The use of contingency management and motivational/skills-building therapy to treat young adults with marijuana dependence

被引:147
作者
Carroll, Kathleen M. [1 ]
Easton, Caroline J. [1 ]
Nich, Charla [1 ]
Hunkele, Karen A. [1 ]
Neavins, Tara M. [1 ]
Sinha, Rajita [1 ]
Ford, Haley L. [1 ]
Vitolo, Sally A. [1 ]
Doebrick, Cheryl A. [1 ]
Rounsaville, Bruce J. [1 ]
机构
[1] Yale Univ, Sch Med, Div Substance Abuse, West Haven, CT 06516 USA
关键词
cognitive-behavioral therapy; contingency management; criminal justice populations; marijuana dependence; motivational enhancement therapy;
D O I
10.1037/0022-006X.74.5.955
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Marijuana-dependent young adults (N = 136), all referred by the criminal justice system, were randomized to I of 4 treatment conditions: a motivational/skills-building intervention (motivational enhancement therapy/cognitive-behavioral therapy; MET/CBT) plus incentives contingent on session attendance or submission of marijuana-free urine specimens (contingency management; CM), MET/CBT without CM, individual drug counseling (DC) plus CM, and DC without CM. There was a significant main effect of CM on treatment retention and marijuana-free urine specimens. Moreover, the combination of MET/CBT plus CM was significantly more effective than MET/CBT without CM or DC plus CM, which were in turn more effective than DC without CM for treatment attendance and percentage of marijuana-free urine specimens. Participants assigned to MET/CBT continued to reduce the frequency of their marijuana use through a 6-month follow-up.
引用
收藏
页码:955 / 966
页数:12
相关论文
共 70 条
[1]   A cocaine-positive baseline urine predicts outpatient treatment attrition and failure to attain initial abstinence [J].
Alterman, AI ;
Kampman, K ;
Boardman, CR ;
Cacciola, JS ;
Rutherford, MJ ;
McKay, JR ;
Maany, I .
DRUG AND ALCOHOL DEPENDENCE, 1997, 46 (1-2) :79-85
[2]  
[Anonymous], 1999, Individual drug counseling
[3]  
[Anonymous], 2005, Brief Counseling for Marijuana Dependence: A Manual for Treating Adults (HHS Publication No. SMA 12-4211)
[4]   Comparative Epidemiology of Dependence on Tobacco, Alcohol, Controlled Substances, and Inhalants: Basic Findings From the National Comorbidity Survey [J].
Anthony, James C. ;
Warner, Lynn A. ;
Kessler, Ronald C. .
EXPERIMENTAL AND CLINICAL PSYCHOPHARMACOLOGY, 1994, 2 (03) :244-268
[5]   Talk is cheap: Measuring drinking outcomes in clinical trials [J].
Babor, TF ;
Steinberg, K ;
Anton, R ;
Del Boca, F .
JOURNAL OF STUDIES ON ALCOHOL, 2000, 61 (01) :55-63
[6]   Brief treatments for cannabis dependence: Findings from a randomized multisite trial [J].
Babor, TF ;
Carroll, K ;
Christiansen, K ;
Donaldson, J ;
Herrell, J ;
Kadden, R ;
Litt, M ;
McRee, B ;
Miller, M ;
Roffman, R ;
Solowij, N ;
Steinberg, K ;
Stephens, R ;
Vendetti, J .
JOURNAL OF CONSULTING AND CLINICAL PSYCHOLOGY, 2004, 72 (03) :455-466
[7]  
BABOR TF, 1994, J STUDIES ALCOHOL S, V12, P83
[8]  
Baker S.M, 1998, 12 STEP FACILITATION
[9]  
BRUDNEY AJ, 1998, COMMUNITY REINFORCEM
[10]   Adding voucher-based incentives to coping skills and motivational enhancement improves outcomes during treatment for marijuana dependence [J].
Budney, AJ ;
Higgins, ST ;
Radonovich, KJ ;
Novy, PL .
JOURNAL OF CONSULTING AND CLINICAL PSYCHOLOGY, 2000, 68 (06) :1051-1061