Individual characteristics and response to contingency management treatment for cocaine addiction

  1. García Fernández, Gloria 1
  2. Secades Villa, Roberto 1
  3. García Rodríguez, Olaya 1
  4. Álvarez López, Heli
  5. Sánchez Hervás, Emilio
  6. Fernández Hermida, José Ramón 1
  7. Fernández Artamendi, Sergio 1
  1. 1 Universidad de Oviedo
    info

    Universidad de Oviedo

    Oviedo, España

    ROR https://ror.org/006gksa02

Revista:
Psicothema

ISSN: 0214-9915

Año de publicación: 2011

Volumen: 23

Número: 1

Páginas: 114-118

Tipo: Artículo

Otras publicaciones en: Psicothema

Resumen

Características individuales y efi cacia del Manejo de Contingencias en el tratamiento de la adicción a la cocaína. Los programas de manejo de contingencias (MC) basados en incentivos han demostrado su efi cacia en el tratamiento de la adicción a la cocaína, pero pocos estudios han evaluado la relación entre el perfi l de adictos a la cocaína y la efi cacia de los procedimientos de MC. El objetivo de este estudio, en el que participaron 50 adictos a la cocaína en tratamiento en un programa de MC, consistió en evaluar el impacto de las características individuales de los pacientes sobre la abstinencia. El 58% de los participantes se encontraban abstinentes a los seis meses de tratamiento. Los pacientes con puntuaciones más altas en el área de Alcohol del EuropASI, y aquellos que consumieron cocaína durante el primer mes de tratamiento, tenían menos probabilidad de logar la abstinencia a los seis meses. Las implicaciones clínicas de estos resultados apuntan la necesidad de reforzar las intervenciones cuando los pacientes no respondan inicialmente a tratamiento, y detectar e intervenir sobre el consumo problemático de alcohol. El resto de variables examinadas no predecían de forma signifi cativa la abstinencia. Este hallazgo es importante para generalizar el uso de programas de MC entre distintos perfi les de adictos a la cocaína que demandan tratamiento.

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