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. 2008 Jul 1;25(3):483-498.
doi: 10.1037/0736-9735.25.3.483.

Supportive-Expressive Psychodynamic Therapy for Cocaine Dependence: A Closer Look

Paul Crits-Christoph  1 , Mary Beth Connolly Gibbons, Robert Gallop, Sarah Ring-Kurtz, Jacques P Barber, Matthew Worley, Julie Present, Bridget Hearon
Affiliations

Supportive-Expressive Psychodynamic Therapy for Cocaine Dependence: A Closer Look

Paul Crits-Christoph et al. Psychoanal Psychol. .

Abstract

Using data from the National Institute on Drug Abuse Collaborative Cocaine Treatment Study, this article focuses on the outcomes of patients who received supportive-expressive (SE) psychodynamically-oriented psychotherapy (plus group drug counseling; GDC). Short-term SE for cocaine dependent individuals, while not the most efficacious treatment examined in the study (individual drug counseling [IDC] plus GDC was), produced large improvements in cocaine use. In addition, there was evidence that SE was superior to IDC on change in family/social problems at the 12 month follow-up assessment, particularly for those patients with relatively more severe difficulties in this domain at baseline. For patients who achieved abstinence early in treatment, SE produced comparable drug use outcomes to IDC, with mean drug use scores numerically lower for SE at all of the follow-up assessments (9, 12, 15, and 18 months). SE patients who achieved initial abstinence decreased cocaine use from a mean 10.1 days per month at baseline to a mean of 1.3 days at 12 months.

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Figures

Figure 1
Figure 1
Drug use over time for SE and IDC treatment groups: continuing users and abstainers subgroups.
Figure 2
Figure 2
Results of cluster analysis: patterns of drug use over time.
See this image and copyright information in PMC

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