Comorbidity of substance dependence and depression: Role of life stress and self-efficacy in sustaining abstinence.

Abstract

The authors examined life stress and self-efficacy as predictors of time to relapse for 113 adults with comorbid major depressive disorder and alcohol and/or substance dependence in a randomized clinical trial comparing 2 psychotherapy interventions (integrated cognitive- behavioral therapy and 12-step facilitation therapy). Life stress, self-efficacy, and substance use were assessed at treatment entry, 12 weeks (mid-treatment), and 24 weeks (end of treatment). Time to relapse was defined as the number of days from treatment initiation until first alcohol and/or drug use. Half of the sample relapsed within the study period of 24 weeks. There was no significant difference between treatment groups. Individuals experiencing life stressors were more likely to relapse early than those not experiencing life stressors. Lower self-efficacy also predicted earlier relapse. Chronic stress levels and self-efficacy were stable across time for most individuals. In contrast, acute stress events occurred at differing times, and survival analyses provided evidence of heightened relapse risk in the month following acute stressors. The interaction of self-efficacy and life stress was not significant. The results highlight the significance of life stress and self-efficacy as predictors of early relapse.

The Mediating Role of Time Perspective in the Relationship between General Self-Efficacy and the Tendency toward Substance Abuse in Female Adolescents

“…According to Bandura, drug abuse behavior, on the one hand, is learned by imitation and reinforcement in the area of interpersonal relationships, and on the other hand, is influenced by individual factors such as self-efficacy and individual beliefs (Bandura, 1993). Research findings also suggest that there is a significant relationship between self-efficacy and drug abuse in the adolescents, the more is the self-efficacy, the less is the tendency toward drug abuse (Dolan, Rosemarie, Martin, & Rohsenow, 2008;Tate et al, 2008;McKellar, Ilgen, Moos, & Moos, 2008;Ibrahim et al, 2011).…”

Recaídas en la adicción a cocaína: una revisión

“…La relación entre autoeficacia y resultados en el tratamiento de dependientes a cocaína ha sido examinada en varios estudios (Dolan, Martin y Rohsenow, 2008;Hser et al, 2006;Tate et al, 2008;Wong, Anthony, Mongeon, Badger, y Higgins, 2004). En dichos trabajos se concluye que aquellos pacientes que presentan niveles altos de autoeficacia parecen mostrar una mayor protección frente a la recaída.…”

Substance misuse in depression and bipolar disorder: a review of psychological interventions and considerations for clinical practice

“…A measure of craving, the 'Obsessive Compulsive Drinking Scale' (Anton, Moak, & Latham, 1996) has been found to predict relapse in those with depression or bipolar disorder and alcohol problems (Farren & McElroy, 2010), thus this could be used to identify high risk clients. Stresses such as relationship and housing problems predict relapse in those with depression and substance misuse (Tate et al, 2008), thus coping skills to deal with these are important. Finally, the majority of relapses occur within two months after treatment (Tate, et al, 2008), so close monitoring after discharge and booster sessions are indicated.…”

“…Stresses such as relationship and housing problems predict relapse in those with depression and substance misuse (Tate et al, 2008), thus coping skills to deal with these are important. Finally, the majority of relapses occur within two months after treatment (Tate, et al, 2008), so close monitoring after discharge and booster sessions are indicated. A number of gender differences are present in those with dual diagnosis.…”