Title
Disadvantageous decision-making as a predictor of drop-out among cocaine-dependent individuals in long-term residential treatment Disadvantageous decision-making as a predictor of drop-out among cocaine-dependent individuals in long-term residential treatment
Author
Faculty/Department
Faculty of Pharmaceutical, Biomedical and Veterinary Sciences. Pharmacy
Faculty of Medicine and Health Sciences
Publication type
article
Publication
Lausanne :Frontiers Research Foundation ,
Subject
Human medicine
Source (journal)
Frontiers in psychiatry / Frontiers Research Foundation (Lausanne, Switzerland) - Lausanne, 2010, currens
Volume/pages
4(2013) :11 , p. 1-9
ISSN
1664-0640
Article Reference
149
Carrier
E-only publicatie
Target language
English (eng)
Full text (Publishers DOI)
Affiliation
University of Antwerp
Abstract
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.
Full text (open access)
https://repository.uantwerpen.be/docman/irua/e083c8/6478.pdf
Handle