Association between executive function and outcome measure of treatment in therapeutic community among cocaine dependent individuals
| Autor: | Francisco González-Saiz, Sandra Santiago-Ramajo, Esperanza Vergara-Moragues, Óscar M. Lozano, Antonio Verdejo-García, Patricia Betanzos Espinosa, Miguel Pérez García |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
Male medicine.medical_specialty 030508 substance abuse Medicine (miscellaneous) Neuropsychological Tests Outcome (game theory) Cocaine-Related Disorders Executive Function 03 medical and health sciences 0302 clinical medicine Outcome Assessment Health Care Inhibitory control medicine Humans Attention Prospective Studies Psychiatry Association (psychology) Therapeutic Community Working memory Therapeutic community Outcome measures Neuropsychology Psychiatry and Mental health Clinical Psychology Spain Female Neuropsychological testing Pshychiatric Mental Health 0305 other medical science Psychology 030217 neurology & neurosurgery |
| Zdroj: | Journal of Substance Abuse Treatment. 78:48-55 |
| ISSN: | 0740-5472 |
| Popis: | The aim of this study was to examine the association between baseline executive functioning and outcome measure of treatment in 226 cocaine dependent individuals who initiated treatment in therapeutic communities TCs. The study was conducted across six TCs located in the region of Andalusia (southern Spain). Neuropsychological testing included tests of working memory, reasoning, inhibition, switching, attention interference and decision making. The outcome measures were type of discharge (treatment dropout vs. therapeutic discharge) and clinical impression of the TC outcome (clinically significant vs. non-significant changes). In the present study a prospective comparative design was used. We found significant performance differences on selective executive components which account for the type of discharge: treatment quitters had poorer attention response inhibition and attention switching than non-quitters, and the individuals who failed to achieve therapeutic objectives had poorer attention interference and inhibitory control than compliers. No significant differences were found between the outcome measure and the neuropsychological performance score on the other tasks. The results provide important information about the impact of executive components on in-treatment follow-up outcomes among dependence disorders in TC. |
| Databáze: | OpenAIRE |
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