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Behavior Therapy for Depression in Drug Dependence (BTDD): Results of a Stage Ia Therapy Development Pilot.

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Title: Behavior Therapy for Depression in Drug Dependence (BTDD): Results of a Stage Ia Therapy Development Pilot.
Authors: Carpenter, Kenneth M. (AUTHOR), Aharonovich, Efrat (AUTHOR), Smith, Jennifer L. (AUTHOR), Iguchi, Martin Y. (AUTHOR), Nunes, Edward V. (AUTHOR)
Source: American Journal of Drug & Alcohol Abuse. Nov2006, Vol. 32 Issue 4, p541-548. 8p. 1 Chart.
Subjects: Mental depression, Depressed persons, Behavior therapy, Drug abuse treatment, Substance abuse treatment, Methadone treatment programs, Drug addiction, Comorbidity, Pathological psychology
Abstract: Limited access to positive reinforcers is a central feature in behavioral formulations of substance use and depression, and evidence suggests both disorders share similar environmental contexts. The Behavioral Therapy for Depression in Drug Dependence (BTDD) was developed to target the density of potential reinforcers in a patient's environment to reduce both depression and illicit substance use using therapeutic techniques from three operant based treatment programs, Community Reinforcement Approach, Changing Reinforcement Events, and Treatment-plan Contingency Management. Results of an uncontrolled Stage Ia trial (n = 29), indicated 48% of the participants demonstrated at least a 50% reduction in baseline depression scores during the 16-session treatment program. Those designated as treatment responders completed more out-of-session behavioral activities, attended more treatment sessions, and demonstrated less benzodiazepine use during the program than non-responders. There were no changes in opiate and cocaine use. BTDD may be a useful adjunct to methadone maintenance for treating comorbid depressive disorders. [ABSTRACT FROM AUTHOR]
Copyright of American Journal of Drug & Alcohol Abuse is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Behavior Therapy for Depression in Drug Dependence (BTDD): Results of a Stage Ia Therapy Development Pilot.
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  Data: <searchLink fieldCode="AR" term="%22Carpenter%2C+Kenneth+M%2E%22">Carpenter, Kenneth M.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Aharonovich%2C+Efrat%22">Aharonovich, Efrat</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Smith%2C+Jennifer+L%2E%22">Smith, Jennifer L.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Iguchi%2C+Martin+Y%2E%22">Iguchi, Martin Y.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Nunes%2C+Edward+V%2E%22">Nunes, Edward V.</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22American+Journal+of+Drug+%26+Alcohol+Abuse%22">American Journal of Drug & Alcohol Abuse</searchLink>. Nov2006, Vol. 32 Issue 4, p541-548. 8p. 1 Chart.
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  Data: <searchLink fieldCode="DE" term="%22Mental+depression%22">Mental depression</searchLink><br /><searchLink fieldCode="DE" term="%22Depressed+persons%22">Depressed persons</searchLink><br /><searchLink fieldCode="DE" term="%22Behavior+therapy%22">Behavior therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Drug+abuse+treatment%22">Drug abuse treatment</searchLink><br /><searchLink fieldCode="DE" term="%22Substance+abuse+treatment%22">Substance abuse treatment</searchLink><br /><searchLink fieldCode="DE" term="%22Methadone+treatment+programs%22">Methadone treatment programs</searchLink><br /><searchLink fieldCode="DE" term="%22Drug+addiction%22">Drug addiction</searchLink><br /><searchLink fieldCode="DE" term="%22Comorbidity%22">Comorbidity</searchLink><br /><searchLink fieldCode="DE" term="%22Pathological+psychology%22">Pathological psychology</searchLink>
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  Data: Limited access to positive reinforcers is a central feature in behavioral formulations of substance use and depression, and evidence suggests both disorders share similar environmental contexts. The Behavioral Therapy for Depression in Drug Dependence (BTDD) was developed to target the density of potential reinforcers in a patient's environment to reduce both depression and illicit substance use using therapeutic techniques from three operant based treatment programs, Community Reinforcement Approach, Changing Reinforcement Events, and Treatment-plan Contingency Management. Results of an uncontrolled Stage Ia trial (n = 29), indicated 48% of the participants demonstrated at least a 50% reduction in baseline depression scores during the 16-session treatment program. Those designated as treatment responders completed more out-of-session behavioral activities, attended more treatment sessions, and demonstrated less benzodiazepine use during the program than non-responders. There were no changes in opiate and cocaine use. BTDD may be a useful adjunct to methadone maintenance for treating comorbid depressive disorders. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: <i>Copyright of American Journal of Drug & Alcohol Abuse is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1080/00952990600919450
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        Text: English
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      – SubjectFull: Mental depression
        Type: general
      – SubjectFull: Depressed persons
        Type: general
      – SubjectFull: Behavior therapy
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      – SubjectFull: Drug abuse treatment
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      – SubjectFull: Substance abuse treatment
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      – SubjectFull: Methadone treatment programs
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      – SubjectFull: Drug addiction
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      – SubjectFull: Comorbidity
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      – SubjectFull: Pathological psychology
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      – TitleFull: Behavior Therapy for Depression in Drug Dependence (BTDD): Results of a Stage Ia Therapy Development Pilot.
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            NameFull: Carpenter, Kenneth M.
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              Text: Nov2006
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