title: Effect of drug user treatment on psychosocial change: a comparison of in-treatment and out-of-treatment cocaine users.
abstract: A panel study of 189 in-treatment and 297 out-of-treatment "heavy" drug users was used to evaluate the hypothesis that drug users who participated in drug user treatment would have a greater degree of psychosocial improvement than those who did not participate in treatment. Although time in treatment was significantly associated with improvements in all three domains, a simple path model suggested that changes in cognitive functioning may have mediated changes in self-esteem and emotional functioning. These results indicate that treatment does produce psychological change, and they hint that the cognitive domain may drive most of this change.
authors.affiliation: Affiliated Systems Corporation, Houston, TX 77027-6022, USA. ASC@Phoenix.Phoenix.Net
authors.forename: D C
authors.initials: DC
authors.lastname: Bell
authors.forename: A J
authors.initials: AJ
authors.lastname: Richard
authors.forename: C A
authors.initials: CA
authors.lastname: Dayton
mesh_terms: D000293:Adolescent; D000328:Adult; D001741:Black or African American / Q000523:psychology; D000553:Ambulatory Care; D003042:Cocaine; D015928:Cognitive Behavioral Therapy; D003131:Combined Modality Therapy; D016578:Crack Cocaine; D005260:Female; D015658:HIV Infections / Q000517:prevention & control / Q000523:psychology; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007389:Internal-External Control; D008297:Male; D008875:Middle Aged; D009293:Opioid-Related Disorders / Q000523:psychology / Q000534:rehabilitation*; D010343:Patient Admission; D012649:Self Concept; D012917:Social Adjustment; D015819:Substance Abuse, Intravenous / Q000523:psychology / Q000534:rehabilitation
chemical_list: D016578:Crack Cocaine; D003042:Cocaine