Group Cognitive-Behavioral Therapy for Cocaine Use Disorder

Treatment

DIAGNOSIS: Substance-Use Disorders

TREATMENT: Group Cognitive-Behavioral Therapy for Cocaine Use Disorder

BRIEF SUMMARY

Basic premise: Cognitive-behavioral strategies are based on the theory that in the development of maladaptive behavioral patterns like substance abuse, learning processes play a critical role. Individuals in CBT learn to identify and correct problematic behaviors by applying a range of different skills that can be used to stop drug abuse and to address a range of other problems that often co-occur with it. CBT has shown particular benefit for relapse prevention. CBT focuses on reducing or avoiding drug craving. Patients are taught to recognize the situations or states associated with prior drug use that provoke drug craving and to avoid these situations whenever possible. Patients are also taught a variety of coping skills to use when cocaine craving occurs, such as distraction, recall of negative consequences, and positive thought substitution. The continuing positive effects of CBT during the follow-up phase was attributed to the continued application of coping skills taught to the patients during the active phase of treatment.

Carroll, K. M., & Onken, L. S. (2005). Behavioral therapies for drug abuse. The American Journal of Psychiatry, 162(8), 1452–1460. https://doi.org/10.1176/appi.ajp.162.8.1452

Kampman K. M. (2019). The treatment of cocaine use disorder. Science advances, 5(10), eaax1532. https://doi.org/10.1126/sciadv.aax1532

NIDA. 2020, June 1. Cognitive-Behavioral Therapy (Alcohol, Marijuana, Cocaine, Methamphetamine, Nicotine).

TREATMENT RESOURCES

TREATMENT MANUALS

Cognitive-behavioral approach (Carroll, 1998)

Living in balance: A comprehensive cocaine abuse treatment and relapse prevention manual (Hoffman, et al., 1993)

The neurobehavioral treatment manual: A therapist manual for outpatient cocaine addiction treatment (Rawson, et al., 1989)

WORKBOOKS and WORKSHEETS

Manual-guided cognitive-behavioral therapy training: a promising method for disseminating empirically supported substance abuse treatments to the practice community (Morgenstern, et al., 2001)

We don't train in vain: a dissemination trial of three strategies of training clinicians in cognitive-behavioral therapy (Sholomskas, et al., 2005)

ADDITIONAL RESOURCES

Group treatments for addiction (CEU Matrix, 2010; Daley and Douaihy, 2011)

Substance abuse treatment: Group therapy (SAMHSA, 2005/2015)

Group cognitive behavioral therapy for addictive behaviors (Liese, 2017)

CBT worksheet packet: 2020 edition (Beck, 2020)

A cognitive-behavioral approach: Treating cocaine addiction (Carroll, 1998)

A-CBT training services (Academy of Cognitive and Behavioral Therapies)

CBT training from Beck Institute (Beck Institute, 2023)

Helping health and mental health professionals provide better care to their clients (Beck Institute, 2023)

Treatment of stimulant use disorders (SAMHSA)

CBT4CBT (CBT4CBT, 2008-2019)

Cocaine-specific coping skills training (CST) (Erica Harms, 2013)

Living in balance (NREPP)

SUPPORTING STUDIES

Carroll, K., Fenton, L.R., Ball, S.A., Nich, C., Frankforter, T.L., Shi, J., & Rounsaville, B.J. (2004). Efficacy of disulfiram and cognitive behavior therapy in cocaine-dependent outpatients: A randomized placebo-controlled trial. Archives of General Psychiatry, 61(3), 264–272.

https://doi.org/10.1001/archpsyc.61.3.264

Carroll, K. M., Ball, S. A., Martino, S., Nich, C., Babuscio, T. A., Nuro, K. F., Gordon, M. A., Portnoy, G. A., & Rounsaville, B. J. (2008). Computer-assisted delivery of cognitive-behavioral therapy for addiction: a randomized trial of CBT4CBT. The American Journal of Psychiatry, 165(7), 881–888.

