Cognitive-Behavioral Therapy for Methamphetamine Dependence among Methadone-Maintained Patients

被引:14
|
作者
Shakiba, Kiyanoosh [1 ]
Effatpanah, Mohammad [2 ]
Moradi, Afsaneh [3 ]
机构
[1] Shokoufa Methadone Clin, Tehran, Iran
[2] Univ Tehran Med Sci, Ziaeian Hosp, Sch Med, Int Campus, Tehran, Iran
[3] Al Zahra Univ, Sch Psychol & Educ Sci, Dept Psychol, Tehran, Iran
关键词
Cognitive Therapy; Methamphetamine; Randomized Controlled Trial;
D O I
10.5812/ijpbs.63615
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Background: Cognitive-behavioral therapy has been suggested as a treatment program for methamphetamine dependence. Objectives: The current brief report aimed to assess the effectiveness of 16 sessions of this treatment for abstinence from methamphetamine and improvement of psychological well-being among methadone-maintained patients. Methods: Overall, 200 male and female methadone patients who were on stable methadone doses were assigned to either an intervention group (n=100) or a control group (n=100). The study was part of a randomized controlled trial conducted in five methadone services in Shiraz, near the Persian Gulf of Iran. All methamphetamine-dependent participants were assessed using two questionnaires at baseline, post-test (the end of the 16th cognitive-behavioral therapy or control session), and a three-month follow-up that was conducted 90 days after the end of the 16th session. Urinalyses were also conducted to detect methamphetamine use at the same assessment points. The control group was in a wait-list control condition. There was no participant attrition during the assessment procedures. Results: Overall, 30 participants in the treatment group became abstinent at post-test and remained abstinent at follow-up. 16 sessions of cognitive-behavioral therapy led to a significant reduction in methamphetamine use (P < 0.001) and improved psychological well-being (P < 0.001) in the treatment group while there was no significant change in the control group. Conclusions: Cognitive-behavioral therapy can be an efficacious option for methamphetamine problem in methadone treatment although further studies are suggested on long-term abstinence.
引用
收藏
页数:4
相关论文
共 50 条
  • [31] Memantine increases cardiovascular but not behavioral effects of cocaine in methadone-maintained humans
    Collins, ED
    Vosburg, SK
    Ward, AS
    Haney, M
    Foltin, RW
    PHARMACOLOGY BIOCHEMISTRY AND BEHAVIOR, 2006, 83 (01) : 47 - 55
  • [32] BUPROPION REDUCES COCAINE ABUSE IN METHADONE-MAINTAINED PATIENTS
    MARGOLIN, A
    KOSTEN, T
    PETRAKIS, I
    AVANTS, SK
    KOSTEN, T
    ARCHIVES OF GENERAL PSYCHIATRY, 1991, 48 (01) : 87 - 87
  • [33] Barriers to Telephone Quitline Use Among Methadone-Maintained Smokers
    Griffin, Judith L.
    Segal, Kate S.
    Nahvi, Shadi
    NICOTINE & TOBACCO RESEARCH, 2015, 17 (08) : 931 - 936
  • [34] Allopathic, Complementary, and Alternative Medical Treatment Utilization for Pain among Methadone-Maintained Patients
    Barry, Declan T.
    Beitel, Mark
    Cutter, Christopher J.
    Garnet, Brian
    Joshi, Dipa
    Schottenfeld, Richard S.
    Rounsaville, Bruce J.
    AMERICAN JOURNAL ON ADDICTIONS, 2009, 18 (05): : 379 - 385
  • [35] Exploring Relations Among Traumatic, Posttraumatic, and Physical Pain Experiences in Methadone-Maintained Patients
    Barry, Declan T.
    Beitel, Mark
    Cutter, Christopher J.
    Garnett, Brian
    Joshi, Dipa
    Rosenblum, Andrew
    Schottenfeld, Richard S.
    JOURNAL OF PAIN, 2011, 12 (01): : 22 - 28
  • [36] Relations Among Psychopathology, Substance Use, and Physical Pain Experiences in Methadone-Maintained Patients
    Barry, Declan T.
    Beitel, Mark
    Garnet, Brian
    Joshi, Dipa
    Rosenblum, Andrew
    Schottenfeld, Richard S.
    JOURNAL OF CLINICAL PSYCHIATRY, 2009, 70 (09) : 1213 - 1218
  • [37] METHADONE-MAINTAINED PATIENTS - EFFECT OF METHADONE ON PLASMA TESTERONE, FSH, LH, AND PROLACTIN
    CUSHMAN, P
    KREEK, MJ
    NEW YORK STATE JOURNAL OF MEDICINE, 1974, 74 (11) : 1970 - 1973
  • [38] Documented poor sleep among methadone-maintained patients is associated with chronic pain and benzodiazepine abuse, but not with methadone dose
    Peles, Einat
    Schreiber, Shaul
    Adelson, Miriam
    EUROPEAN NEUROPSYCHOPHARMACOLOGY, 2009, 19 (08) : 581 - 588
  • [39] Dose-Dependent Cognitive Impairment in an Elder Methadone-Maintained Patient
    Fareed, Ayman
    Casarella, Jennifer
    Amar, Richard
    Drexler, Karen
    JOURNAL OF ADDICTION MEDICINE, 2009, 3 (02) : 109 - 110
  • [40] Abstinence symptomatology associated with cessation of chronic cocaine abuse among methadone-maintained patients
    Margolin, A
    Avants, SK
    Kosten, TR
    AMERICAN JOURNAL OF DRUG AND ALCOHOL ABUSE, 1996, 22 (03): : 377 - 388