title: Effects of control and motivation on treatment outcome.
abstract: This investigation was designed to determine who would benefit most from enhanced motivation, increased awareness of control, and the opportunity to make choices in substance abuse treatment. Thirty males and 21 females participated in treatment planning, goal setting, and determining methadone dosage level. Subjects were assigned at random to the Choice or Force condition. Choice group subjects were allowed to choose the type of treatment and their urinalysis schedule. No significant differences between groups on treatment outcome variables were found. However, higher motivation at the start of treatment predicted greater depression after 12 weeks. Results suggest that more highly motivated individuals seeking relief from substance dependency may be more vulnerable to depression which, in turn, can attenuate treatment effectiveness.
authors.affiliation: Department of Psychology, Finch University of Health Sciences/The Chicago Medical School, North Chicago, Illinois 60064, USA.
authors.forename: C J
authors.initials: CJ
authors.lastname: Kludt
authors.forename: L
authors.initials: L
authors.lastname: Perlmuter
mesh_terms: D000328:Adult; D000704:Analysis of Variance; D003863:Depression / Q000523:psychology; D005260:Female; D006556:Heroin Dependence / Q000523:psychology* / Q000534:rehabilitation / Q000652:urine; D006801:Humans; D007389:Internal-External Control; D008297:Male; D008691:Methadone / Q000627:therapeutic use; D009042:Motivation; D009294:Narcotics / Q000627:therapeutic use; D010352:Patient Dropouts; D012044:Regression Analysis; D016896:Treatment Outcome
chemical_list: D009294:Narcotics; D008691:Methadone