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      Outras abordagens no tratamento da dependência do crack Translated title: Other treatment approaches for crack dependence

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          Abstract

          O crescimento do uso de crack no Brasil aliado a pouca eficácia de modelos tradicionais de tratamento faz necessária uma investigação de outras abordagens que possam suprir ou complementar tais carências. O objetivo dessa revisão de literatura é apresentar alternativas terapêuticas para o tratamento da dependência do crack, sendo elas: Manejo de Contingências, Terapia de Aceitação e Compromisso, Farmacoterapia, Comunidades Terapêuticas e Políticas de Prevenção ao uso de crack. Essas terapêuticas, quando aliadas aos modelos tradicionais, potencializam o tratamento da dependência do crack. Novos estudos, na população brasileira, são necessários para aprimorar o tratamento da dependência do crack.

          Translated abstract

          The increasing use of crack in Brazil and the lower effective in traditional treatments required an investigation about different approaches to improvement it. This review aim present different approaches in crack dependence treatment, namely: Contingency Management, Acceptance and Commitment Therapy, Pharmacotherapy, Therapeutic Community and Crack Prevention Programs. These therapeutics and the traditional models improve the crack dependence treatment. New studies in Brazilian population are necessary to improve the crack dependence treatment.

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          Most cited references93

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          The statistical association between drug misuse and crime: A meta-analysis

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            Cognitive Therapy and Research, 24(6), 689-697
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              Slow and steady wins the race: a randomized clinical trial of acceptance and commitment therapy targeting shame in substance use disorders.

              Shame has long been seen as relevant to substance use disorders, but interventions have not been tested in randomized trials. This study examined a group-based intervention for shame based on the principles of acceptance and commitment therapy (ACT) in patients (N = 133; 61% female; M = 34 years old; 86% Caucasian) in a 28-day residential addictions treatment program. Consecutive cohort pairs were assigned in a pairwise random fashion to receive treatment as usual (TAU) or the ACT intervention in place of 6 hr of treatment that would have occurred at that same time. The ACT intervention consisted of three 2-hr group sessions scheduled during a single week. Intent-to-treat analyses demonstrated that the ACT intervention resulted in smaller immediate gains in shame, but larger reductions at 4-month follow-up. Those attending the ACT group also evidenced fewer days of substance use and higher treatment attendance at follow-up. Effects of the ACT intervention on treatment utilization at follow-up were statistically mediated by posttreatment levels of shame, in that those evidencing higher levels of shame at posttreatment were more likely to be attending treatment at follow-up. Intervention effects on substance use at follow-up were mediated by treatment utilization at follow-up, suggesting that the intervention may have had its effects, at least in part, through improving treatment attendance. These results demonstrate that an approach to shame based on mindfulness and acceptance appears to produce better treatment attendance and reduced substance use. (PsycINFO Database Record (c) 2012 APA, all rights reserved).
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                Author and article information

                Contributors
                Role: ND
                Role: ND
                Role: ND
                Journal
                rbtc
                Revista Brasileira de Terapias Cognitivas
                Rev. bras.ter. cogn.
                Federação Brasileira de Terapias Cognitivas (Rio de Janeiro )
                1808-5687
                June 2011
                : 7
                : 1
                : 7-14
                Affiliations
                [1 ] WP - Centro de Psicoterapia Cognitivo-Comportamental
                [2 ] FACCAT
                [3 ] IBGEN
                [4 ] Instituto de Terapia Cognitiva do Rio Grande do Sul Brasil
                Article
                S1808-56872011000100003
                0c4ce350-6101-4a46-9ed1-b4a41c205712

                http://creativecommons.org/licenses/by/4.0/

                History
                Categories
                PSYCHOLOGY, APPLIED

                Clinical Psychology & Psychiatry
                primary prevention,cognitive therapy,cocaine related disorders,prevenção primária,terapia cognitiva,transtornos relacionados ao uso de cocaina

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