One-Year Follow-Up Status of Treatment-Seeking Cocaine Abusers: Psychopathology and Dependence Severity as Predictors of Outcome
Abstract
While the prognostic significance of comorbid psychopathology and dependence severity has been demonstrated with opiate addicts and alcoholics, no previous reports have examined these issues in cocaine abusers. We reinterviewed 94 cocaine abusers 1 year after they sought treatment to assess predictors of treatment retention and outcome. Results suggested that: a) Many cocaine abusers did comparatively well; fully a third reported complete abstinence during the 12 months preceding the follow-up interview. b) Three variables emerged as consistent predictors across several outcome domains: severity of drug use, poorer psychiatric functioning, and presence of concurrent alcoholism. c) The data supported a unidimensional model of outcome for cocaine abuse that emphasized reduction in level of substance use. However, abstinence was not strongly associated with improved functioning in all outcome areas. d) Variables associated with longer retention in treatment also tended to predict poorer outcome.
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Psychiatric difficulty and negative affect have been shown to predict poor outcomes.
“Psychiatric difficulty and negative affect have also shown to predict poor outcomes”
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- Authors
- CARROLL, K. M., POWER, M.-E. D., BRYANT, K., & ROUNSAVILLE, B. J.
- Affiliations
- Yale University (US)
- Venue
- The Journal of Nervous and Mental Disease
- Published
- 1993-02
- Volume
- 181
- Issue
- 2
- Pages
- 71-79
- ISSN
- 0022-3018 (ISSN-L)
- OpenAlex
- W2035010001
- Cited by
- 269
- References
- 0
- Citations by year
- 2024: 1 · 2023: 1 · 2022: 1 · 2021: 3 · 2020: 3 · 2019: 1 · 2018: 3 · 2017: 1 · 2016: 4 · 2015: 6 · 2014: 9 · 2013: 6 · 2012: 7
- FWCI
- 9.22
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Journal of Nervous and Mental Disease (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
- Social Sciences › Demography › Youth, Drugs, and Violence
- Keywords
- cocaine abuse, treatment retention, treatment outcomes, abstinence, comorbid psychopathology, alcoholism, drug use severity, psychiatric functioning, prognostic factors, one-year follow-up
- MeSH terms
- Adult, Alcoholism, Mental Disorders, Cocaine, Female, Follow-Up Studies, Humans, Male, Probability, Severity of Illness Index, Comorbidity, Treatment Outcome, Substance-Related Disorders
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