Cocaine abstinence symptomatology and treatment attrition.

Abstract:

:Premature termination from outpatient cocaine treatment predicts a number of poor outcomes, including higher rates of relapse and unemployment. This study attempted to predict dropouts from outpatient cocaine treatment, as well as those unable to achieve initial abstinence from cocaine, using two baseline variables that had previously been shown to predict treatment dropout: a measure of the severity of cocaine abstinence symptomatology using the Cocaine Selective Severity Assessment (CSSA) and the initial urine toxicology. Results of logistic regression analyses indicated that those with more intense abstinence symptoms, as measured by the CSSA, were five times more likely to terminate treatment prematurely. When combined with the CSSA, the initial urine did not significantly predict dropouts. The CSSA and the baseline urine were equal in their ability to predict those who would fail in their initial attempts to achieve abstinence. Implications for treatment are discussed.

journal_name

J Subst Abuse Treat

authors

Mulvaney FD,Alterman AI,Boardman CR,Kampman K

doi

10.1016/s0740-5472(98)00017-8

subject

Has Abstract

pub_date

1999-03-01 00:00:00

pages

129-35

issue

2

eissn

0740-5472

issn

1873-6483

pii

S0740-5472(98)00017-8

journal_volume

16

pub_type

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