Abstract
Substance use disorders (SUD) cause serious public health problems in Brazil and worldwide. Among the existing psychosocial treatments for SUD, behavioral and/or cognitive-based treatments show the highest evidence of efficacy. Among these, contingency management (CM) applied to SUD is one of the most effective psychosocial treatments in promoting adherence to treatment, reducing substance use, and promoting continued abstinence from several substances. In this chapter, we make an in-depth description of CM, where we describe the theoretical and experimental bases of CM and present the methodological components necessary to ensure the proper application of CM. Next, we present the main findings related to the efficacy of the CM obtained in randomized controlled trials and meta-analysis performed in the USA, as well as the results observed in the first CM study performed to evaluate the efficacy of this treatment for crack-cocaine use disorders in Brazil. Finally, in order to elucidate how CM may be absorbed in the clinical practice, we present a case study in which CM was effectively implemented in the treatment of marijuana use disorder.
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References
Aigner, T. G., & Balster, R. L. (1978). Choice behavior in rhesus monkeys: Cocaine vs. food. Science, 201, 534–535. https://doi.org/10.1126/science.96531
Amass, L., & Kamien, J. (2004). A tale of two cities: Financing two voucher programs for substance abusers through community donations. Experimental and Clinical Psychopharmacoogy, 12(2), 147–155. https://doi.org/10.1037/1064-1297.12.2.147
American Psychiatric Association (APA). (1994). Diagnostic and statistical manual of mental disorders (4th ed.). American Psychiatric Association.
Bigelow, G. E., Brooner, R. K., & Silverman, K. (1998). Competing motivations: Drug reinforcement vs non-drug reinforcement. Journal of Psychopharmacology (Oxford, England), 12(1), 8–14. https://doi.org/10.1177/026988119801200102
Budney, A. J. (1998). National institute on drug abuse therapy manuals for drug addiction: Manual no. 2: A community reinforcement plus vouchers approach: Treating cocaine addiction. National Institute on Drug Abuse.
Cahoon, D. D., & Cynthia, C. C. (1972). A learning approach to chronic drug use: Sources of reinforcement. Behavior Therapy, 3, 64–71. https://doi.org/10.1016/S0005-7894(72)80052-2
Chen, W., Hong, Y., Zou, X., McLaughlin, M. M., Xia, Y., & Ling, L. (2013). Effectiveness of prize-based contingency management in a methadone maintenance program in China. Drug and Alcohol Dependence, 133(1), 270–274. https://doi.org/10.1016/j.drugalcdep.2013.05.028
García-Fernández, G., Secades-Villa, R., García-Rodríguez, O., Alvarez-López, H., Sánchez-Hervás, E., Fernández-Hermida, J. R., & Fernández-Artamendi, S. (2011). Individual characteristics and response to Contingency Management treatment for cocaine addiction. Psicothema, 23(1), 114–118.
Goeder, N. E., & Guerin, G. F. (1991). Non-contingent electric footshock stress increases vulnerability to self-administer cocaine in rats. Psychopharmacology, 114, 63–70. https://doi.org/10.1007/BF02245445
Griffiths, R. R., Bigelow, G. E., & Henningfield, J. E. (1980). Similarities in animal and human drug-taking behavior. In N. K. Mello (Ed.), Advances in substance abuse: Behavioral and biological research (pp. 1–99). JAI Press, Inc..
Higgins, S. T. (1996). Some potential contributions of reinforcement and consumer-demand theory to reducing cocaine use. Addictive Behaviors, 21(6), 803–816. https://doi.org/10.1016/0306-4603(96)00037-8
Higgins, S. T. (1997). The influence of alternative reinforcers on cocaine use and abuse: A brief review. Pharmacology, Biochemistry, and Behavior, 57(3), 419–427. https://doi.org/10.1016/s0091-3057(96)00446-7
Higgins, S. T., & Petry, N. M. (1999). Contingency management. Incentives for sobriety. Alcohol Research & Health: The Journal of the National Institute on Alcohol Abuse and Alcoholism, 23(2), 122–127.