https://doi.org/10.1176/appi.ajp.2008.07111835

Epstein, D. H., Hawkins, W. E., Covi, L., Umbricht, A., & Preston, K. L. (2003). Cognitive behavioral therapy plus contingency management for cocaine use: findings during treatment and across 12-month follow-up. Psychology of Addictive Behaviors, 17(1), 73–82

https://doi.org/10.1037/0893-164X.17.1.73

Hoffman, J. A., Caudill, B. D., Koman, J. J., 3rd, Luckey, J. W., Flynn, P. M., & Mayo, D. W. (1996). Psychosocial treatments for cocaine abuse. 12-month treatment outcomes. Journal of Substance Abuse Treatment, 13(1), 3–11.

https://doi.org/10.1016/0740-5472(95)02020-9

Kiluk, B. D., DeVito, E. E., Buck, M. B., Hunkele, K., Nich, C., & Carroll, K. M. (2017). Effect of computerized cognitive behavioral therapy on acquisition of coping skills among cocaine-dependent individuals enrolled in methadone maintenance. Journal of Substance Abuse Treatment, 82, 87–92.

https://doi.org/10.1016/j.jsat.2017.09.011

Marques, A. C., & Formigoni, M. L. (2001). Comparison of individual and group cognitive-behavioral therapy for alcohol and/or drug-dependent patients. Addiction (Abingdon, England), 96(6), 835–846.

https://doi.org/10.1046/j.1360-0443.2001.9668355.x

Magura, S., Rosenblum, A., Fong, C., Villano, C., & Richman, B. (2002). Treating cocaine using methadone patients: predictors of outcomes in a psychosocial clinical trial. Substance Use & Misuse, 37(14), 1927–55.

https://doi.org/10.1081/ja-120016225

Marlowe, D. B., Kirby, K. C., Festinger, D. S., Merikle, E. P., Tran, G. Q., & Platt, J. J. (2003). Day treatment for cocaine dependence: incremental utility over outpatient counseling and voucher incentives. Addictive Behaviors, 28(2), 387–398.

https://doi.org/10.1016/s0306-4603(01)00248-9

Maude-Griffin, P. M., Hohenstein, J. M., Humfleet, G. L., Reilly, P. M., Tusel, D. J., & Hall, S. M. (1998). Superior efficacy of cognitive-behavioral therapy for urban crack cocaine abusers: main and matching effects. Journal of Consulting and Clinical Psychology, 66(5), 832–837.

. https://doi.org/10.1037//0022-006x.66.5.832

Monti, P. M., Rohsenow, D. J., Michalec, E., Martin, R. A., & Abrams, D. B. (1997). Brief coping skills treatment for cocaine abuse: substance use outcomes at three months. Addiction (Abingdon, England), 92(12), 1717–1728.

https://doi.org/10.1111/j.1360-0443.1997.tb02892.x

Rosenblum, A., Magura, S., Palij, M., Foote, J., Handelsman, L., & Stimmel, B. (1999). Enhanced treatment outcomes for cocaine-using methadone patients. Drug and Alcohol Dependence, 54(3), 207–218.

https://doi.org/10.1016/s0376-8716(98)00166-5

Rohsenow, D. J., Monti, P. M., Martin, R. A., Colby, S. M., Myers, M. G., Gulliver, S. B., Brown, R. A., Mueller, T. I., Gordon, A., & Abrams, D. B. (2004). Motivational enhancement and coping skills training for cocaine abusers: effects on substance use outcomes. Addiction (Abingdon, England), 99(7), 862–874.

https://doi.org/10.1111/j.1360-0443.2004.00743.x

Rohsenow, D.J., Monti, P.M., Martin, R.A., Michalec, E., & Abrams, D.B. (2000). Brief coping skills treatment for cocaine abuse: 12-month substance use outcomes. Journal of Consulting and Clinical Psychology, 68(3), 515–520.

https://doi.org/10.1037//0022-006x.68.3.515