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Title
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Disadvantageous decision-making as a predictor of drop-out among cocaine-dependent individuals in long-term residential treatment
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Author
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Abstract
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| Background: The treatment of cocaine-dependent individuals (CDI) is substantially challenged by high drop-out rates, raising questions regarding contributing factors. Recently, a number of studies have highlighted the potential of greater focus on the clinical significance of neurocognitive impairments in treatment-seeking cocaine users. In the present study, we hypothesized that disadvantageous decision-making would be one such factor placing CDI at greater risk for treatment drop-out. Methods: In order to explore this hypothesis, the present study contrasted baseline performance (at treatment onset) on two validated tasks of decision-making, the Iowa Gambling Task (IGT) and the Cambridge Gamble Task (CGT) in CDI who completed treatment in a residential Therapeutic Community (TC) (N = 66) and those who dropped out of TC prematurely (N = 84). Results: Compared to treatment completers, CDI who dropped out of TC prematurely did not establish a consistent and advantageous response pattern as the IGT progressed and exhibited a poorer ability to choose the most likely outcome on the CGT. There were no group differences in betting behavior. Conclusion: Our findings suggest that neurocognitive rehabilitation of disadvantageous decision-making may have clinical benefits in CDI admitted to long-term residential treatment programs. |
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Language
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English
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Source (journal)
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Frontiers in psychiatry / Frontiers Research Foundation (Lausanne, Switzerland) - Lausanne, 2010, currens
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Publication
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Lausanne
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Frontiers Research Foundation
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2013
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ISSN
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1664-0640
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DOI
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10.3389/FPSYT.2013.00149
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Volume/pages
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4
:11
(2013)
, p. 1-9
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Article Reference
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149
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Medium
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E-only publicatie
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Full text (Publisher's DOI)
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Full text (open access)
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