Cognitive Ability as a Factor in Engagement in Drug Abuse Treatment

This study examined correlates of high (HCA) and low (LCA) cognitive ability among substance dependent individuals who participated in an ongoing study of early engagement strategies. Participants (55% male; 98% African American), were administered the ASI, Shipley Institute of Living Scale, Beck Ho...

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Bibliographic Details
Published in:The American journal of drug and alcohol abuse 2005-01, Vol.31 (3), p.359-369
Main Authors: Katz, Elizabeth C., King, Stuart D., Schwartz, Robert P., Weintraub, Eric, Barksdale, Wardell, Robinson, Robert, Brown, Barry S.
Format: Article
Language:English
Subjects:
Addictive behaviors
Adult
Adult and adolescent clinical studies
African Americans
Behavior therapy. Cognitive therapy
Biological and medical sciences
Cocaine-Related Disorders - rehabilitation
Cognition & reasoning
Cognitive ability
Cognitive behavioral therapy
Cognitive behaviour therapy
Cognitive Therapy
Crime - statistics & numerical data
Drug Addiction
Engagement
Female
Fundamental and applied biological sciences. Psychology
Heroin Dependence - rehabilitation
Humans
Intelligence
Male
Maryland
Medical sciences
Motivation
Outpatient treatment
Outpatients
Patient Compliance
Psychoanalysis
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Substance abuse treatment
Substance-Related Disorders - rehabilitation
Treatment
Treatment Outcome
Treatment Outcomes
Treatments
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Summary:This study examined correlates of high (HCA) and low (LCA) cognitive ability among substance dependent individuals who participated in an ongoing study of early engagement strategies. Participants (55% male; 98% African American), were administered the ASI, Shipley Institute of Living Scale, Beck Hopelessness scale, and TCU Motivation Scales at intake. Analyses were limited to 416 participants whose IQs fell within the upper and lower thirds of the sample. HCA participants reported more prior treatment episodes and longer durations of voluntary abstinence than LCA participants. There were no differences in retention, although HCA participants expressed significantly greater motivation and hopefulness at intake than LCA participants. Results indicate that clients with higher cognitive ability may present with a greater capacity to engage in treatment than individuals with lower cognitive ability.
ISSN:0095-2990
1097-9891
DOI:10.1081/ADA-200056767