Superior efficacy of cognitive-behavioral therapy for urban crack cocaine abusers: Main and matching effects.
Abstract
This study evaluated the efficacy of cognitive-behavioral therapy (CBT) and 12-step facilitation (12SF) in treating cocaine abuse. Participants (N = 128) were randomly assigned to treatment conditions and assessed at baseline and at Weeks 4, 8, 12, and 26. Treatment lasted for 12 weeks. It was hypothesized that participants treated with CBT would be significantly more likely to achieve abstinence from cocaine than participants treated with 12SF. A series of patient-treatment matching hypotheses was also proposed. Across 2 different outcome variables, it was found that participants in CBT were significantly more likely to achieve abstinence than participants in 12SF. In addition, some support for matching hypotheses was found, suggesting that both psychotherapies may be differentially effective for identified subgroups of persons that abuse cocaine.
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The efficacy of CBT has been documented by RCTs in several SUDs.
“The efficacy of CBT has been documented by RCTs in several SUDs 230- 234 .”
From Substance use disorders: a comprehensive update of classification, epidemiology, neurobiology, clinical aspects, treatment and prevention (2023) · cites this paper as [233]
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- Authors
- Maude-Griffin, P. M., Hohenstein, J. M., Humfleet, G. L., Reilly, P. M., Tusel, D. J., & Hall, S. M.
- Venue
- Journal of Consulting and Clinical Psychology
- Published
- 1998-10
- Volume
- 66
- Issue
- 5
- Pages
- 832-837
- ISSN
- 0022-006X (ISSN-L)
- 1939-2117
- OpenAlex
- W2031706531
- Cited by
- 162
- References
- 0
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 3 · 2023: 3 · 2022: 2 · 2021: 6 · 2020: 1 · 2019: 7 · 2018: 7 · 2017: 2 · 2016: 4 · 2015: 8 · 2014: 10 · 2013: 4 · 2012: 6
- FWCI
- 4.60
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Consulting and Clinical Psychology (publishedVersion)
- PubMed (publishedVersion)
- Research Portal (King's College London) (submittedVersion)
- Funders
- National Institutes of Health (5r18da006097-05)
- National Institute on Drug Abuse (R18 DA06097, P50DA009253)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
- Keywords
- cognitive behavioral therapy, 12-step facilitation, cocaine abuse, crack cocaine, addiction treatment, abstinence, patient-treatment matching, treatment efficacy
- MeSH terms
- Adult, Depressive Disorder, Female, Humans, Longitudinal Studies, Male, San Francisco, Self-Help Groups, Statistics as Topic, Urban Health, Veterans, Cognitive Behavioral Therapy, Crack Cocaine, Treatment Outcome, Cocaine-Related Disorders
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