Alcohol relapse repetition, gender, and predictive validity

Zywiak, William H.; Stout, Robert L.; Trefry, Winston B; Glasser, Irene; Connors, Gerard J.; Maisto, Stephen A.; Westerberg, Verner S.

doi:10.1016/j.jsat.2006.03.004

Cited by 66 publications

(45 citation statements)

References 17 publications

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“…Not only sociodemographic but also other risk factors may differ between genders, i.e. for initial post-treatment relapses, women were more likely to have negative affect relapses, and men were more likely to have social pressure relapses (72).…”

Section: Discussionmentioning

confidence: 99%

Personality dimensions and defense styles that are related with relapse during 12 month follow-up in male alcohol dependents

Evren¹,

Yiğiter²,

Bozkurt³

et al. 2013

Dusunen Adam

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Personality dimensions and defense styles that are related with relapse during 12 month follow-up in male alcohol dependents Objective: The aim of this study was to evaluate the defense styles and the personality dimensions that are related with relapse to alcohol use 12 months after inpatient treatment in male alcohol dependents.Methods: Participants were 70 consecutively admitted male alcohol dependents. Among these patients 44 were available to examine after 1 year. Patients were investigated with the Temperament and Character Inventory (TCI) and Defense Styles Q (DSQ) at baseline.Results: Among 44 alcohol dependent inpatients 61.4% (n=27) were considered as relapsed to alcohol use. Current age was lower in relapsed group. Age at regular alcohol use, duration of education, regular income did not differ between groups. Rate of history of self-mutilation and/or suicide attempt at baseline were higher in relapsed group. Rate of changing social environment during 12 months after inpatient treatment was lower in the relapsed group, whereas using drugs and spending time with substance using friends were higher in this group. Mean scores of "acting-out", "devaluation" and "displacement" were higher in the relapsed group. Also same immature defense styles predicted relapse together with self-directedness (SD).When current age was included in the analysis, being younger and high acting-out predicted relapse in alcohol dependents after inpatient treatment.Conclusions: Clinicians must be careful for younger alcohol dependents with lower SD and for those who use immature defense styles (particularly acting-out) since these variables may be related with relapse.Key words: Alcohol dependence, character, defense styles, relapse, temperament ÖZET Erkek alkol bağımlılarında 12 aylık takip süresindeki depreşme ile ilişkili savunma mekanizmaları ve kişilik boyutları Amaç: Bu çalışmanın amacı, erkek alkol bağımlılarında yatarak tedaviden sonraki 12 ay içinde alkol kullanımında depreşme ile ilişkili olabilecek savunma mekanizmaları ve kişilik boyutlarını değerlendirmektir. ayda sosyal çevreyi değiştirme oranı depreşen grupta düşükken, alkol dışı madde kullanmış olma ve madde kullanan arkadaşlarıyla görüşmeye devam etme oranları yüksekti. Depreşen grupta "eyleme dökme", "değersizleştirme" ve "yer değiştirme" ortalama puanları daha yüksekti. Ayrıca aynı savunma mekanizmaları, düşük düzeyde kendi kendini yönetme (KY) ile birlikte depreşmeyi belirleyen değişkenler olmuştur. Analize o anki yaş eklendiğinde ise, alkol bağımlılarında yatarak tedavi sonrası depreşmeyi genç olma ve yüksek eyleme dökme belirlemiştir.Sonuç: Klinisyenler düşük KY ve olgunlaşmamış savunma biçimlerine (özellikle eyleme dökme) sahip genç alkol bağımlıları için dikkatli olmalıdırlar, çünkü bu değişkenler depreşme ile ilişkili görünmektedir.

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Section: Discussionmentioning

confidence: 99%

Personality dimensions and defense styles that are related with relapse during 12 month follow-up in male alcohol dependents

Evren¹,

Yiğiter²,

Bozkurt³

et al. 2013

Dusunen Adam

View full text Add to dashboard Cite

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“…A LCOHOL-USE DISORDERS (AUDs; i.e., alcohol dependence and abuse) are characterized by a chronically relapsing/remitting course over the lifetime (Dawson et al, 2007;Jin et al, 1998;Miller et al, 2001;Zywiak et al, 2006). The resumption of hazardous levels of alcohol consumption after treatment is common (Donovan, 1996;Maisto and Connors, 2006;Miller et al, 2001;Monahan and Finney, 1996), and appears to be mediated by a complex interplay among genetic, neurobiological, neurocognitive, psychological/psychiatric, and sociodemographic factors (Adinoff et al, 2005;Baler and Volkow, 2006;Bottlender and Soyka, 2005;Bradizza et al, 2006;Glenn and Parsons, 1991;Goodman, 2008;Heinz et al, 2003;Jin et al, 1998;Koob, 2003;Moos and Moos, 2006;Parsons et al, 1990;Sher et al, 2005;Weiss and Porrino, 2002;Zywiak et al, 2006). A considerable amount of research has investigated the psychological, psychiatric, sociodemographic, and behavioral correlates of relapse following treatment; however, the neurobiological mechanisms underlying relapse in humans have only recently begun to be delineated, largely because of advances in invivo magnetic resonance and positron emission tomography neuroimaging methods (Volkow et al, 2004).…”

Section: Abstract Objectivementioning

confidence: 99%

Metabolite Levels in the Brain Reward Pathway Discriminate Those Who Remain Abstinent From Those Who Resume Hazardous Alcohol Consumption After Treatment for Alcohol Dependence

