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Clinical trial of abstinence-based vouchers and cognitive-behavioral therapy for cannabis dependence.
Abstract
Ninety cannabis-dependent adults seeking treatment were randomly assigned to receive cognitive-behavioral therapy, abstinence-based voucher incentives, or their combination. Treatment duration was 14 weeks, and outcomes were assessed for 12 months posttreatment. Findings suggest that (a) abstinence-based vouchers were effective for engendering extended periods of continuous marijuana abstinence during treatment, (b) cognitive-behavioral therapy did not add to this during-treatment effect, and (c) cognitive-behavioral therapy enhanced the posttreatment maintenance of the initial positive effect of vouchers on abstinence. This study extends the literature on cannabis dependence, indicating that a program of abstinence-based vouchers is a potent treatment option. Discussion focuses on the strengths of each intervention, the clinical significance of the findings, and the need to continue efforts toward development of effective interventions.
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“CBT + MET enhanced by abstinence-based CM promoted superior results when compared with any other psychosocial approach, such as MET + CBT + adherence-based CM, CBT + adherence-based CM, abstinence-based CM alone, MET + CBT, and finally DC alone 39– 41.”
From Psychosocial and pharmacological interventions for the treatment of cannabis use disorder (2018) · cites this paper as [41]
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“Studies show that the effects of the CBT + MET intervention are positively enhanced by contingency management (CM), a financial incentive for successful abstinence or treatment adherence.”
From Psychosocial and pharmacological interventions for the treatment of cannabis use disorder (2018) · cites this paper as [41]
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Self-citation
Metadata
- Authors
- Budney, A. J., Moore, B. A., Rocha, H. L., & Higgins, S. T.
- Affiliations
- University of Vermont (US)
- Venue
- Journal of Consulting and Clinical Psychology
- Published
- 2006-04
- Volume
- 74
- Issue
- 2
- Pages
- 307-316
- ISSN
- 0022-006X (ISSN-L)
- 1939-2117
- OpenAlex
- W2141617934
- Cited by
- 290
- References
- 28
- Citations by year
- 2026: 4 · 2025: 10 · 2024: 11 · 2023: 7 · 2022: 8 · 2021: 13 · 2020: 8 · 2019: 13 · 2018: 15 · 2017: 68 · 2016: 12 · 2015: 19 · 2014: 14 · 2013: 11 · 2012: 14
- FWCI
- 7.53
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Consulting and Clinical Psychology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute on Drug Abuse (DA12157; T32-DA07242)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Medicine › Pharmacology (medical) › Cannabis and Cannabinoid Research
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Smoking Behavior and Cessation
- Keywords
- cannabis use disorder, cognitive behavioral therapy, maintenance therapy, incentive-based treatment, addiction treatment
- MeSH terms
- Adult, Marijuana Abuse, Female, Humans, Male, Token Economy, Cognitive Behavioral Therapy
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