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Progression of Dreams of Crack Cocaine Abusers as a Predictor of Treatment Outcome: A Preliminary Report

Sandra D. Reid, Donald T. Simeon

The Journal of Nervous and Mental Disease December 1, 2001 DOI: 10.1097/00005053-200112000-00007 (opens in new tab)

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AI-extracted from the abstract
Characteristics Observational cohort Peer reviewed
Sample size 46
Population Consecutive patients with crack cocaine abuse in Trinidad and Tobago completing a 3-month residential treatment program
Duration 3-month residential treatment program with follow-up at 6 months
Citations 28
Key findings Among 46 patients treated for crack cocaine abuse, 41 (89.1%) reported drug dreams in the first month and 28 (60.9%) at six months, when the abstinence rate was 56.5%. Better treatment outcome was associated with having drug dreams at six months and with dreams of refusing the drug.

Abstract

This study tested the hypotheses that a) the dream content of crack cocaine abusers in Trinidad and Tobago changes during abstinence, and b) the change in dream content can be used to predict treatment outcome. The sample comprised 46 consecutive patients who completed a 3-month residential treatment program and were followed up after 6 months. Dreams and associated emotions were recorded during the first month of inpatient treatment and at 6 months follow-up. Forty-one (89.1%) patients reported drug dreams during the first month, mainly of using the drug. Twenty-eight (60.9%) had drug dreams at 6 months follow-up, mainly of using or refusing the drug. There was an abstinence rate of 56.5% at 6 months. A better treatment outcome was associated with having drug dreams at 6 months follow-up (p < .05) and dreams of refusing the drug (p < .05). Findings support the need to further explore the progression of dreams during treatment as a predictive tool.

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