Cognitive Enhancement and Relapse Prevention in Cocaine Addiction
Cocaine AddictionFor this project, the investigators are interested in exploring a new way to extend and maintain drug abstinence in people who are addicted to crack cocaine. This study will combine a medication called D-Cycloserine (DCS) and weekly cognitive behavioral therapy (CBT) to assess whether the combination will enhance people's ability to stay clean (drug free) for longer periods of time. One of the greatest risks for drug relapse is drug craving. Oftentimes drug craving occurs when a person is confronted with stressors and reminders of past drug use behavior. DCS has been shown to enhance the learning of new information. By administering DCS prior to learning new techniques such as how to cope with drug craving and drug-use reminders, it is possible that patients can be more successful at living a drug free life for a longer period of time. In addition to exploring this model behaviorally, the investigators will explore changes that may occur in the brain before and after the therapy/medication intervention. A technique called MRI (Magnetic Resonance Imaging) will be used to identify areas of the brain that are being activated during an attention task. Areas of neural activation will be assessed at study entry, end of therapy (4-week endpoint) and one month following completion of the treatment program.
Imaging the Neurobiology of a Behavioral Treatment for Cocaine Dependence
Cocaine DependenceThe purpose of this study is to determine whether patients with the greatest loss of dopamine transmission due to cocaine dependence at pre-treatment PET and MRI scans will be those who fail to respond to substance abuse treatment. This study will also determine whether patients who do respond to treatment will experience a recovery of dopamine function. This study includes free brain imaging and behavioral intervention. Compensation provided for the brain scans.
Combined Buprenorphine and Behavioral Treatment With and Without Contingent Reinforcement on Opioid...
Cocaine-Related DisordersOpioid-Related DisordersThe purpose of this study is to test combined buprenorphine and behavioral treatment with and without contingent reinforcement on opioid and cocaine abstinence.
Pharmacotherapy for Schizophrenic Drug Users - 6
Cocaine-Related DisordersSubstance-Related Disorders1 moreThe purpose of this study is to evaluate maintenance neuroleptics for Schizophrenic patients who are cocaine abusers.
Dextroamphetamine-Cocaine Behavioral Intervention - 5
Cocaine-Related DisordersThe purpose of this study is to examine dextroamphetamine-cocaine behavioral intervention in cocaine dependent patients.
Carbamazepine Treatment for Cocaine Dependence - 5
Cocaine-Related DisordersThe purpose of this study is to assess carbamazepine as a pharmacotherapy for cocaine dependence.
Pharmacological Modulation of Cocaine Effects - 1
Cocaine-Related DisordersThe purpose of this study is to conduct human laboratory studies of possible cocaine interactions with various potential treatment medications.
The Effect of Self-Forgiveness on Self-Stigma in Addiction.
Substance Use DisordersOpiate Dependence14 moreThis study has an experimental design and will examine the difference in pre-test and post-test data on the Self-Forgiveness Dual Process Scale (SFDPS) (Griffin, Worthington, Davis, Hook, & Maguen, 2018) and the Substance Abuse Self-Stigma Scale (SASSS) (Luoma et al., 2013). Data will be collected from two groups of participants receiving counseling at the short-term rehabilitation facility located at University of Pittsburgh Medical Center's (UPMC). Individuals who agree to participate in the study will be randomly assigned to either the experimental group (EG) or the control group (CG). Data collected will include pre-test SFDPS and SASSS scores for the EG and the CG (collected within 24-hours of admission), and post-test SFDPS and SASSS scores for the EG and CG (collected after 14 days). ANCOVA will be used to analyze the pre-test and post-test data recorded from participants' scores.
Carvedilol for Psychostimulant Dependence
Cocaine DependenceCocaine WithdrawalThis study examines whether carvedilol prolongs abstinence in recently abstinent cocaine dependent participants.
Combined Treatment for Cocaine-Alcohol Dependence - 1
Alcohol DependenceCocaine DependenceThe purpose of this study is to examine whether Naltrexone and cognitive behavioral therapy can be helpful in patients who want to stop using cocaine and alcohol.