Original ArticlesProgression of Dreams of Crack Cocaine Abusers as a Predictor of Treatment Outcome: A Preliminary ReportREID, SANDRA D. D.M. (Psych.)1; SIMEON, DONALD T. Ph.D.2Author Information 1Department of Clinical Medical Sciences (Psychiatry Division), Faculty of Medical Sciences, University of the West Indies, St. Augustine, Trinidad. Send reprint requests to Dr. Reid. 2Department of Community Health, University of the West Indies, Trinidad. The authors thank Dr. John Neehall for his comments on the original manuscript. The Journal of Nervous and Mental Disease: December 2001 - Volume 189 - Issue 12 - p 854-857 Buy 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. © 2001 Lippincott Williams & Wilkins, Inc.