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Showing papers in "Journal of Substance Abuse Treatment in 1993"


Journal Article•DOI•
TL;DR: Female cocaine abusers who participated in an outpatient randomized clinical trial evaluating pharmacotherapies for cocaine abuse were as successful as males in the RCT and more successful at 6-month follow-up.

244 citations


Journal Article•DOI•
John R. Hughes1•
TL;DR: Recovering alcoholics might benefit from nicotine replacement therapy, according to preliminary results of a preliminary study on nicotine gum.

155 citations


Journal Article•DOI•
TL;DR: Dogma, although starting to change, persists that cigarette smoking pales in comparison to other addictions and should not be addressed at the time of initial treatment for another addiction, but limited research to date does not support this dogma.

154 citations


Journal Article•DOI•
Carol J. Boyd1•
TL;DR: This descriptive, exploratory study focused on data from a sample of 105, predominantly African-American women who use(d) crack cocaine, of whom 60 were in drug treatment and 45 were still using crack cocaine.

154 citations



Journal Article•DOI•
TL;DR: There were significant and pervasive improvements shown in the total sample at follow-up, and there were significant differences among the programs in levels of improvement and six-month outcomes.

110 citations


Journal Article•DOI•
TL;DR: Although both fixed and dynamic variables predicted client retention, the strongest predictors were two dynamic variables: ex-addict interviewers' predictions of whether clients would stay long enough in the program to benefit from treatment and whether clients had spent most of their time with large groups of people before using drugs.

102 citations


Journal Article•DOI•
TL;DR: The finding that severity of alcoholism was directly related to various measures of tobacco and caffeinated beverage use was of particular interest and suggests that dependence on nicotine, caffeine, and alcohol may be governed by the same factors and possibly should be considered jointly in the treatment of alcoholic persons.

91 citations


Journal Article•DOI•
TL;DR: Buprenorphine was found superior to clonidine in alleviating most of the subjective and objective opiate withdrawal symptoms.

89 citations


Journal Article•DOI•
TL;DR: A survey of smoking patterns and quitting motivation and barriers among CD patients to identify ways to tailor standard nicotine addiction treatment methods and goals to their needs found very few patients expressed concerns that quitting smoking would threaten drug or alcohol sobriety.

86 citations


Journal Article•DOI•
Bruce P. Kennedy1•
TL;DR: Survival analyses indicated that participation in a self-help program such as Alcoholics Anonymous and severity of drug use and psychopathology were associated with relapse risk and patients with severe psychopathology and drug use scores were 4.5 times more likely to relapse.

Journal Article•DOI•
TL;DR: 11 taboo topics are reviewed, that is, research findings that question traditional assumptions and teachings of addiction treatment, including the lack of empirical support for the Minnesota Model and the overuse of the addiction concept.

Journal Article•DOI•
TL;DR: Attention in this first controlled study of acupuncture heroin detoxification varied inversely with self-reports of frequency of drug use, suggesting that those with lighter habits found the treatment modality more helpful.

Journal Article•DOI•
TL;DR: This report represents a summary of the meeting which consisted of presentations by individuals currently involved in acupuncture treatment and discussions by a panel of experts in the field of substance abuse treatment research.

Journal Article•DOI•
TL;DR: Using a structured diagnostic interview, 65.9% of a clinical group of adult survivors of childhood sexual abuse met DSM-III-R criteria for lifetime prevalence of drug or alcohol abuse or dependence, which supports the hypothesis that many adults sexually victimized as children use substances to "chemically dissociate".

Journal Article•DOI•
TL;DR: The reasons for addressing nicotine in the course of managing other addictions are compelling, and the accumulated experiences among the pioneering programs are consistently encouraging.

Journal Article•DOI•
TL;DR: In this article, the feasibility of a smoke-free policy and nicotine treatment program in an inpatient drug and alcohol treatment program, and the impact of this intervention on long-term treatment outcomes was examined.

Journal Article•DOI•
TL;DR: It is suggested that Twelve Step Programs not only provide accessible group support and a clear ideology regarding addiction but address individuals' needs for identity, integrity, an inner life and interdependence within a larger social and moral, or spiritual context.

Journal Article•DOI•
TL;DR: Recovery treatment professionals in CDUs in rural Nebraska suggest that recovering staff can successfully quit smoking by applying their professional practice guidelines for alcohol treatment to their personal problems with tobacco.

Journal Article•DOI•
TL;DR: A model is presented to account for individual smoking patterns and level of tobacco dependence which is partially based on the proposed cellular mechanisms of nicotine action and desensitization at the nAChR.

Journal Article•DOI•
TL;DR: The relationship between route of cocaine administration, that is, free base/crack smoking, intravenous injection, and nasal insufflation and level of violence was studied and the difference in levels in violence between males and females varied according to circumstance, not route of administration.

Journal Article•DOI•
TL;DR: Current IV users had used opiates longer, and there was a trend for cocaine use to be associated with current IV administration, and the validity of self-reports of not using IV at the time of program admission was assessed.

Journal Article•DOI•
TL;DR: Though acceptance of the legitimacy of acupuncture by the chemical dependency community has been guarded, both research and outcome studies indicate that it holds promise as a complement to traditional substance abuse modalities.

Journal Article•DOI•
Margaret Kotz1•
TL;DR: It was noted that patients with such adverse consequences from nicotine as emphysema or cancer could be motivated to recover from nicotine addiction and were helpful in motivating those without consequences to stop smoking.

Journal Article•DOI•
TL;DR: The time has come to face the burdensome costs of tobacco use and to address nicotine dependence in chemical dependents and to develop a broader view of Recovery.

Journal Article•DOI•
TL;DR: Nicotine addiction treatment has been integrated with inpatient chemical dependency treatment in the Drug Dependency Treatment program (DDTP) of the Minneapolis VA Medical Center since June 1988.

Journal Article•DOI•
TL;DR: Traditional approaches to alcoholism treatment may be less effective in establishing abstinence for individuals with both alcohol and cocaine problems, and Adaptations to treatment to reduce the risk for relapse faced byalcohol and cocaine abusers in such milieu are discussed.

Journal Article•DOI•
TL;DR: One hundred forty six crack/cocaine using mothers in New York City were interviewed in a cross sectional study about life histories and drug related behaviors and two subgroups were distinguishable: one, who had been sexually abused and initiated drug use early, and the other whose psychiatric and drug use histories were not associated with sexual abuse.

Journal Article•DOI•
TL;DR: A motivational curriculum for all patients and an optional cessation program for those patients who wish to quit smoking during their inpatient stay is planned.

Journal Article•DOI•
TL;DR: Preliminary reliability testing of an instrument for measuring a smoker's progress toward abstinence or relapse is described, indicating reliability of the scale between modalities and within the time frame studied.