The evolution of people on treatment for cocaine dependence. Follow up at three and six months
DOI:
https://doi.org/10.20882/adicciones.329Keywords:
Cocaine, abstinence, dependence, treatment, follow upAbstract
The treatment demands in the Centers of Drug Abuse due to problems with cocaine consumption are increasing in Spain. The objective of the present study is to analyze, firstly the evolution (starting from the evaluations carried out by therapists) in the psychopathological, familiar, labour and judicial areas; secondly, the abstinence in terms of cocaine consumption; and finally, the permanence in treatment of people with cocaine dependence in Galicia (Spain) after three and six months. With regard to initial evolution, we have to our disposal the evaluations carried out by therapists of 113 subjects. After a period of three months, we have data of 105 subjects and after a six-months period we have data of 98 subjects. After the three-months period, the 58.5% of those previously mensured subjects remain abstinent, and after six months a 38% continues without consuming cocaine. The evolution in all the areas, starting from the evaluation made by therapits, is possitive and there are even significative difference in the psychopathological and familiar areas. These results are good in terms of abstinence, and retention in treatment and they improve in the evaluated areas.References
American Psychiatric Association (2002). DSM-IV-TR. Manual diagnóstico y estadístico de los trastornos mentales.
Barcelona: Masson (Original 2000).
Bisaga, A., Aharonovich, E., Garawi, F., Levin, F. R., Rubin, E., Raby, W. N. y Nunes, E. V. (2006). A randomized placebo-controlled trial of gabapentin for cocaine dependence. Drug Alcohol Depend, 81, 267-274.
Carroll, K.M., Power, M.D., Bryant, K. y Rounsaville, B.J. (1993). One-year follow-up status of treatment-seeking cocaine abusers. J Nerv Ment Dis, 181, 71-79.
Crist-Christoph, P., Siqueland, L., Blaine, J., Frank, A., Luborsky, L., Onken, L.S., Muenz, L.R, Thase, M.E., Weiss, R.D., Gastfirnd, D.R., Woody, G.E., Barber, J.P., Butler, S.F., Daley, D., Salloum, I., Bishop, S., Najavits, L.M., Lis, J., Mercer, D., Griffin, M.L., Moras, K. y Beck, A.T. (1999). Psychosocial treatments for cocaine dependence.
National Institute on Drug Abuse Colloborative Cocaine
Treatment Study. Arch Gen Psychiatry, 56, 493-501.
First, M.B., Spitzer, R.L., Gibbson, M., Williams, J.B.W. y Smith-Benjamin, L. (1998). Guía del usuario de la entrevista clínica estructurada para los trastornos del eje I del DSM-IV- SCID-I. Barcelona: Masson.
Galindo, A. (2000). Manejo del paciente con dependencia a la cocaína. Trastornos Adictivos, 2, 122-132.
Higgins, S.T., Budney, A. J., Bickel, W. K., Foerg, F. E., Donham, R. y Badger, G.J. (1994). Incentives improve outcome in outpatient behavioral treatment of cocaine dependence. Arch Gen Psychiatry, 51, 568-576.
Longabaugh, R., Wirtz, P.W., Beattie, M.C., Noel, N. y Scout, R.L. (1995). Matching treatment focus to patient social investiment and support: 18 month follow-results. J Consult Clin Psychol, 63, 296-307.
López, A. y Becoña, E. (2006). Consumo de cocaína y psicopatología
asociada: una revisión. Adicciones, 18, en prensa.
Mckay, J.R., Merikle, E., Mulvaney, F.D., Weiss, R.V. y Koppenhaver, J.M. (2001). Factors accounting for cocaine use two years following
initiation of continuing care. Addiction, 96, 213-225.
Nancy, M. P., Peirce, J. M., Stitzer, M. L., Blaine, J., Roll, J. M., Cohen, A. et al. (2005). Effect of prize-based incentives on outcomes in stimulant abusers in outpatient psychosocial treatment programs.
Arch Gen Psychiatry, 62, 1148-1156.
Pedrero, E.J., Puerta, C., Segura, I. y Martínez, S. (2004). Evolución de la sintomatología psicopatológica de los drogodependientes a lo largo del tratamiento. Trastornos Adictivos, 6, 175-191.
Plan Nacional sobre Drogas (2005). Observatorio Español sobre drogas. Informe 2004. Recogido el 23 de enero de 2006 en http://www.pnd.msc.es/Categoria2/publica/pdf/oed-2004.pdf.
Plan Nacional sobre Drogas (2004a). Encuesta domiciliaria sobre el uso de drogas en España, 2003-resumen-. Recogido el 13 de Enero de 2005 en http://www.mir.es/pnd/observa/pdf/domiciliaria2003.pdf.
Plan Nacional sobre Drogas (2004b). Encuesta estatal sobre uso de drogas en enseñanzas Secundarias 2004 –resumen-. Recogido el 13 de Enero de 2005 http://www.mir.es/pnd/observ/pdf/escolar2004.pdf.
Plan Nacional sobre Drogas (2004c). Encuesta sobre drogas en
población escolar, 2002. Recogido el 13 de Enero de 2005 http://www.mir.es/pnd/observa/html/estudios.htm.
Sánchez-Hervás, E., Morales, E., Tomás, V., Molina, N., del Olmo, R., Bosch, C., Sanoguera, M. y Escrivá, P. (2002). Tratamiento de la dependencia a cocaína: estudio de seguimiento de seis meses. Adicciones, 14 (sup.2), 137.
San, L. y Arranz, B. (2001) Aproximaciones terapéuticas de la dependencia de la cocaína. Adicciones, 13 (sup. 2), 191-208.


