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A money management-based substance use treatment increases valuation of future rewards.

机译:基于资金管理的物质使用治疗可以增加对未来奖励的评估。

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OBJECTIVE: A positive association between delay discounting and substance use has been documented; substance users tend to discount future rewards more than non-users. However, studies detailing the responsiveness of delay discounting to interventions are lacking, and few have examined how any behavioral intervention affects delay discounting and whether these effects moderate changes in substance abuse. This study assesses the effectiveness of a money management intervention, Advisor-Teller Money Manager (ATM), in reducing delay discounting over time and the relationship of these effects to changes in cocaine use. METHOD: Ninety psychiatric patients with histories of cocaine and/or alcohol use were randomly assigned to 36-weeks of ATM treatment or to a minimal-attention control condition. Delay discounting and cocaine use were measured throughout the intervention with a 52-week follow up measure of cocaine use. Analyses were conducted of (a) the effect of ATM on slopes of delay discounting and cocaine abstinence and (b) the relationship between change in delay discounting and change in cocaine abstinence. RESULTS: The ATM intervention was associated with significantly less delay discounting and less cocaine use over time relative to controls. Increases in delay discounting were associated with decreased abstinence from cocaine. CONCLUSIONS: ATM treatment decreased delay discounting rates and these effects extended to cocaine use. Concrete conceptualizations of future events, as occur in financial planning, with higher perceived probability may account for higher valuation of future rewards in counseled patients.
机译:目的:已证明延误折扣与药物使用之间存在正相关关系;物质使用者倾向于比非使用者更多地折现未来奖励。但是,缺乏详细研究延误折扣对干预措施的响应性的研究,很少有人研究任何行为干预如何影响延误折扣以及这些影响是否缓解了药物滥用的变化。这项研究评估了资金管理干预措施,即顾问-交易员资金管理器(ATM),其在减少随时间推移的延迟贴现以及这些影响与可卡因使用变化之间的关系。方法:将具有可卡因和/或酒精使用史的90名精神病患者随机分配至ATM治疗36周或最低注意控制条件。在整个干预过程中对延迟贴现和可卡因的使用进行了测量,并进行了52周的可卡因使用跟踪调查。进行了以下分析:(a)ATM对延误折扣和可卡因戒断的影响,以及(b)延误折扣的变化与可卡因戒断的变化之间的关系。结果:相对于对照组,随着时间的推移,ATM干预与延迟折扣和可卡因的使用显着减少有关。延迟贴现的增加与可卡因的禁欲减少有关。结论:ATM治疗降低了延迟贴现率,并且这些影响扩展到可卡因的使用。财务计划中发生的未来事件的具体概念化,具有较高的感知概率,可能会导致对咨询患者的未来奖励进行更高的评估。

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