A Systematic Review Comparing Cognitive-Behavioral Therapy and Contingency Management for Cocaine Dependence

The main objective of this review was to compare the effectiveness of cognitive-behavioral therapy and contingency management for cocaine dependence. Contingency management alone reliably reduced cocaine use during active treatment in all cited trials, whereas the positive effect of cognitive-behavi...

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Bibliographic Details
Published in:Journal of addictive diseases 2013-07, Vol.32 (3), p.274-287
Main Authors: Farronato, Nadine S., Dürsteler-MacFarland, Kenneth M., Wiesbeck, Gerhard A., Petitjean, Sylvie A.
Format: Article
Language:English
Subjects:
Addictive behaviors
Additives
Adult and adolescent clinical studies
Behavior Therapy - methods
Behavior therapy. Cognitive therapy
Biological and medical sciences
Clinical trials
Cocaine
Cocaine-Related Disorders - rehabilitation
Cognitive behaviour therapy
Cognitive Therapy - methods
cognitive-behavioral therapy
Combined Modality Therapy
Comparative Effectiveness Research
Contingency learning
contingency management
Drug addiction
Drug addictions
Drug dependency
Humans
Interventions
Medical sciences
Miscellaneous
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Psychotherapy
Public health. Hygiene
Public health. Hygiene-occupational medicine
Randomized Controlled Trials as Topic
Reinforcement (Psychology)
Secondary Prevention
Substance abuse treatment
Systematic review
Token Economy
Toxicology
Treatment Outcome
Treatments
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Summary:The main objective of this review was to compare the effectiveness of cognitive-behavioral therapy and contingency management for cocaine dependence. Contingency management alone reliably reduced cocaine use during active treatment in all cited trials, whereas the positive effect of cognitive-behavioral therapy emerged after treatment in 3 of 5 trials. Synergistic effects of the combination of contingency management plus cognitive-behavioral therapy are shown in 2 trials, but another 3 trials found no additive effects. Positive, rapid, and enduring effects on cocaine use are reliably seen with contingency management interventions, whereas measurable effects of cognitive-behavioral therapy emerge after treatment and are not as reliable as effects with contingency management.
ISSN:1055-0887
1545-0848
DOI:10.1080/10550887.2013.824328