Abstract:
BACKGROUND:The community reinforcement approach (CRA) with vouchers is a well-established program developed for the treatment of cocaine addiction. It involves an incentive program in which patients earn vouchers that can be exchanged for goods or services contingent upon abstinence from cocaine use. AIM:To examine the contributions of incentives to retention, abstinence, and psychosocial outcomes in the CRA+vouchers program at the 12-month follow-up. METHODS:58 cocaine addicts were randomly assigned to CRA treatment with or without an added incentive program in a community setting for cocaine dependence in Spain. RESULTS:65.5% of patients in the group with vouchers completed 12 months of treatment, versus 48.3% in the no-voucher group. In the CRA+vouchers group, mean percentage of cocaine-negative samples was 95.76%, versus 79.31% in the group without vouchers. There were significant improvements in psychosocial functioning in both treatments, but when differences were observed, they supported CRA with vouchers over CRA alone. CONCLUSION:Combining CRA with incentives improves treatment outcomes in cocaine-dependent outpatients. Additive benefits of vouchers remain 6 months after the incentive program ends.
journal_name
Eur Addict Resjournal_title
European addiction researchauthors
García-Fernández G,Secades-Villa R,García-Rodríguez O,Alvarez-López H,Fernández-Hermida JR,Fernández-Artamendi S,Higgins STdoi
10.1159/000324848subject
Has Abstractpub_date
2011-01-01 00:00:00pages
139-45issue
3eissn
1022-6877issn
1421-9891pii
000324848journal_volume
17pub_type
杂志文章,随机对照试验abstract::In this paper, the effectiveness of the treatment program developed by Proyecto Hombre ('Project Mankind') in Asturias, Spain, is evaluated. In a long-term follow-up (range from 73 days to 8 years) with a sample of 249 subjects, the results obtained by subjects completing the treatment (194) were compared with pre-tre...
journal_title:European addiction research
pub_type: 杂志文章
doi:10.1159/000049484
更新日期:2002-01-01 00:00:00
abstract:AIMS:There is a scarcity of clinical trials on psychological treatments for concurrent borderline personality disorder (BPD) and substance use disorder (SUD). Mentalization-based treatment (MBT) have shown efficacy in several trials on BPD. The aim of the present study was to examine the feasibility and effectiveness o...
journal_title:European addiction research
pub_type: 杂志文章,随机对照试验
doi:10.1159/000485564
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journal_title:European addiction research
pub_type: 杂志文章
doi:10.1159/000130418
更新日期:2008-01-01 00:00:00
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journal_title:European addiction research
pub_type: 杂志文章
doi:10.1159/000090424
更新日期:2006-01-01 00:00:00
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journal_title:European addiction research
pub_type: 杂志文章
doi:10.1159/000509823
更新日期:2020-01-01 00:00:00
abstract::Both heroin abuse and early life stress (ELS) affect the immune system and the hypothalamic-pituitary-adrenal (HPA) axis. Additionally, accelerated aging due to mild inflammation has been indicated in these conditions. The present study aims to compare plasma levels of apoptosis markers, inflammatory markers, and stre...
journal_title:European addiction research
pub_type: 杂志文章
doi:10.1159/000503880
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journal_title:European addiction research
pub_type: 杂志文章
doi:10.1159/000506738
更新日期:2021-01-01 00:00:00
abstract:BACKGROUND:Therapeutic communities (TCs) are drug-free residential settings, focused on psychosocial rehabilitation. While TCs are considered an effective method, the bulk of the research evidence is from poorly controlled studies. The goal of this study was to evaluate TC effectiveness in terms of abstinence and to de...
journal_title:European addiction research
pub_type: 杂志文章,评审
doi:10.1159/000331007
更新日期:2012-01-01 00:00:00
abstract::In a cross-sectional multicentre study, we compared the characteristics of heroin chasers and heroin injectors. Subjects were 162 primarily opioid-dependent volunteers for whom either chasing (n = 85) or injecting (n = 77) was the principal route of heroin administration. Each subject was rated by means of the Swiss v...
