P Crits Christoph

..Training in SE and CT did not have a negative impact on the therapeutic alliance, although alliance scores for trainees in drug counseling initially decreased but then rebounded to initial levels...

..This was a multicenter investigation examining the efficacy of 4 psychosocial treatments for cocaine-dependent patients...

..The authors concluded that the superiority of individual drug counseling in modifying cocaine use does not extend broadly to other addiction-associated problems...

..Thus, treatments were easily discriminable by the independent judges...

..CONCLUSIONS: The CT group was resistant to the effects of tryptophan depletion, but the SSRI group was not...

..Implications for further research with this difficult-to-treat patient population are discussed...

..Previous studies suggest that adjunctive modafinil treatment provides benefit for patients with depression with significant sleepiness and fatigue...

..Ratings of helpfulness were significantly related to retention and alliance but were largely unrelated to changes in drug use or psychiatric outcomes...

..Furthermore, change in ASQ correlated with change in depression. There was some evidence suggesting that ASQ at termination predicted level of depression at follow-up...

..Studies suggest that dynamic psychotherapy has great promise as a monotherapy for MDD and alcohol dependence and thus should be evaluated further...

..The implications of these findings for future research and clinical practice are discussed...

..Randomized controlled trials remain the most powerful way to test notions of causal agency...

..Simulations suggest that the shared parameter model is robust with respect to at least one alternative non-ignorable model...

..Simulation studies conducted by Siemer and Joormann confounded bias due to small sample size and inconsistent estimates...

..The most common reasons that patients in their sample did not match with published RCTs for psychotherapy are listed, and the implications of these findings for research and practice are discussed...

..This study compared efficacy of nefazodone, psychotherapy, and their combination in improving psychosocial functioning in chronically depressed outpatients...

..The results suggest that during uncontrolled follow-up phases, additional non-protocol services may potentially confound the interpretation of treatment group comparisons in drug use outcomes...

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..Among patients with a concurrent anxiety disorder, nefazodone. either alone or in combination with CBASP, improves anxiety symptoms faster than CBASP alone, independent of depressive symptom reduction...

..Issues requiring attention included the diversity in treatments offered across sites, heterogeneity in the study sample, and training of clinicians drawn from the staff of community programs to deliver the study treatments...

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..In addition, a measure of beliefs about addiction developed to test mediation of outcome of cognitive therapy was found to correlate moderately with drug use outcomes in both cognitive therapy and individual drug counseling...

..This study evaluated lifetime traumatic events and current posttraumatic stress disorder (PTSD) symptoms in a substance abuse sample...

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..When defined in a parallel fashion, rates of sudden gains in GAD are similar to those found in MDD, although anxiety symptoms are highly variable...

..Because drug-involved women are among the fastest growing groups with AIDS, sexual risk reduction intervention for them is a public health imperative...

..An independent evaluation of session audiotapes indicated that MET and CAU were highly and comparably discriminable across sites...

..Although the implementation of the PF system proved to be feasible in actual clinical settings, further modifications of the PF system are needed to enhance any potential clinical usefulness...

..These data may have important implications for both treatment planning and the types of outcomes considered in clinical practice and research...

..To evaluate the efficacy and safety of high-dose sertraline for patients with obsessive-compulsive disorder (OCD) who failed to respond to standard sertraline acute treatment...

..Moreover, the distinction between attending meetings and actively participating in 12-step activities has not typically been examined...

..A continuation study of an extract of St. John's wort (Hypericum perforatum) for depression was performed in follow-up to an acute study that found no significant difference between St. John's wort extract and placebo...

..The combination of IDC and GDC was associated with an equal or even greater reduction in HIV risk than the other treatment conditions and thus shows promise as an effective HIV prevention strategy, at least for some patients...

..Patients with higher psychiatric severity were more at risk for continuing to use drugs after dropout...

..Patients with more days of cocaine use andpatients referred from advertisements were less likely to keep their intake appointments...

..Changes across treatment indicated that the WHI Total and Performance scores increased significantly across psychotherapy. The WHI seems to be a reliable and valid instrument for measuring treatment related changes in work functioning...