Petry Nancy M, Kolodner Ken B, Li Rui, Peirce Jessica M, Roll John M, Stitzer Maxine L, Hamilton John A
Department of Psychiatry, University of Connecticut Health Center, 263 Farmington Avenue, Farmington, CT 06030-3944, USA.
Drug Alcohol Depend. 2006 Jul 27;83(3):269-73. doi: 10.1016/j.drugalcdep.2005.11.023. Epub 2006 Jan 10.
A contingency management (CM) intervention that provides drug-abstinent patients a chance to win prizes of varying magnitudes is efficacious in retaining patients in treatment and reducing drug use. However, this intervention has been criticized as possibly increasing gambling because it contains an element of chance. Gambling behaviors before, during and 3 months after participation in a multi-site study of CM were compared for stimulant users randomly assigned to 12 weeks of standard care with (N=407) or without (N=396) prize-based CM. Among study participants enrolled in outpatient non-methadone drug abuse treatment (N=415), 26% reported gambling during the observation period, and this rate was 37% among participants (N=388) enrolled in methadone maintenance programs. No differences in gambling over time were noted between those assigned to the prize CM versus standard care conditions, indicating that this prize CM procedure does not adversely impact gambling behavior among stimulant abusers.
一种应急管理（CM）干预措施，为戒毒患者提供赢得不同金额奖品的机会，在使患者坚持治疗和减少药物使用方面是有效的。然而，这种干预措施因可能增加赌博行为而受到批评，因为它包含了一个机会因素。对随机分配到接受为期12周标准护理（有（N = 407）或无（N = 396）基于奖励的CM）的兴奋剂使用者，在参与CM多中心研究之前、期间和之后3个月的赌博行为进行了比较。在参加门诊非美沙酮药物滥用治疗的研究参与者（N = 415）中，26%的人在观察期内报告有赌博行为，而在参加美沙酮维持治疗项目的参与者（N = 388）中，这一比例为37%。在分配到奖励CM组与标准护理组的参与者之间，未发现赌博行为随时间的差异，这表明这种奖励CM程序不会对兴奋剂滥用者的赌博行为产生不利影响。
