Reduction of craving in an adolescent in residential treatment for addictions through a brief intervention: A case study
Abstract
Introduction: Craving refers to a subjective desire to consume substances. It has been found that craving is one of the best predictors of relapse, so it is important to address it during addiction treatment. The Brief Intervention Program for Adolescents (PIBA) has been shown to be effective in reducing drug consumption patterns, increasing self-efficacy to deal with consumption situations, and reducing problems associated with consumption in adolescents who are in middle or high school schools, as well as in outpatient addiction care institutions. However, the effectiveness of this program has not been tested with adolescents in residential treatment or in reducing craving. Objective: To evaluate the effectiveness of PIBA in reducing craving and increasing self-efficacy in a female adolescent who was in a residential center. Method: A single-case design was applied, consisting of the treatment and a follow-up at four months, intentional and non-probabilistic, with a 16-year-old female adolescent. Result: A reduction in craving was found throughout the treatment and maintained during the follow-up, as well as an increase in self-efficacy. Conclusion: These findings extend the effectiveness of PIBA to addiction components and populations not previously explored, suggesting that PIBA may be an alternative to work with these components and populations.
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References
Abrams, D., & Niaura, R. (1987). Social learning theory of alcohol use and abuse. En H. Blane & K. Leonard (Eds.), Psychological theories of drinking and alcoholism (pp. 131-178). Guilford Press.
Annis, H., Graham, J. M., & Davis, C. S. (1987). Inventory of Drinking Situations (IDS): User’s Guide. Addiction Research Foundation.
Anton, R. F. (1999). What Is Craving? Alcohol Research & Health, 23(3), 165-173.
Bandura, A. (1986). Social foundations of thought and action: A social cognitive theory. Prentice-Hall, Inc.
Chesa Vela, D., Elías Abadías, M., Fernández Vidal, E., Izquierdo Munuera, E., & Sitjas Carvacho, M. (2004). El craving, un componente esencial en la abstinencia. Revista de la Asociación Española de Neuropsiquiatría, 89, 93-112.
Duncan, E., Boshoven, W., Harenski, K., Fiallos, A., Tracy, H., Jovanovic, T., Hu, X., Drexler, K., & Kilts, C. (2007). An fMRI study of the interaction of stress and cocaine cues on cocaine craving in cocaine-dependent men. The American Journal on Addictions, 16(3), 174-182. https://doi.org/10.1080/10550490701375285
Echeverría, L., & Ayala, H. (1997). Cuestionario de confianza situacional: Traducción y adaptación. Universidad Nacional Autónoma de México.
Filbey, F. M., Claus, E., Audette, A. R., Niculescu, M., Banich, M. T., Tanabe, J., Du, Y. P., & Hutchison, K. E. (2008). Exposure to the taste of alcohol elicits activation of the mesocorticolimbic neurocircuitry. Neuropsychopharmacology: Official Publication of the American College of Neuropsychopharmacology, 33(6), 1391-1401. https://doi.org/10.1038/sj.npp.1301513
Filbey, F. M., Schacht, J. P., Myers, U. S., Chavez, R. S., & Hutchison, K. E. (2009). Marijuana craving in the brain. Proceedings of the National Academy of Sciences of the United States of America, 106(31), 13016-13021. https://doi.org/10.1073/pnas.0903863106
Grant, S., London, E. D., Newlin, D. B., Villemagne, V. L., Liu, X., Contoreggi, C., Phillips, R. L., Kimes, A. S., & Margolin, A. (1996). Activation of memory circuits during cue-elicited cocaine craving. Proceedings of the National Academy of Sciences of the United States of America, 93(21), 12040-12045.
Ibarra, C. J. I., Martínez, K. I. M., Carreño-García, M. S., & Hernández, I. G. R. (2021). El uso de una página web como alternativa para el tratamiento del abuso de alcohol en adolescentes: Un estudio de caso único. Revista Internacional de Investigación en Adicciones, 7(2), 23-32. https://doi.org/10.28931/riiad.2021.2.03
Mariño, M. del C., González-Forteza, C., Andrade, P., & Medina-Mora, M. E. (1998). Validación de un cuestionario para detectar adolescentes con problemas por el uso de drogas. Salud Mental, 21(1), 27-36.
Martín del Campo, R. (2007). Indicadores de dependencia DSM-IV [Test]. Comisión Nacional Contra las Adicciones (CONADIC).
Martínez, K. I., & Medina-Mora, M. E. (2013). Transferencia tecnológica en el área de adicciones: El programa de intervención breve para adolescentes, retos y perspectivas. Salud Mental, 36(6), 505-512.
