Abstinence Incentive Effects in Psychosocial Counseling Patients 在心理咨询患者禁欲的激励效应.ppt

下载文档

2
0
约4.35千字
约 15页
2018-06-24 发布于四川
举报
版权申诉
保障服务

Abstinence Incentive Effects in Psychosocial Counseling Patients 在心理咨询患者禁欲的激励效应.ppt

1、本文档共15页，可阅读全部内容。
2、有哪些信誉好的足球投注网站（book118）网站文档一经付费（服务费），不意味着购买了该文档的版权，仅供个人/单位学习、研究之用，不得用于商业用途，未经授权，严禁复制、发行、汇编、翻译或者网络传播等，侵权必究。
3、本站所有内容均由合作方或网友上传，本站不对文档的完整性、权威性及其观点立场正确性做任何保证或承诺！文档内容仅供研究参考，付费前请自行鉴别。如您付费，意味着您自己接受本站规则且自行承担风险，本站不退款、不进行额外附加服务；查看《如何避免下载的几个坑》。如果您已付费下载过本站文档，您可以点击这里二次下载。
4、如文档侵犯商业秘密、侵犯著作权、侵犯人身权等，请点击“版权申诉”（推荐），也可以打举报电话：400-050-0827(电话支持时间：9:00-18:30)。

Abstinence Incentive Effects in Psychosocial Counseling Patients 在心理咨询患者禁欲的激励效应

Abstinence Incentive Effects in Psychosocial Counseling Patients Testing Stimulant Positive vs Negative at Treatment Entry Maxine L. Stitzer Johns Hopkins Univ SOM National Drug Abuse Treatment Clinical Trials Network MIEDAR Study Team Background CTN Motivational Incentives Study Incentive therapies offer reinforcers for therapeutically desirable behavior change Abstinence incentives have a strong evidence-base from small-sample efficacy research across a range of abused substances (stimulants, opiates, alcohol, marijuana) National Drug Abuse Treatment Clinical Trials Network multi-site effectiveness study 8 psychosocial counseling community clinics N = 415 stimulant abusers; cocaine or methamphetamine Background CTN Motivational Incentives Study “Fishbowl” method offered drawings for prizes based on stimulant-negative urines; max earnings = $400 Random assignment to usual care with or without incentives over 12-week evaluation Prize-based incentives found effective for stimulant abusers enrolled in community drug abuse treatment Improved retention in psychosocial counseling Petry et al., Arch Gen Psychiat, Oct, 2005 Reduced stimulant drug use in methadone maintenance Peirce et al. Arch Gen Psychiat, Feb. 2006 Background Regression analysis conducted to identify outcome predictors Stimulant urine test result (pos/neg) at study entry emerged as strongest predictor of response to incentive procedure (R2 = .26) Objective Examine overall impact of intake stimulant urine test result on treatment outcome Determine whether incentive effects differ for those who enter the study with stimulant positive vs negative urines Methods Grouping variable = first study urine stimulant positive vs negative Stimulant = both cocaine methamphetamine Psychosocial counseling patients were new clinic intakes Methods Outcome measures examined A) Study retention - time to last urine sample provided prior to 30-days with no contact B) Percent submitted samples st