Bordnick P S, Schmitz J M
University of Texas Medical School, Houston, USA.
J Subst Abuse. 1998;10(1):9-17. doi: 10.1016/s0899-3289(99)80136-9.
This study examined the relationship between verbal reports of craving and actual cocaine use across different treatment phases using a longitudinal design. Participants (n = 32) were cocaine-dependent patients who completed an inpatient chemical dependency program and then participated in an 8-week outpatient relapse prevention program. Craving ratings and urine samples were collected during hospitalization, at 12 weekly outpatient treatment sessions, and at 1, 2, 4, 8, 12, and 24-week follow-up. Craving increased significantly from inpatient to outpatient treatment. Cocaine-abstinent participants reported lower craving across outpatient treatment and follow-up compared to moderate and heavy cocaine users. The overall relationship between craving and total proportion of cocaine positive urines was highly significant. Implications of these findings for advancing our theoretical and practical knowledge about craving and cocaine use, are explored.
本研究采用纵向设计，考察了在不同治疗阶段，对可卡因渴望的言语报告与实际使用可卡因之间的关系。参与者（n = 32）为可卡因依赖患者，他们完成了住院药物依赖治疗项目，随后参加了为期8周的门诊预防复发项目。在住院期间、12次每周门诊治疗期间以及1周、2周、4周、8周、12周和24周随访时收集渴望评分和尿液样本。从住院治疗到门诊治疗，渴望显著增加。与中度和重度可卡因使用者相比，可卡因戒断参与者在门诊治疗和随访期间报告的渴望较低。渴望与可卡因阳性尿液总比例之间的总体关系非常显著。本文探讨了这些发现对推进我们关于渴望和可卡因使用的理论和实践知识的意义。
