This investigation will examine the effectiveness of a cognitive-behavioral relapse prevention program in contrast with a general discussion group approach in treating adult chronic marijuana smokers. The relapse prevention program, an intervention intended to enhance the maintenance of control, focuses on beliefs about quitting, skills in coping with difficulties while abstaining, and achieving balance in lifestyle. Objective criteria for the assessment of marijuana abuse (and the screening out of those currently abusing alcohol and/or other drugs) will be employed in selecting 208 subjects who will subsequently be randomly assigned to the two treatment conditions. The interventions are designed to take place in 8 to 12-person groups co-led by two therapists. Each group will meet for ten two-hour sessions over an eleven week period. Follow-up assessments will be conducted at 1, 3, 6, 9, and 12 months following termination. Specific measures designed to test the theoretical framework of the relapse prevention model will be incorporated in the baseline, in-treatment, and follow-up assessment instruments. Subject self-report, corroborative reports from an individual in the subject's social network, and urinalysis data will be utilized in this research.

Agency
National Institute of Health (NIH)
Institute
National Institute on Drug Abuse (NIDA)
Type
Research Project (R01)
Project #
5R01DA003586-03
Application #
3208074
Study Section
Drug Abuse Clinical and Behavioral Research Review Committee (DACB)
Project Start
1986-09-01
Project End
1989-08-30
Budget Start
1988-08-31
Budget End
1989-08-30
Support Year
3
Fiscal Year
1988
Total Cost
Indirect Cost
Name
University of Washington
Department
Type
Schools of Social Welfare/Work
DUNS #
135646524
City
Seattle
State
WA
Country
United States
Zip Code
98195
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Stephens, R S; Wertz, J S; Roffman, R A (1995) Self-efficacy and marijuana cessation: a construct validity analysis. J Consult Clin Psychol 63:1022-31
Stephens, R S; Curtin, L; Simpson, E E et al. (1994) Testing the abstinence violation effect construct with marijuana cessation. Addict Behav 19:23-32
Stephens, R S; Roffman, R A; Simpson, E E (1994) Treating adult marijuana dependence: a test of the relapse prevention model. J Consult Clin Psychol 62:92-9
Roffman, R A; Klepsch, R; Wertz, J S et al. (1993) Predictors of attrition from an outpatient marijuana-dependence counseling program. Addict Behav 18:553-66
Stephens, R S; Wertz, J S; Roffman, R A (1993) Predictors of marijuana treatment outcomes: the role of self-efficacy. J Subst Abuse 5:341-53
Stephens, R S; Roffman, R A; Simpson, E E (1993) Adult marijuana users seeking treatment. J Consult Clin Psychol 61:1100-4