Durazzo¹,

Pathak²,

Gaździński³

et al. 2010

J. Stud. Alcohol Drugs

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ABSTRACT. Objective:This study compared baseline metabolite levels in components of the brain reward system among individuals who remained abstinent and those who resumed hazardous alcohol consumption after treatment for alcohol dependence. Method: Fiftyone treatment-seeking alcohol-dependent individuals (abstinent for approximately 7 days [SD = 3]) and 26 light-drinking nonsmoking controls completed 1.5-T proton magnetic resonance spectroscopic imaging, yielding regional concentrations of N-acetylaspartate, cholinecontaining compounds, creatine-containing compounds, and myoinositol. Metabolite levels were obtained in the following component of the brain reward system: dorsolateral prefrontal cortex, anterior cingulate cortex, insula, superior corona radiata, and cerebellar vermis. Alcohol-dependent participants were followed over a 12-month period after baseline study (i.e., at 7 days of abstinence [SD = 3]) and were classifi ed as abstainers (no alcohol consumption; n = 18) and resumers (any alcohol consumption; n = 33) at follow-up. Baseline metabolite levels in abstainers and resumers and light-drinking nonsmoking controls were compared in the above regions of interest. Results: Resumers demonstrated signifi cantly lower baseline N-acetylaspartate concentrations than light-drinking nonsmoking controls and abstainers in all regions of interest. Resumers also exhibited lower creatine-containing-compound concentrations than abstainers in the dorsolateral prefrontal cortex, superior corona radiata, and cerebellar vermis. Abstainers did not differ from light-drinking nonsmoking controls on baseline metabolite concentrations in any region of interest. Conclusions: The signifi cantly decreased N-acetylaspartate and creatine-containing-compound concentrations in resumers suggest compromised neuronal integrity and abnormalities in cellular bioenergetics in major neocortical components and white-matter interconnectivity of the brain reward pathway. The lack of metabolite differences between abstainers and light-drinking nonsmoking controls suggests premorbid factors potentially contributed to the baseline brain metabolite abnormalities observed in resumers. A LCOHOL-USE DISORDERS (AUDs; i.e., alcohol dependence and abuse) are characterized by a chronically relapsing/remitting course over the lifetime (Dawson et al., 2007;Jin et al., 1998;Miller et al., 2001;Zywiak et al., 2006). The resumption of hazardous levels of alcohol consumption after treatment is common (Donovan, 1996;Maisto and Connors, 2006;Miller et al., 2001;Monahan and Finney, 1996), and appears to be mediated by a complex interplay among genetic, neurobiological, neurocognitive, psychological/psychiatric, and sociodemographic factors (Adinoff et al., 2005;Baler and Volkow, 2006;Bottlender and Soyka, 2005;Bradizza et al., 2006;Glenn and Parsons, 1991;Goodman, 2008;Heinz et al., 2003;Jin et al., 1998;Koob, 2003;Moos and Moos, 2006;Parsons et al., 1990;Sher et al., 2005;Weiss and Porrino, 2002;Zywiak et al., 2006). A considerable amount of research has inve...

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“…With respect to the analyses of individual processes, only one article described individual data. Results from the study of Zywiak et al (2006) showed that the number of relapses, defined as any drinking after four days of abstinence, were different in particular cases. Thus, in the six evaluations conducted during the time the study took place (12 months), only 13% of the participants reported six relapses, 18% present a single relapse, and 22% relapsed on three occasions.…”

Section: Resultsmentioning

confidence: 99%

The Recovery from Alcohol Consumption: Analysis of the Construct of Relapse

Reyes-Huerta

Vacio

Pedroza

et al. 2018

Int. j. psychol. res.

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Objective: A systematic review was conducted to identify definitions that facilitated the study of relapse as both behavioral pattern and process. Methods: The review was conducted following the PRISMA-P guidelines. Articles that met the following inclusion criteria were considered: (a) published in peerreviewed journals, (b) provided an explicit operational definition of relapse, (c) assessed relapse during or after a specific psychological or self-care group intervention, (d) focused on alcohol consumption, and (e) were published between 2000 and September 2016. Results: "Any drinking" was the most frequent outcome used to identify relapse, although other discrete outcomes were also considered. Nevertheless, none of the definitions operationalize the notion of the return to a problematic drinking pattern and/or the process of relapse. Conclusion: Problems related to any drinking definition are discussed and we propose the use of a composed index to study relapse. ResumenObjetivo: Se realizó una revisión sistemática para identificar definiciones que permitieran el estudio de la recaída como un patrón y proceso conductual. Método: La revisión fue realizada siguiendo los lineamientos de la guía PRISMA-P. Los artículos que cumplían con los siguientes criterios fueron revisados: (1) publicados en revistas con revisión por pares, (b) definían explícitamente la recaída, (c) se evaluó la recaída después o durante un tratamiento psicológico o participación en un grupo de autoayuda, (d) la intervención se enfocaba en el consumo de alcohol, (d) publicados entre el año 2000 y septiembre de 2016. Resultados: Cualquier consumo fue el resultado más frecuentemente usado para definir la recaída, aunque otros resultados discretos también se consideraron. No obstante, ninguna de las definiciones operacionales reflejó la noción del regreso a un patrón de consumo problemático y/o el proceso a la recaída. Conclusiones: Problemas relacionados a la definición de cualquier consumo son discutidos y se propone un índice compuesto para estudiar la recaída.

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Alcohol relapse repetition, gender, and predictive validity

Cited by 66 publications

References 17 publications

Personality dimensions and defense styles that are related with relapse during 12 month follow-up in male alcohol dependents

Personality dimensions and defense styles that are related with relapse during 12 month follow-up in male alcohol dependents

Metabolite Levels in the Brain Reward Pathway Discriminate Those Who Remain Abstinent From Those Who Resume Hazardous Alcohol Consumption After Treatment for Alcohol Dependence

The Recovery from Alcohol Consumption: Analysis of the Construct of Relapse

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