Cited by 206Substance Abuse Treatment and OutcomesDecision-Making and Behavioral EconomicsGambling Behavior and Treatments

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Delay discounting is associated with treatment response among cocaine-dependent outpatients

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Washio, Yukiko, Higgins, Stephen T., Heil, Sarah H., McKerchar, Todd L., Badger, Gary J., Skelly, Joan M., Dantona, Robert L.·2011·Experimental and Clinical Psychopharmacology

DOI 10.1037/a0023617PMC PMC3476946

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Abstract

Delay discounting (DD) describes the rate at which reinforcers lose value as the temporal delay to their receipt increases. Steeper discounting has been positively associated with vulnerability to substance use disorders, including cocaine use disorders. In the present study, we examined whether DD of hypothetical monetary reinforcers is associated with the duration of cocaine abstinence achieved among cocaine-dependent outpatients. Participants were 36 adults who were participating in a randomized controlled trial examining the efficacy of voucher-based contingency management (CM) using low-magnitude (N = 18) or high-magnitude (N = 18) voucher monetary values. DD was associated with the number of continuous weeks of cocaine abstinence achieved, even after adjusting for treatment condition during the initial 12-week, t(33) = 2.48, p = .045 and entire recommended 24-week of treatment, t(33) = 2.40, p = .022. Participants who exhibited steeper discounting functions achieved shorter periods of abstinence in the Low-magnitude voucher condition (12-week: t(16) = 2.48, p = .025; 24-week: t(16) = 2.68, p = .017), but not in the High-magnitude voucher condition (12-week: t(16) = 0.51, p = .618; 24-week: t(16) = 1.08, p = .298), although the interaction between DD and treatment condition was not significant (12-week: t(32) = -1.12, p = .271; 24-week: t(32) = -0.37, p = .712). These results provide further evidence on associations between DD and treatment response and extend those observations to a new clinical population (i.e., cocaine-dependent outpatients), while also suggesting that a more intensive intervention like the High-magnitude CM condition may diminish this negative relationship between DD and treatment response.

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Authors: Washio, Y., Higgins, S. T., Heil, S. H., McKerchar, T. L., Badger, G. J., Skelly, J. M., & Dantona, R. L.
Affiliations: University of Vermont (US)
Jacksonville State University (US)
ORCID: Washio, Yukiko
Higgins, Stephen T.
Heil, Sarah H.
Venue: Experimental and Clinical Psychopharmacology
Publisher: American Psychological Association (APA)
Published: 2011-06
Volume: 19
Issue: 3
Pages: 243-248
ISSN: 1064-1297 (ISSN-L)
1936-2293
DOI: 10.1037/a0023617
PMC: PMC3476946
OpenAlex: W2020394900
Cited by: 206
References: 27
Citations by year: 2026: 5 · 2025: 6 · 2024: 1 · 2023: 12 · 2022: 5 · 2021: 11 · 2020: 51 · 2019: 19 · 2018: 12 · 2017: 8 · 2016: 17 · 2015: 20 · 2014: 17 · 2013: 13 · 2012: 9
FWCI: 9.36
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Locations: Experimental and Clinical Psychopharmacology (publishedVersion)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
Funders: National Institute on Drug Abuse (R01DA009378;T32 DA07242)
Topics: Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Social Sciences › Decision Sciences › General Decision Sciences › Decision-Making and Behavioral Economics
Social Sciences › Psychology › Clinical Psychology › Gambling Behavior and Treatments
Keywords: delay discounting, cocaine dependence, contingency management, treatment response, cocaine abstinence, treatment intensity, outpatients
MeSH terms: Adult, Female, Humans, Male, Outpatients, Reinforcement, Psychology, Time Factors, Token Economy, Treatment Outcome, Cocaine-Related Disorders

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Delay discounting is associated with treatment response among cocaine-dependent outpatients

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