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  • 标题:Randomized Trial Comparing Two Treatment Strategies Using Prize-Based Reinforcement of Abstinence in Cocaine and Opiate Users
  • 本地全文:下载
  • 作者:Kenzie L Preston ; Udi E Ghitza ; John P Schmittner
  • 期刊名称:Journal of Applied Behavior Analysis
  • 印刷版ISSN:0021-8855
  • 电子版ISSN:1938-3703
  • 出版年度:2008
  • 卷号:41
  • 期号:04
  • 页码:551-563
  • DOI:10.1901/jaba.2008.41-551
  • 出版社:University of Kansas - Dept Human Development
  • 摘要:We compared two strategies of prize-based contingency management (CM) in methadone-maintained outpatients. Urine was tested thrice weekly for 5 weeks pre-CM, 12 weeks CM, and 8 weeks post-CM. Participants were randomly assigned to a cocaine contingency (four prize draws for each cocaine-negative urine, N  = 29) or an opiate-cocaine contingency (one draw for each urine negative for opiates or cocaine, four draws if negative for both, N  = 38). There were no group differences in cocaine abstinence during CM or post-CM and no differences in opiate abstinence during CM. Opiate abstinence was greater in the opiate-cocaine group post-CM, and heroin craving was reduced in this group during and post-CM. Draws earned per cocaine-negative urine (four vs. one) did not affect cocaine use.
  • 关键词:cocaine abuse, community settings, contingency management, heroin abuse, opiate
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