Changes concurrent with initiation of abstinence from cocaine abuse

In an exploration of changes that occur with initiation of cocaine abstinence, this study examined treatment outcomes in four domains--behavior (cocaine use), affect (depression), cognition (schematic self-representations), and psychophysiology (reactivity to drug cues). Nineteen patients initially...

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Bibliographic Details
Published in:Journal of substance abuse treatment 1993-11, Vol.10 (6), p.577-583
Main Authors: KELLY AVANTS, S, MARGOLIN, A, KOSTEN, T. R, SINGER, J. L
Format: Article
Language:English
Subjects:
Adult
Arousal
Behavior
Biological and medical sciences
Bupropion - therapeutic use
Cocaine
Cognition & reasoning
Depression - psychology
Depression - rehabilitation
Desintoxication. Drug withdrawal
Female
Humans
Male
Medical sciences
Personality Inventory
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Self Concept
Social research
Substance abuse treatment
Substance-Related Disorders - psychology
Substance-Related Disorders - rehabilitation
Treatment Outcome
Treatments
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Summary:In an exploration of changes that occur with initiation of cocaine abstinence, this study examined treatment outcomes in four domains--behavior (cocaine use), affect (depression), cognition (schematic self-representations), and psychophysiology (reactivity to drug cues). Nineteen patients initially entered this 8-week outpatient psychopharmacotherapy trial for the treatment of cocaine dependence. Thirteen completed treatment, and eleven maintained abstinence during the last four weeks of the study. In addition to a demonstrated change in their cocaine-using behavior, these "abstainers" reported reduced depression, increased congruency with "ideal" self-schemas, increased discrepancy with "addict" self-schemas, and generally more positive self-representations. In addition, "abstainers" reported reduced posttreatment craving in the presence of cocaine cues, but evidenced no change in physiological reactivity. Implications of these findings for research and treatment are discussed.
ISSN:0740-5472
1873-6483
DOI:10.1016/0740-5472(93)90062-7