Higgins, S. T., & Silverman, K. E. (1999). Motivating behavior change among illicit-drug abusers: Research on contingency management interventions. American Psychological Association.
Higgins, S. T., Delaney, D. D., Budney, A. J., Bickel, W. K., Hughes, J. R., Foerg, F., & Fenwick, J. W. (1991). A behavioral approach to achieving initial cocaine abstinence. The American Journal of Psychiatry, 148(9), 1218–1224. https://doi.org/10.1176/ajp.148.9.1218
Higgins, S. T., Budney, A. J., Bickel, W. K., Hughes, J. R., Foerg, F., & Badger, G. (1993). Achieving cocaine abstinence with a behavioral approach. The American Journal of Psychiatry, 150(5), 763–769. https://doi.org/10.1176/ajp.150.5.763
Higgins, S. T., Budney, A. J., Bickel, W. K., Foerg, F. E., Donham, R., & Badger, G. J. (1994). Incentives improve outcome in outpatient behavioral treatment of cocaine dependence. Archives of General Psychiatry, 51(7), 568–576. https://doi.org/10.1001/archpsyc.1994.03950070060011
Higgins, S. T., Heil, S. H., & Lussier, J. P. (2004). Clinical implications of reinforcement as a determinant of substance use disorders. Annual Review of Psychology, 55, 431–461. https://doi.org/10.1146/annurev.psych.55.090902.142033
Jiang, H., Du, J., Wu, F., Wang, Z., Fan, S., Li, Z., Hser, Y. I., & Zhao, M. (2012). Efficacy of contingency management in improving retention and compliance to methadone maintenance treatment: A random controlled study. Shanghai Archives of Psychiatry, 24(1), 11–19. https://doi.org/10.3969/j.issn.1002-0829.2012.01.002
Kalivas, P. W., Volkow, N., & Seamans, J. (2005). Unmanageable motivation in addiction: A pathology in prefrontal-accumbens glutamate transmission. Neuron, 45(5), 647–650. https://doi.org/10.1016/j.neuron.2005.02.005
Lussier, J. P., Heil, S. H., Mongeon, J. A., Badger, G. J., & Higgins, S. T. (2006). A meta-analysis of voucher-based reinforcement therapy for substance use disorders. Addiction (Abingdon, England), 101(2), 192–203. https://doi.org/10.1111/j.1360-0443.2006.01311.x
Miguel, A. Q., Madruga, C. S., Cogo-Moreira, H., Yamauchi, R., Simões, V., da Silva, C. J., … Laranjeira, R. R. (2016). Contingency management is effective in promoting abstinence and retention in treatment among crack cocaine users in Brazil: A randomized controlled trial. Psychology of Addictive Behaviors: Journal of the Society of Psychologists in Addictive Behaviors, 30(5), 536–543. https://doi.org/10.1037/adb0000192
Miguel, A., Madruga, C. S., Cogo-Moreira, H., Yamauchi, R., Simões, V., Ribeiro, A., … Laranjeira, R. R. (2017). Contingency management targeting abstinence is effective in reducing depressive and anxiety symptoms among crack cocaine-dependent individuals. Experimental and Clinical Psychopharmacology, 25(6), 466–472. https://doi.org/10.1037/pha0000147
Miguel, A. Q. C., Madruga, C. S., Simões, V., Yamauchi, R., da Silva, C. J., Abdalla, R. R., … Laranjeira, R. (2018). Crack cocaine users views regarding treatment with contingency management in Brazil. Substance Abuse Treatment, Prevention, and Policy, 13(1), 7. https://doi.org/10.1186/s13011-018-0144-7
Miguel, A. Q. C., Madruga, C. S., Simões, V., Yamauchi, R., da Silva, C. J., McDonell, M., … Mari, J. J. (2019). Contingency management is effective in promoting abstinence and retention in treatment among crack cocaine users with a previous history of poor treatment response: A crossover trial. Psicologia: Reflexão e Crítica, 32(1), 14. https://doi.org/10.1186/s41155-019-0127-2
