Alcohol relapse and near-relapse experiences show that relapse models need to be updated

Mau, Martin; Muller, Ashley Elizabeth; Roessler, Kirsten Kaya

doi:10.1080/07347324.2018.1532775

Cited by 7 publications

(3 citation statements)

References 57 publications

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“…Contemporary views of relapse differentiate between a relapse and a lapse, where the latter is a single, one‐time return to the target behavior (e.g., substance use) (Witkiewitz & Marlatt, 2007). An estimated 60%–90% of individuals relapse within the first year of treatment (see Mau et al., 2019). Very few studies have compared treatment outcomes and relapse experiences between LGBTQ+ and heterosexual clients.…”

Section: Relapsementioning

confidence: 99%

Queering recovery: A proposed model for LGBTQ+‐affirmative relapse prevention

Chaney,

Mason

2024

J Addict Offender Couns

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Professional counseling literature pertaining to substance use counseling for LGBTQ+ communities is scant. One such exclusion is relapse prevention for LGBTQ+ clients. To meet this gap, this paper explored LGBTQ+‐specific factors that contribute to the development and maintenance of substance use and the risk of relapse once in recovery. We extend Witkiewitz and Marlatt's Dynamic Model of Relapse by identifying and integrating examples of LGBTQ+‐specific tonic and phasic elements that influence relapse. Based on these postulations, an LGBTQ+‐affirmative model of relapse prevention is introduced. Implications for research and pedagogy are proposed.

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Section: Relapsementioning

confidence: 99%

Queering recovery: A proposed model for LGBTQ+‐affirmative relapse prevention

Chaney,

Mason

2024

J Addict Offender Couns

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“…High‐risk situations are characterized as circumstances where an individual's efforts to abstain from alcohol are jeopardized (Hendershot et al., 2011; Marlatt, 1996; Witkiewitz & Marlatt, 2004). While which situations are high risk varies widely between individuals, common high‐risk situations leading to alcohol relapse include experiencing negative affect (Hogarth, 2020; Hogarth & Hardy, 2018; Koob & Volkow, 2016; Sliedrecht et al., 2019; Zywiak et al., 2006), withdrawal (Becker, 2008; Koob & Volkow, 2016), physical pain (Jakubczyk et al., 2016; Stillman & Sutcliff, 2020; Witkiewitz & Vowles, 2018; Zale et al., 2015), and social events (Mau et al., 2019; Sliedrecht et al., 2019; Stillman & Sutcliff, 2020; Zywiak et al., 2006).…”

Section: Introductionmentioning

confidence: 99%

Context matters: Exploring the adaptive nature of self‐regulation skills in predicting abstinence among veterans with alcohol use disorder

Dwyer,

Padula

2024

Alcohol, Clinical and Experimental Research

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BackgroundAlcohol use disorder (AUD) is highly prevalent among veterans in the United States. Self‐regulation skills (e.g., coping and emotion regulation) are important biopsychosocial factors for preventing relapse. However, how variation in self‐regulation skills supports abstinence based on contextual demands is understudied in veterans with AUD.MethodsIn a prospective longitudinal design, treatment‐seeking veterans (n = 120; 29 females) aged 23–91 with AUD completed the Alcohol Abstinence Self‐Efficacy Scale to assess temptation to drink across several high‐risk situations (i.e., negative affect, social/positive emotions, physical concerns, and craving/urges) as well as the Brief‐COPE and Emotion Regulation Questionnaire to assess self‐regulation skills. Abstinence status was assessed at 6 months. T‐tests were used to identify self‐regulation skills that differed between abstinent and non‐abstinent individuals. Multivariate regression with model selection was performed using all possible interactions between each high‐risk situation and the self‐regulation skills that significantly differed between groups.ResultsOverall, 33.3% of participants (n = 40; nine females) were abstinent at 6 months. Abstinent individuals reported significantly higher use of suppression (p = 0.015), acceptance (p = 0.005), and planning (p = 0.045). Multivariate regression identified significant interactions between (1) planning and physical concerns (p = 0.010) and (2) acceptance, suppression, and craving/urges (p = 0.007). Greater planning predicted abstinence in participants with higher temptation to drink due to physical concerns (e.g., pain). For individuals with lower temptation to drink due to cravings/urges, simultaneous higher suppression and acceptance increased the likelihood of abstinence. Conversely, for participants with higher cravings, greater acceptance with lower suppression was linked to a higher probability of abstinence.ConclusionsResults suggest that the adaptiveness of self‐regulation skills in predicting AUD recovery is dependent on contextual demands and highlight the need for culturally sensitive treatments. Collectively, these findings indicate that further research on coping and regulatory flexibility may be an important avenue for tailoring AUD treatment for veterans.

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“…These social cognition impairments foster interpersonal difficulties by deteriorating existing social relationships and preventing the emergence of new ones, reducing social support (Bora & Zorlu, 2016; Le Berre, 2019; Pabst et al, 2020b), and increasing social isolation (Cox et al, 2018). In turn, such interpersonal difficulties constitute relapse predictors (Levola et al, 2013; Mau et al, 2018; Zywiak et al, 2003). Conversely, social support increases the chances of recovery (Bolin et al, 2003; Schomerus et al, 2011; Seid, 2016).…”

Section: Introductionmentioning

confidence: 99%

Social decision making in severe alcohol use disorder: Scoping review and experimental perspectives

Gautier¹,

Pabst²,

Maurage³

2021

Alcoholism Clin & Exp Res

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Background Patients with severe alcohol use disorder (SAUD) demonstrate multifaceted impairments in social cognition abilities, including emotional decoding or Theory of Mind. Such impairments are associated with real‐life interpersonal difficulties, which in turn could contribute to the persistence of SAUD. However, little is known regarding how patients with SAUD make decisions in a social context and this literature has not been comprehensively reviewed. Objectives The main aim of this paper was to conduct the first review specifically focusing on social decision‐making abilities in SAUD. Following PRISMA guidelines for scoping reviews, we describe existing knowledge regarding the difficulties experienced by patients with SAUD during social interactions. Our second objective was to propose perspectives for future research, based on the shortcomings identified in the available literature. Design We searched three online databases (PubMed, PsycINFO, and Scopus) and identified 14 papers using behavioral tasks to assess social decision making in patients with SAUD. Results Included studies assessed social decision making through three paradigms: (1) economic games (four papers), (2) moral dilemmas (four papers), and (3) interpersonal problem‐solving (six papers). Results indicated that patients with SAUD behave differently from controls in all three paradigms. Conclusions Previous studies suggested large‐scale social decision‐making impairments or biases in SAUD. However, in light of the limited number of studies available and of the restricted set of processes measured, we call for the extension of this field through more ecologically relevant and model‐based paradigms in order to elucidate the underlying mechanisms of these effects.

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Alcohol relapse and near-relapse experiences show that relapse models need to be updated

Cited by 7 publications

References 57 publications

Queering recovery: A proposed model for LGBTQ+‐affirmative relapse prevention

Queering recovery: A proposed model for LGBTQ+‐affirmative relapse prevention

Context matters: Exploring the adaptive nature of self‐regulation skills in predicting abstinence among veterans with alcohol use disorder

Social decision making in severe alcohol use disorder: Scoping review and experimental perspectives

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