Cognitive Function and Treatment Response in a Randomized Clinical Trial of Computer-Based Training in Cognitive-Behavioral Therapy

被引：61
作者：
Carroll, Kathleen M. [1 ]
Kiluk, Brian D. [1 ]
Nich, Charla [1 ]
Babuscio, Theresa A. [1 ]
Brewer, Judson A. [1 ]
Potenza, Marc N. [1 ]
Ball, Samuel A. [1 ]
Martino, Steve [1 ]
Rounsaville, Bruce J. [1 ]
Lejuez, Carl W. [2 ]
机构：
[1] Yale Univ, Sch Med, Div Addict, West Haven, CT 06516 USA
[2] Univ Maryland, Dept Psychol, Baltimore, MD 21201 USA
来源：
SUBSTANCE USE & MISUSE | 2011年 / 46卷 / 01期
关键词：
addiction; e-therapies; CBT; cognitive functioning; computerized therapies; risk taking; SUBSTANCE-ABUSING PATIENTS; RISK TASK BART; FOLLOW-UP; INTERACTIONAL THERAPIES; HOMEWORK ASSIGNMENTS; MATCHING ALCOHOLICS; COPING SKILLS; COCAINE; IMPAIRMENT; PERFORMANCE;
D O I：
10.3109/10826084.2011.521069
中图分类号：
R194 [卫生标准、卫生检查、医药管理];
学科分类号：
摘要：
Cognitive-behavioral therapy (CBT), because of its comparatively high level of cognitive demand, is likely to be challenging for substance users with limitations in cognitive function. However, it is not known whether computer-assisted versions of CBT will be particularly helpful (e.g., allowing individualized pace and repetition) or difficult (e.g., via complexity of computerized delivery) for such patients. In this secondary analysis of data collected from a randomized clinical trial evaluating computer-assisted CBT, four aspects of cognitive functioning were evaluated among 77 participants. Those with higher levels of risk taking completed fewer sessions and homework assignments and had poorer substance use outcomes.</.
引用
收藏
页码：23 / 34
页数：12
相关论文
共 53 条
[1]   Cognitive deficits predict low treatment retention in cocaine dependent patients [J].
Aharonovich, E ;
Hasin, DS ;
Brooks, AC ;
Liu, XH ;
Bisaga, A ;
Nunes, EV .
DRUG AND ALCOHOL DEPENDENCE, 2006, 81 (03) :313-322
[2]   Cognitive impairment, retention and abstinence among cocaine abusers in cognitive-behavioral treatment [J].
Aharonovich, E ;
Nunes, E ;
Hasin, D .
DRUG AND ALCOHOL DEPENDENCE, 2003, 71 (02) :207-211
[3]   Cognitive impairment influences drinking outcome by altering therapeutic mechanisms of change [J].
Bates, Marsha E. ;
Pawlak, Anthony P. ;
Tonigan, J. Scott ;
Buckman, Jennifer F. .
PSYCHOLOGY OF ADDICTIVE BEHAVIORS, 2006, 20 (03) :241-253
[4]   Risk factors and neuropsychological recovery in clients with alcohol use disorders who were exposed to different treatments [J].
Bates, ME ;
Barry, D ;
Labouvie, EW ;
Fals-Stewart, W ;
Voelbel, G ;
Buckman, JF .
JOURNAL OF CONSULTING AND CLINICAL PSYCHOLOGY, 2004, 72 (06) :1073-1080
[5]   Differential effects of cocaine and cocaine plus alcohol on neurocognitive performance [J].
Bolla, KI ;
Funderburk, FR ;
Cadet, JL .
NEUROLOGY, 2000, 54 (12) :2285-2292
[6]   Convergence of different versions of the continuous performance test: Clinical and scientific implications [J].
Borgaro, S ;
Pogge, DL ;
DeLuca, VA ;
Bilginer, L ;
Stokes, J ;
Harvey, PD .
JOURNAL OF CLINICAL AND EXPERIMENTAL NEUROPSYCHOLOGY, 2003, 25 (02) :283-292
[7]  
Carroll K.M., 1998, COGNITIVE BEHAV APPR
[8]   Computer-assisted delivery of cognitive-behavioral therapy for addiction: A randomized trial of CBT4CBT [J].
Carroll, Kathleen M. ;
Ball, Samuel A. ;
Martino, Steve ;
Nich, Charla ;
Babuscio, Theresa A. ;
Nuro, Kathryn F. ;
Gordon, Melissa A. ;
Portnoy, Galina A. ;
Rounsaville, Bruce J. .
AMERICAN JOURNAL OF PSYCHIATRY, 2008, 165 (07) :881-888
[9]   The use of contingency management and motivational/skills-building therapy to treat young adults with marijuana dependence [J].
Carroll, Kathleen M. ;
Easton, Caroline J. ;
Nich, Charla ;
Hunkele, Karen A. ;
Neavins, Tara M. ;
Sinha, Rajita ;
Ford, Haley L. ;
Vitolo, Sally A. ;
Doebrick, Cheryl A. ;
Rounsaville, Bruce J. .
JOURNAL OF CONSULTING AND CLINICAL PSYCHOLOGY, 2006, 74 (05) :955-966
[10]   Enduring effects of a computer-assisted training program for cognitive behavioral therapy: A 6-month follow-up of CBT4CBT [J].
Carroll, Kathleen M. ;
Ball, Samuel A. ;
Martino, Steve ;
Nich, Charla ;
Babuscio, Theresa A. ;
Rounsaville, Bruce J. .
DRUG AND ALCOHOL DEPENDENCE, 2009, 100 (1-2) :178-181
123456