Self‐Efficacy as a Predictor of Outcome After Residential Treatment Programs for Alcohol Dependence: Simply Ask the Patient One Question!

Ludwig, Fabian; Tadayon-Manssuri, Elvira; Strik, Werner; Moggi, Franz

doi:10.1111/acer.12007

Cited by 37 publications

(46 citation statements)

References 22 publications

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“…Many participants specifically referenced internal motivation as the primary or only component that predicts successful drug treatment. This is consistent with published data on the motivations of drug treatment seeking and completion behavior among diverse groups of substance users (Johansen, Brendryen, Darnell, & Wennesland, 2013; Kelly & Greene, 2014; Ludwig, Tadayon-Manssuri, Strik, & Moggi, 2013; Murphy, Bentall, Ryley, & Ralley, 2003). For some participants, however, involvement in the criminal justice system interrupted their usual pattern of drug use.…”

Section: Discussionsupporting

confidence: 92%

The Criminal Justice Experience of African American Cocaine Users in Arkansas

Zaller

Cheney

Curran

et al. 2016

Substance Use & Misuse

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Background African Americans are incarcerated at rates much higher than other racial and ethnic groups in the United States. Objectives We sought to qualitatively explore the relationships between ongoing involvement in the criminal justice system and continued drug use in a population of urban and rural African American cocaine users in a southern state. Methods Semi-structured qualitative interviews were conducted among African American cocaine users in Arkansas between 2010 and 2012. Participants resided in both rural (two counties located in the eastern Arkansas Mississippi delta region) and urban (the county including the capital city of Little Rock) areas. Results Numerous important themes emerged from participants’ narratives, including chronic involvement with the criminal justice system (being a “career criminal”), continued access to drugs while incarcerated, relapse, and reincarceration and lack of access to effective drug treatment. Conclusion/Importance The themes which emerged from our data speak to the collective experience that many substance using populations in the United States face in dealing with the criminal justice system. Our findings highlight the need to better, more holistic ways of engaging African American substance users in community based substance use treatment and supportive services.

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Section: Discussionsupporting

confidence: 92%

The Criminal Justice Experience of African American Cocaine Users in Arkansas

Zaller

Cheney

Curran

et al. 2016

Substance Use & Misuse

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“…Support for this can be observed with generic, non-drug (general) self-efficacy being highly associated with substance use (46). Front line treatments for cannabis use disorders that hold strongest evidence for efficacy include Cognitive-Behavioral Therapy (CBT), MI, and Contingency Management (CM) (47).…”

Section: Discussionmentioning

confidence: 95%

Polysubstance Use in Cannabis Users Referred for Treatment: Drug Use Profiles, Psychiatric Comorbidity and Cannabis-Related Beliefs

Connor¹,

Gullo²,

Chan³

et al. 2013

Front. Psychiatry

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Background: Population-based surveys demonstrate cannabis users are more likely to use both illicit and licit substances, compared with non-cannabis users. Few studies have examined the substance use profiles of cannabis users referred for treatment. Co-existing mental health symptoms and underlying cannabis-related beliefs associated with these profiles remains unexplored.Methods: Comprehensive drug use and dependence severity (Severity of Dependence Scale-Cannabis) data were collected on a sample of 826 cannabis users referred for treatment. Patients completed the General Health Questionnaire, Cannabis Expectancy Questionnaire, Cannabis Refusal Self-Efficacy Questionnaire, and Positive Symptoms and Manic-Excitement subscales of the Brief Psychiatric Rating Scale. Latent class analysis was performed on last month use of drugs to identify patterns of multiple drug use. Mental health comorbidity and cannabis beliefs were examined by identified drug use pattern.Results: A three-class solution provided the best fit to the data: (1) cannabis and tobacco users (n = 176), (2) cannabis, tobacco, and alcohol users (n = 498), and (3) wide-ranging substance users (n = 132). Wide-ranging substance users (3) reported higher levels of cannabis dependence severity, negative cannabis expectancies, lower opportunistic, and emotional relief self-efficacy, higher levels of depression and anxiety and higher manic-excitement and positive psychotic symptoms.Conclusion: In a sample of cannabis users referred for treatment, wide-ranging substance use was associated with elevated risk on measures of cannabis dependence, co-morbid psychopathology, and dysfunctional cannabis cognitions. These findings have implications for cognitive-behavioral assessment and treatment.

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“…Moreover, a number of treatment outcome studies have shown that self-reported confidence in one's ability to maintain abstinence (self-efficacy) is associated with better treatment outcome (Dolan et al, 2008; Ludwig et al, 2013; Vielva and Iraurgi, 2001); however, much like studies of craving and longer-term outcomes, this finding is not always consistent (Demmel et al, 2006). Similar to cue-induced craving, self-efficacy may also be a better predictor of the likelihood of proximal use (Barta et al, 2009; Gwaltney et al, 2005).…”

Section: Discussionmentioning

confidence: 99%

Assessing craving and its relationship to subsequent prescription opioid use among treatment-seeking prescription opioid dependent patients

McHugh

Fitzmaurice

Carroll

et al. 2014

Drug and Alcohol Dependence

102

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Background Craving is viewed as a core feature of substance use disorders and has been shown to predict future drug use, particularly over the short term. Accordingly, craving is often assessed in treatment settings as a marker of risk for subsequent drug use. The identification of the briefest measure that maintains predictive validity is of particular value for both clinical and research settings to minimize assessment burden while maintaining utility for the prediction of use. Methods Data from a multi-site clinical trial of treatment for prescription opioid dependence were examined to evaluate whether a brief, 3-item craving scale administered each week predicted urine-confirmed self report of prescription opioid use in the subsequent week. Logistic regression models examining the association between craving and presence or absence of opioid use in the following week were conducted, controlling for opioid use in the previous week, treatment condition, and lifetime history of heroin use. Results Greater craving was associated with a higher odds of prescription opioid use in the following week. For each one-unit increase on this 10-point scale, the odds of using opioids in the subsequent week was 17% higher. In addition to an item assessing urges, items assessing cue-induced craving and perceived likelihood of relapse in an environment where drugs were previously used contributed uniquely to this association. Conclusions A brief measure of prescription opioid craving predicted prescription opioid use among individuals in treatment. This measure offers an efficient strategy to inform the assessment of risk for use in this population.

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Self‐Efficacy as a Predictor of Outcome After Residential Treatment Programs for Alcohol Dependence: Simply Ask the Patient One Question!

Cited by 37 publications

References 22 publications

The Criminal Justice Experience of African American Cocaine Users in Arkansas

The Criminal Justice Experience of African American Cocaine Users in Arkansas

Polysubstance Use in Cannabis Users Referred for Treatment: Drug Use Profiles, Psychiatric Comorbidity and Cannabis-Related Beliefs

Assessing craving and its relationship to subsequent prescription opioid use among treatment-seeking prescription opioid dependent patients

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