Effect of computerized cognitive behavioral therapy on acquisition of coping skills among cocaine-dependent individuals enrolled in methadone maintenance

The acquisition of coping skills has long been considered one of the putative mechanisms of cognitive behavioral therapy (CBT) for substance use disorders, yet consistent statistical support is lacking. This study sought to replicate and extend prior findings regarding the quality of coping skills a...

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Bibliographic Details
Published in:Journal of substance abuse treatment 2017-11, Vol.82, p.87-92
Main Authors: Kiluk, Brian D., DeVito, Elise E., Buck, Matthew B., Hunkele, Karen, Nich, Charla, Carroll, Kathleen M.
Format: Article
Language:English
Subjects:
Abstinence
Behavior
Behavior modification
CBT4CBT
Clinical research
Clinical trials
Cocaine
Cognitive aspects
Cognitive behavioral therapy
Cognitive therapy
Computerization
Coping skills
Coping strategies
Drug abuse
Drug addiction
Efficacy
High risk
Mediation
Methadone
Risk assessment
Role playing
Substance abuse
Substance use disorder
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Summary:The acquisition of coping skills has long been considered one of the putative mechanisms of cognitive behavioral therapy (CBT) for substance use disorders, yet consistent statistical support is lacking. This study sought to replicate and extend prior findings regarding the quality of coping skills as a mediator of abstinence outcomes from a computerized CBT program for substance users. Participants were methadone-maintained, cocaine dependent individuals enrolled in a clinical trial evaluating the efficacy of computer-based training for CBT (‘CBT4CBT’) as an add-on to treatment as usual (TAU+CBT4CBT) compared to TAU only. A subsample (N=71) completed a role play assessment to measure coping skills, the Drug Risk Response Test (DRRT), which was administered before, during (week 4), and after the 8-week treatment period. Participants' verbal responses to various high-risk situations for cocaine use were recorded and independent evaluators rated the quality of the coping responses. Results of repeated measures analyses revealed a main effect of time for the quality of overall responses [F(1, 141.26)=4.29, p
ISSN:0740-5472
1873-6483
DOI:10.1016/j.jsat.2017.09.011