title: Changes in locus-of-control attitudes about drug misuse in a self-help group in a methadone maintenance clinic.
abstract: Clients of a methadone-maintenance clinic in Brooklyn, New York participating in a clinically-guided self-help (CGSH) program plus standard treatment (methadone maintenance plus individual counseling) demonstrated statistically significant changes in locus-of-control beliefs, from external to internal causation, about personal responsibility for drug misuse. Members of two control groups--one participating in a didactic lecture program plus standard treatment and the other receiving only standard treatment--failed to demonstrate similar changes. This increase in internal locus of control in the CGSH group suggests the potential efficacy of CGSH as a relapse-prevention therapeutic technique.
authors.affiliation: University of Maryland, School of Medicine, Department of Psychiatry, Baltimore, MD 21217, USA.
authors.forename: D N
authors.initials: DN
authors.lastname: Nurco
authors.forename: B J
authors.initials: BJ
authors.lastname: Primm
authors.forename: M
authors.initials: M
authors.lastname: Lerner
authors.forename: P
authors.initials: P
authors.lastname: Stephenson
authors.forename: L S
authors.initials: LS
authors.lastname: Brown
authors.forename: D C
authors.initials: DC
authors.lastname: Ajuluchukwu
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000517:prevention & control / Q000523:psychology; D000328:Adult; D001294:Attitude to Health; D003131:Combined Modality Therapy; D005260:Female; D006556:Heroin Dependence / Q000523:psychology / Q000534:rehabilitation*; D006801:Humans; D007389:Internal-External Control; D008297:Male; D008691:Methadone / Q000627:therapeutic use*; D009519:New York City; D010353:Patient Education as Topic; D011613:Psychotherapy; D012657:Self-Help Groups; D016320:Substance Abuse Treatment Centers; D014505:Urban Population
chemical_list: D008691:Methadone