Cognitive and behavioural factors as predictors of abstinence following treatment for alcohol dependence

Vielva, Isabel; Iraurgi, Ioseba

doi:10.1046/j.1360-0443.2001.96229713.x

Cited by 71 publications

(58 citation statements)

References 20 publications

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“…In clinical settings, severe psychosocial stressors, psychosocial vulnerability and self-efficacy were associated with relapse after treatment [21,22] .…”

Section: Introductionmentioning

confidence: 99%

Social Factors but Not Stress-Coping Styles Predict Relapse in Detoxified Alcoholics

Walter¹,

Gerhard²,

Duersteler-MacFarland³

et al. 2006

Neuropsychobiology

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Alcohol-dependent patients face a substantial risk of relapse after detoxification. Though psychosocial stress and coping strategies are regarded as major contributing factors in returning to drinking, the direct effects of coping styles on relapse are not clear. In this treatment outcome study, a mixed gender sample of 130 detoxified and well-characterized alcohol-dependent patients (37 women) was followed up over a period of 12 months after 6 weeks of inpatient treatment. Patients had completed a comprehensive baseline assessment, including a stress coping questionnaire (SVF120). We hypothesized that these individual stress coping styles would contribute to treatment outcome. A logistic regression analysis was used to evaluate the impact of stress coping styles, as well as the effect of pretreatment drinking and social characteristics on relapse. Approximately half the patients (49%) relapsed within 1 year after treatment. In contrast to our hypothesis, stress coping styles did not predict relapse. However, significant predictors of relapse were social factors related to living situation (living alone), marital status (being separated from the spouse) and pretreatment frequency of alcohol intake. These findings suggest that a partnership is more relevant for the risk of relapse than stress coping styles.

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“…In clinical settings, severe psychosocial stressors, psychosocial vulnerability and self-efficacy were associated with relapse after treatment [21,22] .…”

Section: Introductionmentioning

confidence: 99%

Social Factors but Not Stress-Coping Styles Predict Relapse in Detoxified Alcoholics

Walter¹,

Gerhard²,

Duersteler-MacFarland³

et al. 2006

Neuropsychobiology

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“…The results of this study vary from those of studies conducted with subjects who are using other substances, where improved self-efficacy was shown to have a positive effect on outcome (Ciraulo et al, 2003;Rychtarik et al, 1992;Vielva & Iraurgi, 2001;. According to the literature, clients are better able to remain abstinent from opiates when scoring high on the self-efficacy scale.…”

Section: Treatment Outcomescontrasting

confidence: 55%

“…Studies of alcoholics show that those with higher self-efficacy scores were better able to resist the urge to drink when tempted, and remained sober longer Rychtarik, Prue, Rapp, & King, 1992;Solomon & Annis, 1990;Vielva & Iraurgi, 2001). …”

Section: Self-efficacymentioning

confidence: 99%

The Effect of Self-Efficacy on Treatment Outcomes of Clients Enrolled in a Methadone Treatment Program in Rural Maryland

Franckowiak

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The number of people diagnosed with substance abuse and dependence continues to increase with serious implications for individuals and groups.Addiction treatment can be effective, and certain principles, when adhered to, increase the likelihood of success: engagement, retention and individualization.Becker's Health Belief Model (HBM, 1974) has been used successfully to address behavior change in chronic diseases, as well as smoking and alcohol dependence. This project applies the HBM to opiate addiction treatment, specifically medication assisted treatment (MAT). The purpose of this study was to measure the relationship between self-efficacy and treatment outcomes for opiate dependent clients on MAT. A convenience sample of 50 persons with addiction to opiates was admitted to an outpatient substance abuse treatment program for MAT using methadone, and followed for a period of 6 months. Preand post-treatment self-efficacy scores were obtained using a modified General Self-Efficacy Scale (GSE; . Treatment outcomes were measured by the number of negative random monthly urine screens, attendance at group and individual counseling sessions, daily dosing adherence, and retention in treatment for at least 6 months. Pre-and post-treatment selfefficacy scores were compared using a t-test, and self-efficacy scores were compared to client outcomes using Pearson Correlation. GSE scores demonstrated improvement after 6 months in treatment (p=<.01). However, no statistically significant relationship was found between GSE scores and treatment outcomes.

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“…The expectancy that reinforcement will follow potential drinking behaviors (the perceived internal and external loci of control) is learned (Donovan & Marlatt, 1980). Relapse was linked with more external locus of control (Kivlahan, Donovan, & Walker, 1983;Vielva & Iraurgi, 2001). In comparison to patients with severe alcohol dependence, a patient in the recovery stage tends to have an internal locus of control (Huckstadt, Fig.…”

Section: Discussionmentioning

confidence: 97%

“…Principal components factor analysis 17 items divided into 3 factors, and each model has 50-67% of the total variance Li et al (2000) 48 Alcoholics Anonymous members and 33 recovery members DRIE total scores (25 items) and nonpaired t test Alcoholics Anonymous patients scored significantly more on external locus of control on the DRIE than did recovering members Vielva and Iraurgi (2001) 201 alcohol-dependent patients DRIE scores and logistic regression analysis…”

Section: Introductionmentioning

confidence: 99%

The Chinese version of the drinking-related locus-of-control scale: A confirmatory factor analysis

Yeh

Lee

Hwang

2008

Journal of Substance Abuse Treatment

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Cognitive and behavioural factors as predictors of abstinence following treatment for alcohol dependence

Cited by 71 publications

References 20 publications

Social Factors but Not Stress-Coping Styles Predict Relapse in Detoxified Alcoholics

Social Factors but Not Stress-Coping Styles Predict Relapse in Detoxified Alcoholics

The Effect of Self-Efficacy on Treatment Outcomes of Clients Enrolled in a Methadone Treatment Program in Rural Maryland

The Chinese version of the drinking-related locus-of-control scale: A confirmatory factor analysis

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