Six‐Month Follow‐Up of Short‐Term Pharmacotherapy for Cocaine Dependence

American Journal on Addictions - Tập 1 Số 1 - Trang 40-49 - 1992
Thomas R. Kosten1,2, Frank H. Gawin1,2, Therese A. Kosten1,2, Cindy Morgan1,2, Bruce J. Rounsaville1,2, Richard S. Schottenfeld1,2, Herbert D. Kleber1,2
1Department of Psychiatry, University of California at Los Angeles.
2Substance Abuse Treatment Unit, Department of Psychiatry, Yale University School of Medicine, New Haven

Tóm tắt

This 6‐month follow‐up study of 43 of 72 patients who entered a 6‐week randomized clinical trial of pharmacotherapy for cocaine dependence found that self‐reported cocaine abstinence during the 6 months was significantly greater in patients treated with desipramine (44%) than in those treated with lithium (19%) or placebo (27%). The placebo group had more occurrences of depression (36% vs. 6%) and daily alcohol abuse (36% vs. 15%) than the medicated groups. The ability to abstain from cocaine use during the clinical trial was the strongest predictor of continued abstinence during the follow‐up, which showed that 53% remained abstinent after 6 months.

Từ khóa


Tài liệu tham khảo

10.1097/00005053-198907000-00001

10.1002/j.1552-4604.1986.tb02936.x

Kosten TR, 1987, A pilot study using desipramine for cocaine abusing methadone maintenance patients, J Clin Psychiatry, 48, 442

10.1001/archpsyc.1989.01810020019004

10.3109/00952998509016860

Weissman MM, 1976, Depressed outpatients one year after treatment with drugs and/or interpersonal psychotherapy (IPT), Arch Gen Psychiatry, 33, 1434

10.1097/00005053-198001000-00006

Arndt I, 1989, Desipramine treatment of cocaine abuse in methadone maintained outpatients, 347

American Psychiatric Association, 1987, Diagnostic and Statistical Manual of Mental Disorders

Baldessarini RJ, 1980, The Pharmacologic Basis of Therapeutics, 427