与治疗方面都显示出了前景。在本研究中，考察了将应急管理与针对可卡因的预防复发咨询模块相结合的有效性。61名使用可卡因的美沙酮患者被随机分配到四种治疗条件之一，参与为期八周的干预和八周的随访期。使用方差分析（ANOVA）考察可卡因使用情况和治疗留存率的差异。应急管理与可卡因使用量的减少显著相关，咨询模块与六个月留存率呈正相关。两种干预都与积极的治疗反应相关，但效果体现在不同的行为结果上。
