Substance abuse treatment patients with early onset cocaine use respond as well to contingency management interventions as those with later onset cocaine use

Abstract Early onset drug use is associated with increased risk of developing substance use disorders, but relatively little is known about the correlates of early drug use among adults receiving treatment. A retrospective analysis of a randomized study of contingency management treatment compared c...

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Bibliographic Details
Published in:Journal of substance abuse treatment 2014-08, Vol.47 (2), p.146-150
Main Authors: Weiss, Lindsay M., M.D, Petry, Nancy M., Ph.D
Format: Article
Language:English
Subjects:
Addictive behaviors
Adult
Adult and adolescent clinical studies
Age of Onset
Biological and medical sciences
Cocaine
Cocaine - administration & dosage
Cocaine-Related Disorders - rehabilitation
Contingency management
Correlation analysis
Desintoxication. Drug withdrawal
Drug addiction
Drug use
Early onset drug use
Female
Humans
Male
Medical sciences
Middle Aged
Miscellaneous
Outpatient treatment
Patient Dropouts - statistics & numerical data
Psychiatry
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Public health. Hygiene
Public health. Hygiene-occupational medicine
Randomized Controlled Trials as Topic
Reinforcement (Psychology)
Retrospective Studies
Risk assessment
Substance abuse treatment
Treatment Outcome
Treatments
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Summary:Abstract Early onset drug use is associated with increased risk of developing substance use disorders, but relatively little is known about the correlates of early drug use among adults receiving treatment. A retrospective analysis of a randomized study of contingency management treatment compared cocaine-dependent patients who reported initial cocaine use at age 14 or younger ( n = 41) to those who began using after age 14 ( n = 387). Patients with early onset cocaine use had more legal and psychiatric problems than those who initiated cocaine use later. Patients with early-onset cocaine use also dropped out of treatment sooner and achieved less sustained abstinence than those who began using at older ages, but the interaction between age of first use and treatment condition was not significant. Early-onset cocaine use is associated with persistent psychosocial problems and an overall poor response to treatment. However, contingency management is efficacious in improving outcomes in early onset cocaine users.
ISSN:0740-5472
1873-6483
DOI:10.1016/j.jsat.2014.04.003