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Addiction. 2001 Sep;96(9):1279-87.

Randomized controlled trial of brief cognitive-behavioural interventions among regular users of amphetamine.

Author information

1
Centre for Mental Health Studies, University of Newcastle, Callaghan, New South Wales, Australia. amanda.baker@newcastle.edu.au

Abstract

AIMS:

To identify whether brief cognitive-behavioural interventions are feasible among regular users of amphetamine, to assess the effectiveness of intervention overall and to pilot two- and four-session interventions.

DESIGN:

Subjects were assigned randomly to individually receive a cognitive-behavioural intervention (n = 32) of either two or four sessions' duration or a self-help booklet (control condition; n = 32).

SETTING:

Subjects were volunteers recruited from needle exchange schemes and treatment centres in Newcastle, Australia.

PARTICIPANTS:

Regular (at least monthly) users of amphetamine were recruited.

INTERVENTION:

Either four sessions of cognitive-behaviour therapy, consisting of a motivational interview and skills training in avoidance of high-risk situations, coping with craving and relapse prevention, or two sessions consisting of a motivational interview and discussion of skills.

MEASUREMENTS:

The Opiate Treatment Index was the main measure at pre-treatment and 6-month follow-up.

FINDINGS:

There was a significant reduction in amphetamine use among the sample as a whole, with inconclusive differences between intervention subgroups. There was a moderate overall intervention effect, with the intervention group reporting over twice the reduction in daily amphetamine use as the control group. Significantly more people in the cognitive-behavioural intervention condition abstained from amphetamine at 6-month follow-up compared to the control condition.

CONCLUSION:

Brief cognitive-behavioural interventions appear feasible among regular users of amphetamine. A larger randomised controlled trial of the effectiveness of such interventions appears warranted.

[Indexed for MEDLINE]

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