journal_title:European addiction research
pub_type: 杂志文章,多中心研究
doi:10.1159/000019019
更新日期:2000-09-01 00:00:00
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journal_title:European addiction research
pub_type: 杂志文章
doi:10.1159/000342309
更新日期:2013-01-01 00:00:00
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journal_title:European addiction research
pub_type: 杂志文章
doi:10.1159/000362408
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journal_title:European addiction research
pub_type: 杂志文章
doi:10.1159/000341993
更新日期:2013-01-01 00:00:00
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journal_title:European addiction research
pub_type: 杂志文章
doi:10.1159/000355832
更新日期:2014-01-01 00:00:00
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journal_title:European addiction research
pub_type: 杂志文章
doi:10.1159/000050740
更新日期:2001-12-01 00:00:00
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journal_title:European addiction research
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更新日期:2007-01-01 00:00:00
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journal_title:European addiction research
pub_type: 杂志文章
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更新日期:2016-01-01 00:00:00
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journal_title:European addiction research
pub_type: 杂志文章
doi:10.1159/000079840
更新日期:2004-01-01 00:00:00
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journal_title:European addiction research
pub_type: 杂志文章,随机对照试验
doi:10.1159/000113724
更新日期:2008-01-01 00:00:00
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journal_title:European addiction research
pub_type: 杂志文章
doi:10.1159/000018951
更新日期:1998-12-01 00:00:00
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journal_title:European addiction research
pub_type: 杂志文章
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更新日期:2016-01-01 00:00:00
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journal_title:European addiction research
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doi:10.1159/000059380
更新日期:2002-06-01 00:00:00
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journal_title:European addiction research
pub_type: 杂志文章
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更新日期:2016-01-01 00:00:00
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journal_title:European addiction research
pub_type: 杂志文章
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更新日期:2009-01-01 00:00:00
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journal_title:European addiction research
pub_type: 杂志文章,随机对照试验
doi:10.1159/000334411
更新日期:2012-01-01 00:00:00
abstract::This longitudinal study of 600 families concentrates on the influence of parental anti-smoking socialization by examining both (a) the effects of eight indicators of anti-smoking socialization on adolescent smoking and (b) the influence of parental smoking on the effectiveness of their anti-smoking socialization. Robu...
journal_title:European addiction research
pub_type: 杂志文章
doi:10.1159/000088580
更新日期:2006-01-01 00:00:00
abstract:BACKGROUND:There is increasing interest in naltrexone, an opiate antagonist, in the treatment of opiate addicts. The effects of naltrexone are often compromised by a lack of compliance and drop-out. The effects of this compound are probably more favorable when combined with a psychosocial intervention such as the Commu...
journal_title:European addiction research
pub_type: 杂志文章
doi:10.1159/000068808
更新日期:2003-04-01 00:00:00
abstract::In Europe, adolescent substance misuse increased during the 1990s. Ireland has among the highest rates of substance misuse among schoolchildren in Europe. We sought to describe the socio-demographic and drug misuse profile of children presenting to addiction treatment services in Dublin during the 1990s. Of the 9,874 ...
journal_title:European addiction research
pub_type: 杂志文章
doi:10.1159/000076116
更新日期:2004-01-01 00:00:00
abstract:AIMS:The aim of this paper is to illustrate how Switzerland was able to play such a pioneering role in the field of addiction treatment, in creating a drug policy that includes the medical prescription of diacetylmorphine (heroin). The paper will also describe the role of knowledge brokering processes and coalition bui...
journal_title:European addiction research
pub_type: 杂志文章
doi:10.1159/000357234
更新日期:2014-01-01 00:00:00
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journal_title:European addiction research
pub_type: 杂志文章
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更新日期:2005-01-01 00:00:00