Martínez, K. I., Morales Chainé, S., Martín del Campo Sánchez, R., & Ibarra Villalpando, C. J. (2021). Adolescencia, adicciones y tratamiento. UNAM. http://www.libros.unam.mx/adolescencia-adicciones-y-tratamiento-9786073044523-ebook.html
Martínez, K. I., Pacheco Trejo, A. Y., Echeverría San Vicente, L., & Medina-Mora, M. E. (2016). Barreras en la transferencia de la tecnología: Un estudio cualitativo de las intervenciones breves y los centros de atención a las adicciones. Salud mental, 39(5), 257-265. https://doi.org/10.17711/SM.0185-3325.2016.030
Martínez, K. I., Pedroza, F. J., Salazar, M. L., & Vacio Muro, M. de los Á. (2010). Evaluación experimental de dos intervenciones breves para la reducción del consumo de alcohol de adolescentes. Revista Mexicana de Análisis de la Conducta, 36(3), 35-53. https://doi.org/10.5514/rmac.v36.i3.03
Martínez, K. I., Salazar, M. L., Pedroza, F. J., Ruiz Torres, G. M., & Ayala Velázquez, H. E. (2008). Resultados preliminares del Programa de Intervención Breve para Adolescentes que Inician el Consumo de Alcohol y otras Drogas. Salud mental, 31(2), 119-127.
Martínez, K. I., Salazar, M. L., Ruiz Torres, G. M., Barrientos Cosarrubias, V., & Ayala Velázquez, H. E. (2012). Programa de intervención breve para adolescentes que inician el consumo de alcohol y otras drogas. Manual del Terapeuta. México: CONADIC.
Oropeza Tena, R., Taniguchi, E., Quevedo, L., & Alvarado, J. (2014). Manual de aplicación del tratamiento breve cognitivo conductual para usuarios de cocaína (cuarta versión). México: CONADIC.
Ortiz, A. L., & Vega, M. G. (2020). Validación del Cuestionario Breve de Confianza Situacional en muestra clínica con drogodependencia. Revista Internacional de Investigación en Adicciones, 6(2), 6-10. https://doi.org/10.28931/riiad.2020.2.02
Rankin, H., Hodgson, R., & Stockwell, T. (1979). The concept of craving and its measurement. Behaviour Research and Therapy, 17(4), 389-396. https://doi.org/10.1016/0005-7967(79)90010-X
Rodríguez, C. A. R., Echeverría, L., Martínez, K. I., & Morales-Chainé, S. (2017). Intervención breve para adolescentes que inician el consumo abusivo de alcohol y otras drogas: Su eficacia en un escenario clínico. Revista Internacional de Investigación en Adicciones, 3(1), 16-27. https://doi.org/10.28931/riiad.2017.1.03
Salazar, M. L., Valdez Ruíz, J. F., Martínez, K. I., & Pedroza, F. J. (2011). Intervenciones breves con adolescentes estudiantes rurales que consumen alcohol en exceso. Universitas Psychologica, 10(3), 803-815.
Sánchez-Hervás, E., Molina Bou, N., del Olmo Gurrea, R., Tomás Gradolí, V., & Morales Gallús, E. (2001). Craving y adicción a drogas. Trastornos Adictivos, 3(4), 237-243.
Serre, F., Fatseas, M., Swendsen, J., & Auriacombe, M. (2015). Ecological momentary assessment in the investigation of craving and substance use in daily life: A systematic review. Drug and Alcohol Dependence, 148(1), 1-20. https://doi.org/10.1016/j.drugalcdep.2014.12.024
Taylor, S. J., & Letham, B. (2018). Forecasting at Scale. The American Statistician, 72(1), 37-45. https://doi.org/10.1080/00031305.2017.1380080
Tiffany, S. T., & Wray, J. M. (2012). The clinical significance of drug craving. Annals of the New York Academy of Sciences, 1248, 1-17. https://doi.org/10.1111/j.1749-6632.2011.06298.x
Witkiewitz, K., Bowen, S., & Donovan, D. M. (2011). Moderating Effects of a Craving Intervention on the Relation between Negative Mood and Heavy Drinking following Treatment for Alcohol Dependence. Journal of consulting and clinical psychology, 79(1), 54-63. https://doi.org/10.1037/a0022282
Zijlstra, F., Veltman, D. J., Booij, J., van den Brink, W., & Franken, I. H. A. (2009). Neurobiological substrates of cue-elicited craving and anhedonia in recently abstinent opioid-dependent males. Drug and Alcohol Dependence, 99(1-3), 183-192. https://doi.org/10.1016/j.drugalcdep.2008.07.012
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