A systematic review comparing cognitive-behavioral therapy and contingency management for cocaine dependence.
The main objective of this review was to compare the effectiveness of cognitive-behavioral therapy and contingency management for cocaine dependence. Contingency management alone reliably reduced cocaine use during active treatment in all cited trials, whereas the positive effect of cognitive-behavioral therapy emerged after treatment in 3 of 5 trials. Synergistic effects of the combination of contingency management plus cognitive-behavioral therapy are shown in 2 trials, but another 3 trials found no additive effects. Positive, rapid, and enduring effects on cocaine use are reliably seen with contingency management interventions, whereas measurable effects of cognitive-behavioral therapy emerge after treatment and are not as reliable as effects with contingency management.
a Psychiatric Hospital of the University of Basel , Division of Substance Use Disorders , Basel , Switzerland.
Nadine S
NS
Farronato
Kenneth M
KM
Dürsteler-Macfarland
Gerhard A
GA
Wiesbeck
Sylvie A
SA
Petitjean
D001521:Behavior Therapy / Q000379:methods*; D019970:Cocaine-Related Disorders / Q000534:rehabilitation*; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D003131:Combined Modality Therapy; D057186:Comparative Effectiveness Research; D006801:Humans; D016032:Randomized Controlled Trials as Topic; D012054:Reinforcement, Psychology; D055502:Secondary Prevention; D014040:Token Economy; D016896:Treatment Outcome