期刊
DRUG AND ALCOHOL DEPENDENCE
卷 77, 期 2, 页码 177-184出版社
ELSEVIER SCI IRELAND LTD
DOI: 10.1016/j.drugalcdep.2004.08.012
关键词
cocaine; treatment; Alcoholics Anonymous; self-help; addiction; substance abuse
资金
- NIDA NIH HHS [K05-DA00168, U01-DA07085, U01-DA07090, K02-DA 00326, U01-DA07663, U01-DA07673, U01-DA07693] Funding Source: Medline
- NIMH NIH HHS [K02-MH00756, P30-MH-45178] Funding Source: Medline
Objective: Although cocaine-dependent patients are frequently referred to 12-step self-help groups, little research has examined the benefits of 12-step group attendance in this population. Moreover, the distinction between attending meetings and actively participating in 12-step activities has not typically been examined. Method: In the National Institute on Drug Abuse Collaborative Cocaine Treatment Study, 487 cocaine-dependent outpatients were recruited at five sites for a randomized controlled trial of 24-week behavioral treatments. Study data were examined to see whether self-help attendance or active participation were related to subsequent drug use. Results: Twelve-step group attendance did not predict subsequent drug use. However, active 12-step participation in a given month predicted less cocaine use in the next month. Moreover, patients who increased their 12-step participation during the first 3 months of treatment had significantly less cocaine use and lower ASI Drug Use Composite scores in the subsequent 3 months. Finally, Individual Drug Counseling, based on a 12-step model, and increasing levels of 12-step participation each offered discrete benefits. Conclusions: Results suggest that active 12-step participation by cocaine-dependent patients is more important than meeting attendance, and that a combination of Individual Drug Counseling and active 12-step participation is effective for these patients. (C) 2004 Elsevier Ireland Ltd. All rights reserved.
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