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Cognitive impairment, retention and abstinence among cocaine abusers in cognitive-behavioral treatment

Aharonovich, Efrat ; Nunes, Edward ; Hasin, Deborah

Drug and alcohol dependence, 2003-08, Vol.71 (2), p.207-211 [Periódico revisado por pares]

Shannon: Elsevier Ireland Ltd

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Título:
Cognitive impairment, retention and abstinence among cocaine abusers in cognitive-behavioral treatment
Autor: Aharonovich, Efrat ; Nunes, Edward ; Hasin, Deborah
Assuntos: Abstinence ; Adherence ; Adult ; Behavior therapy. Cognitive therapy ; Biological and medical sciences ; CBT ; Chi-Square Distribution ; Cocaine ; Cocaine-Related Disorders - complications ; Cocaine-Related Disorders - psychology ; Cocaine-Related Disorders - therapy ; Cognition Disorders - etiology ; Cognition Disorders - psychology ; Cognition Disorders - therapy ; Cognitive Behavioral Therapy - methods ; Cognitive Behavioral Therapy - statistics & numerical data ; Cognitive behaviour therapy ; Cognitive impairment ; Desintoxication. Drug withdrawal ; Drug abusers ; Humans ; Medical sciences ; Memory Disorders - etiology ; Memory Disorders - psychology ; Memory Disorders - therapy ; Middle Aged ; Patient Dropouts - psychology ; Patient Dropouts - statistics & numerical data ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Retention ; Treatment ; Treatments
É parte de: Drug and alcohol dependence, 2003-08, Vol.71 (2), p.207-211
Notas: ObjectType-Article-1
SourceType-Scholarly Journals-1
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Descrição: Cognitive-behavioral therapy (CBT) depends on adequate cognitive functioning in patients, but prolonged cocaine use may impair cognitive functioning. Therefore, cognitive impairment may impede the ability of cocaine abusers to benefit from CBT. To begin to address this issue, we investigated the relationship between cognitive impairment and two treatment outcomes, therapy completion and abstention. Eighteen carefully screened non-depressed cocaine-dependent patients in a psychopharmacological clinical trial were administered the MicroCog computerized battery to assess cognitive performance at treatment entry. T-tests were used to compare cognitive functioning between completers (patients remaining in treatment at least 12 weeks) and dropouts. The results indicated that treatment completers had demonstrated significantly better cognitive performance at baseline than patients who dropped out of treatment. Cognitive domains that significantly distinguished between treatment completers and dropouts were attention, mental reasoning and spatial processing. This study provides preliminary evidence that cognitive impairments may decrease treatment retention and abstinence in CBT of cocaine dependence.
Editor: Shannon: Elsevier Ireland Ltd
Idioma: Inglês

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Cognitive impairment, retention and abstinence among cocaine abusers in cognitive-behavioral treatment

Aharonovich, Efrat ; Nunes, Edward ; Hasin, Deborah

Shannon: Elsevier Ireland Ltd

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