Relapse Prevention for Alcohol and Drug Problems: That Was Zen, This Is Tao.

Witkiewitz, Katie; Marlatt, G. Alan

doi:10.1037/0003-066x.59.4.224

Cited by 739 publications

(655 citation statements)

References 124 publications

(163 reference statements)

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“…This focus group data indicated relapse is a complex non-linear process involving factors that together can increase a gambler's vulnerability to relapse. It fits with the recent conceptualization of relapse in alcohol dependence (Witikiewtiz and Marlatt 2007;Witkiewitz and Marlatt 2004). These authors suggest relapse is not a linear process for alcohol dependence, relapse results because a large number of factors come together to make relapse more or less likely (Witkiewitz and Marlatt 2007).…”

Section: Discussionsupporting

confidence: 81%

A Focus Group Study of Predictors of Relapse in Electronic Gaming Machine Problem Gambling, Part 1: Factors that ‘Push’ Towards Relapse

et al. 2011

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Section: Discussionsupporting

confidence: 81%

A Focus Group Study of Predictors of Relapse in Electronic Gaming Machine Problem Gambling, Part 1: Factors that ‘Push’ Towards Relapse

et al. 2011

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“…Specifically, results of the present study, establishing that the ICS predicts problem drinking cross-sectionally in young adults with relatively brief drinking histories, further support the position that impairment of control is one of the earliest stages of addiction (Chick and Duffy, 1979;Langenbucher et al, 1995;Martin et al, 1996;Winters et al, 1999). By the time later stages are reached (e.g., withdrawal and alcohol-induced psychological or physical problems), risk of relapse increases (Witkiewicz and Marlatt, 2004), making treatment more difficult. Identifying those with impaired control early on may facilitate intervention before the later stages of addiction.…”

Section: Discussionsupporting

confidence: 56%

“…By the time drinkers manifest late developing symptoms, they have likely been excessive drinkers for several years and are severely addicted. Because withdrawal increases vulnerability to relapse (Witkiewicz and Marlatt, 2004), treatment becomes more challenging once patients reach this stage. Despite advances in treatment, 40-60% of patients treated for substance use disorders return to active use within one year (McLellan et al, 2000).…”

Section: Introductionmentioning

confidence: 99%

Impaired Control and Undergraduate Problem Drinking

Leeman

Fenton

Volpicelli

2006

Alcohol and Alcoholism

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Aims-Impaired control, one of the hallmarks of addiction, is also one of the earliest dependence symptoms to develop. Thus impaired control is particularly relevant to undergraduates and other young adults with relatively brief drinking histories. The main goal of this study was to determine whether impaired control predicted heavy episodic drinking and alcohol-related problems crosssectionally in an undergraduate sample after controlling for gender, family history of alcohol and drug problems and several other established predictor variables from the undergraduate alcohol literature.Methods-A sample of first-year undergraduates (N = 312) completed Part 2 of the Impaired Control Scale (ICS; Heather et al., 1993) and other measures related to alcohol use as part of a larger study on problem drinking in undergraduates.Results-Scores on Part 2 of the ICS predicted heavy episodic drinking and alcohol-related problems cross-sectionally even after controlling for all other predictor variables. Notably, impaired control was a stronger predictor of alcohol-related problems than overall weekly alcohol consumption. Part 2 of the ICS was found to be a reliable and valid measure for use with undergraduates.Conclusions-These findings support the notion that impaired control is one of the earliest dependence symptoms to develop. The ICS is an effective tool for identifying young adults at risk for problem drinking.

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“…Relapse prevention approaches are widely recognized and accepted in the substance abuse literature, such as the influential cognitive-behavioral relapse prevention program of Marlatt (15,16). Similarly, while the literature on suicide interventions does not typically draw upon the language or established relapse prevention approaches of the substance abuse field, interventions designed to prevent recurrent suicidal behavior are also in fact "relapse prevention interventions."…”

Section: Need For An Integrated Approach To Treatmentmentioning

confidence: 99%

Challenges and Opportunities in the Treatment of Adolescents with Substance Use Disorder and Suicidal Behavior

Esposito‐Smythers

Goldston

2008

Substance Abuse

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Many youth who present for substance abuse treatment report co-occurring suicidality. Therefore, it is important to learn about the characteristics of this population and effective treatment strategies. The purpose of this paper is to provide an overview of some of the key issues that arise when treating youth with substance abuse and co-occurring suicidality and to offer recommendations on how to approach these areas. Specifically, we discuss the potential utility of an integrated approach to treatment, and provide an overview of the characteristics of this treatment population, motivational and treatment engagement issues, the clinical management of suicidality in the context of treatment, and the effect of psychiatric comorbidity on treatment needs. We then discuss school, family, and peer issues that may arise as well as special considerations for the use of urine drug screens with this population. We conclude with recommendations for future treatment development research in this very important area. Keywordssuicide; substance abuse; treatment; comorbidity; adolescence Substance abuse and suicidality commonly co-occur among adolescent psychiatric populations. In youth receiving substance abuse treatment, 18% to 36% report a history of suicidal behavior (1-4). In recent reviews of the literature, the presence of a substance use disorder was noted to be associated with a 3-to 4-fold increase in suicide attempts (5). Moreover, adolescents diagnosed with a substance use disorder were 5 to 13 times more likely to die by suicide than adolescents without this diagnosis (4,6). Given the association between substance use disorders and suicidality, it is important to consider our approach to treatment and clinical research with this very difficult high risk adolescent population.In this paper, we offer information on many of the clinical issues that arise in treating suicidal substance abusing adolescents. This information is based on our experience working with this population in the context of clinical trials for suicidal substance abusing teens. Specifically, our treatment development studies compare an integrated outpatient cognitive behavioral treatment for both substance use disorder and suicidality to enhanced standard care. We will review some of the key issues that should be considered when assessing and treating this population and offer recommendations for how to approach these issues. We will conclude

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Relapse Prevention for Alcohol and Drug Problems: That Was Zen, This Is Tao.

Cited by 739 publications

References 124 publications

A Focus Group Study of Predictors of Relapse in Electronic Gaming Machine Problem Gambling, Part 1: Factors that ‘Push’ Towards Relapse

A Focus Group Study of Predictors of Relapse in Electronic Gaming Machine Problem Gambling, Part 1: Factors that ‘Push’ Towards Relapse

Impaired Control and Undergraduate Problem Drinking

Challenges and Opportunities in the Treatment of Adolescents with Substance Use Disorder and Suicidal Behavior

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