Cocaine Withdrawal Symptoms and Initial Urine Toxicology Results Predict Treatment Attrition in Outpatient Cocaine Dependence Treatment

This study evaluated the ability of cocaine withdrawal symptoms, measured by the Cocaine Selective Severity Assessment (CSSA) and initial urine toxicology results, to predict treatment attrition among 128 cocaine dependent veterans participating in a 4-week day hospital treatment program. The CSSA w...

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Bibliographic Details
Published in:Psychology of addictive behaviors 2001-03, Vol.15 (1), p.52-59
Main Authors: Kampman, Kyle M, Alterman, Arthur I, Volpicelli, Joseph R, Maany, Iradj, Muller, Eric S, Luce, Douglas D, Mulholland, Ellen M, Jawad, Abbas F, Parikh, Gargi A, Mulvaney, Frank D, Weinrieb, Robert M, O'Brien, Charles P
Format: Article
Language:English
Subjects:
Adult
Attrition
Biological and medical sciences
Cocaine
Cocaine-Related Disorders - rehabilitation
Cocaine-Related Disorders - urine
Desintoxication. Drug withdrawal
Drug Dependency
Drug dependency units
Drug Usage Screening
Drug Withdrawal
Female
Forecasting
Hospital Programs
Human
Humans
Male
Medical sciences
Military Attrition
Military Veterans
Models, Theoretical
Outpatient
Outpatient Treatment
Patient Dropouts - statistics & numerical data
Philadelphia
Prediction
Prospective Studies
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Rehabilitation
Risk
ROC Curve
Substance Use Treatment
Substance Withdrawal Syndrome
Symptoms
Treatment Dropouts
Treatments
Urinalysis
Urine tests
Withdrawal symptoms
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Summary:This study evaluated the ability of cocaine withdrawal symptoms, measured by the Cocaine Selective Severity Assessment (CSSA) and initial urine toxicology results, to predict treatment attrition among 128 cocaine dependent veterans participating in a 4-week day hospital treatment program. The CSSA was administered and a urine toxicology screen was obtained at intake and at the start of the day hospital (about 1 week later). The combination of a positive urine toxicology screen and a high CSSA score at intake predicted failure to complete treatment. Urine toxicology results at the start of the day hospital, but not at intake, predicted failure to complete treatment. Among participants without other psychiatric illness, high CSSA scores at intake predicted failure to complete treatment. The presence of cocaine withdrawal symptoms and a positive urine toxicology screen are clinically useful predictors of treatment attrition.
ISSN:0893-164X
1939-1501
DOI:10.1037/0893-164X.15.1.52