Correlates of stimulant treatment outcome across treatment modalities
- PMID: 19152207
- PMCID: PMC2722066
- DOI: 10.1080/00952990802455444
Correlates of stimulant treatment outcome across treatment modalities
Abstract
Objective: This study evaluated variables associated with stimulant use outcomes in stimulant users (N = 800) receiving care in community outpatient psychosocial or methadone maintenance treatment clinics as part of a national multi-site clinical trial.
Methods: Results from the full sample were examined first, and then predictors were examined separately in the two treatment modalities.
Results: A cocaine-positive urine sample at study intake was the most robust and consistent correlate of stimulant use outcome in all analyses. Psychiatric distress, social environment and employment had differential effects on outcome across modalities.
Conclusions/significance: This study confirms that intake assessments have considerable value in identifying problems to be addressed in treatment.
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References
-
- Grella CE, Anglin MD, Wugalter SE. Patterns and predictors of cocaine and crack use by clients in standard and enhanced methadone maintenance treatment. Am J Drug Alcohol Abuse. 1997;23:15–42. - PubMed
-
- Prendergast M, Podus D, Finney J, Greenwell L, Roll J. Contingency management for treatment of substance use disorders: A meta-analysis. Addiction. 2006;101:1546–1560. - PubMed
-
- Ehrman RN, Robbins SJ, Cornish JW. Results of a baseline urine test predict levels of cocaine use during treatment. Drug Alcohol Depend. 2001;62:1–7. - PubMed
-
- Kampman KM, Alterman AI, Volpicelli JR, Maany I, Muller ES, Luce DD, Mulholland EM, Jawad AF, Parikh GA, Mulvaney FD, Weinrieb RM, O'Brien CP. Cocaine withdrawal symptoms and initial urine toxicology results predict treatment attrition in outpatient cocaine dependence treatment. Psychol Addict Behav. 2001;15:52–59. - PubMed
-
- Patkar AA, Thornton CC, Berrettini WH, Gottheil E, Weinstein SP, Hill KP. Predicting treatment-outcome in cocaine dependence from admission urine drug screen and peripheral serotonergic measures. J Subst Abuse Treat. 2002;23:33–40. - PubMed
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