Petitjean, S. A., Dürsteler-MacFarland, K. M., Krokar, M. C., Strasser, J., Mueller, S. E., Degen, B., … Farronato, N. S. (2014). A randomized, controlled trial of combined cognitive-behavioral therapy plus prize-based contingency management for cocaine dependence. Drug and Alcohol Dependence, 145, 94–100. https://doi.org/10.1016/j.drugalcdep.2014.09.785
Petry, N. M. (2000). A comprehensive guide to the application of contingency management procedures in clinical settings. Drug and Alcohol Dependence, 58(1–2), 9–25. https://doi.org/10.1016/s0376-8716(99)00071-x
Petry, N. M., & Heyman, G. M. (1995). Behavioral economics of concurrent ethanol-sucrose and sucrose reinforcement in the rat: Effects of altering variable-ratio requirements. Journal of the Experimental Analysis of Behavior, 64(3), 331–359. https://doi.org/10.1901/jeab.1995.64-331
Pilling, S., Strang, J., Gerada, C., & NICE. (2007). Psychosocial interventions and opioid detoxification for drug misuse: Summary of NICE guidance. BMJ (Clinical Research Ed.), 335(7612), 203–205. https://doi.org/10.1136/bmj.39265.639641.AD
Prendergast, M., Podus, D., Finney, J., Greenwell, L., & Roll, J. (2006). Contingency management for treatment of substance use disorders: A meta-analysis. Addiction (Abingdon, England), 101(11), 1546–1560. https://doi.org/10.1111/j.1360-0443.2006.01581.x
Secades-Villa, R., García-Rodríguez, O., & Fernández-Hermida, J. R. (2015). Contingency management for substance use disorders in Spain: Implications for research and practice. Preventive Medicine, 80, 82–88. https://doi.org/10.1016/j.ypmed.2015.07.001
Skinner, B. F. (1969). Contingencies of reinforcement: A theoretical analysis. Meredith.
Stitzer, M., & Bigelow, G. (1978). Contingency management in a methadone maintenance program: Availability of reinforcers. The International Journal of the Addictions, 13(5), 737–746. https://doi.org/10.3109/10826087809039299
Volkow, N. D., Wang, G. J., & Fowler, J. S. (1997). Imaging studies of cocaine in the human brain and studies of the cocaine addict. Annals of the New York Academy of Sciences, 820, 41–55. https://doi.org/10.1111/j.1749-6632.1997.tb46188.x
Volkow, N. D., Wang, G. J., Fischman, M. W., Foltin, R., Fowler, J. S., Franceschi, D., … Pappas, N. (2000). Effects of route of administration on cocaine induced dopamine transporter blockade in the human brain. Life sciences, 67(12), 1507–1515. https://doi.org/10.1016/S0024-3205(00)00731-1
Weaver, T., Metrebian, N., Hellier, J., Pilling, S., Charles, V., Little, N., … Strang, J. (2014). Use of contingency management incentives to improve completion of hepatitis B vaccination in people undergoing treatment for heroin dependence: A cluster randomised trial. Lancet (London, England), 384(9938), 153–163. https://doi.org/10.1016/S0140-6736(14)60196-3
Wolffgramm, J., & Heyne, A. (1995). From controlled drug intake to loss of control: The irreversible development of drug addiction in the rat. Behavioural Brain Research, 70(1), 77–94. https://doi.org/10.1016/0166-4328(95)00131-c
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Simões, V., Yamauchi, R., Miguel, A.Q.C. (2021). Contingency Management for the Treatment of Substance Use Disorders. In: Oliani, S.M., Reichert, R.A., Banaco, R.A. (eds) Behavior Analysis and Substance Dependence. Springer, Cham. https://doi.org/10.1007/978-3-030-75961-2_7
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