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Effect of PTSD Diagnosis and Contingency Management Procedures on Cocaine Use in Dually Cocaine‐ and Opioid‐Dependent Individuals Maintained on LAAM: A Retrospective Analysis
Author(s) -
Mancino Michael J.,
McGaugh Janette,
Feldman Zachary,
Poling James,
Oliveto Alison
Publication year - 2010
Publication title -
the american journal on addictions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.997
H-Index - 76
eISSN - 1521-0391
pISSN - 1055-0496
DOI - 10.1111/j.1521-0391.2009.00025.x
Subject(s) - contingency management , cocaine dependence , opioid , psychiatry , cocaine use , psychology , methadone maintenance , randomized controlled trial , methadone , opioid use disorder , clinical psychology , medicine , addiction , anesthesia , intervention (counseling) , receptor
This randomized clinical trial retrospectively examined the effect of post‐traumatic stress disorder (PTSD) and contingency management (CM) on cocaine use in opioid and cocaine dependent individuals maintained on high or low‐dose LAAM randomly assigned to CM or a yoked‐control condition. Cocaine‐positive urines decreased more rapidly over time in those without PTSD versus those with PTSD in the noncontingency condition. In participants with PTSD, CM resulted in fewer cocaine‐positive urines compared to the noncontingent condition. This suggests that CM may help improve the potentially worse outcomes in opioid‐ and cocaine‐dependent individuals with PTSD compared to those without PTSD . (Am J Addict 2010;00:1–9)