Kouimtsidis, C. and Raynolds, M. and Coulton, S. and Drummond, C. (2012) How does cognitive behaviour therapy work with opoid dependent clients? Results of the UKCBTMM study. Drugs: Education, Prevention & Policy , 19 (3). pp. 253-258. ISSN 0968-7637.
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Introduction: Process research in psychotherapy is important to understand how treatment works. The National Institute of Clinical Excellence guidelines suggest that in methadone maintenance treatment (MMT) for opioid dependence, drug key-working should be based on cognitive behavioural therapy (CBT) principles. This article reports the findings of process research component of a larger study investigating the effectiveness and cost-effectiveness of CBT in MMT in the UK (UKCBTMM project). Method: This was a multicentre randomized controlled trial comparing MMT plus CBT with MMT alone. The following concepts have been measured as part of the process research: (i) coping skills, (ii) self-efficacy and (iii) outcome expectancies. Results: CBT group has gained coping skills over time (as predicted) at 6 months, which were sustained at 12 months. Self-efficacy showed delayed greater increase in the CBT group at 12 months (as predicted). Positive outcome expectancies from reduction of drug use were reduced for the CBT group both at 6 and 12 months whereas negative expectancies had increased (against prediction). Conclusions: As this is the first trial in which the process changes in CBT in opioid dependence have been explored, the reported limited findings are of importance for further development in the field.
|Subjects:||R Medicine > RA Public aspects of medicine
R Medicine > RM Therapeutics. Pharmacology
|Divisions:||Faculties > Social Sciences > School of Social Policy Sociology and Social Research > Centre for Health Services Studies|
|Depositing User:||Tony Rees|
|Date Deposited:||26 Jun 2012 13:46|
|Last Modified:||15 Feb 2013 15:27|
|Resource URI:||http://kar.kent.ac.uk/id/eprint/29705 (The current URI for this page, for reference purposes)|
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