RT Journal Article
T1 Disadvantageous decision-making as a predictor of drop-out among cocaine-dependent individuals in long-term residential treatment
A1 Stevens, Laura
A1 Betanzos Espinosa, Patricia
A1 Crunelle, Cleo L.
A1 Lozano Rojas, Óscar Martín
AB Background: The treatment of cocaine-dependent individuals (CDI) is substantially challengedby high drop-out rates, raising questions regarding contributing factors. Recently,a number of studies have highlighted the potential of greater focus on the clinical significanceof neurocognitive impairments in treatment-seeking cocaine users. In the presentstudy, we hypothesized that disadvantageous decision-making would be one such factorplacing 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 GamblingTask (IGT) and the Cambridge GambleTask (CGT) in CDI who completed treatment in a residentialTherapeuticCommunity (TC) (N =66) and those who dropped out ofTC prematurely(N =84).Results: Compared to treatment completers, CDI who dropped out ofTC prematurely didnot establish a consistent and advantageous response pattern as the IGT progressed andexhibited a poorer ability to choose the most likely outcome on the CGT. There were nogroup differences in betting behavior.Conclusion: Our findings suggest that neurocognitive rehabilitation of disadvantageousdecision-making may have clinical benefits in CDI admitted to long-term residentialtreatment programs.
PB Frontiers Media
SN 1664-0640
YR 2013
FD 2013-11
LK http://hdl.handle.net/10272/18414
UL http://hdl.handle.net/10272/18414
LA eng
NO Stevens, L., Betanzos Espinosa, P., Crunelle, C. L. ... Lozano Rojas, O.  (2013). Disadvantageous Decision-Making as a Predictor of Drop-Out among Cocaine-Dependent Individuals in Long-Term Residential Treatment. Frontiers in Psychiatry, 4. DOI: https://doi.org/10.3389/fpsyt.2013.00149
DS Repositorio Institucional de la Universidad de Huelva
RD 2 jun 2026