The process of relapse in severely dependent male problem drinkers
Aims. The aim of the study was to investigate factors hypothesized to influence the relapse process, with a focus on the role of self‐efficacy, alcohol dependence and cognitive functioning. Design. The study was conducted in the context of a controlled trial of a relapse prevention programme. Subjec...
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| Veröffentlicht in: | Addiction (Abingdon, England) England), 2000-01, Vol.95 (1), p.95-106 |
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| description | Aims. The aim of the study was to investigate factors hypothesized to influence the relapse process, with a focus on the role of self‐efficacy, alcohol dependence and cognitive functioning. Design. The study was conducted in the context of a controlled trial of a relapse prevention programme. Subjects were assessed prior to treatment, at immediate conclusion of treatment and at 6‐ and 12‐month follow‐up. Setting. The study was conducted in an Alcohol Treatment Unit (ATU) in Scotland. Participants: Subjects were 60 male problem drinkers who were patients at the ATU. They were heavy drinkers, with corresponding high levels of alcohol dependence and alcohol‐related harm. Measurements. The independent variables were posttreatment self‐efficacy, alcohol dependence, cognitive functioning, level of depression and alcohol consumption prior to admission to treatment. The dependent variables were post‐treatment drinking behaviour and functioning and time to lapse and relapse. Findings. Although the methodology does not allow identification of causality, support was found for the hypothesis that post‐treatment self‐efficacy was an intervening variable between treatment and outcome. Higher post‐treatment self‐efficacy predicted better outcome at 6‐month follow‐up and was associated with a reduced risk of lapse and relapse over the 12‐month follow‐up. Poorer cognitive functioning was significantly associated with being categorized as a problem drinker at 6‐month follow‐up and with higher risk of a lapse over the 12‐month follow‐up. Level of alcohol dependence did not predict outcome. Conclusions. It was concluded that post‐treatment self‐efficacy rating is a predictor of treatment outcome and time to lapse and relapse and that cognitive functioning is a predictor of treatment outcome and time to lapse. |
| doi_str_mv | 10.1046/j.1360-0443.2000.9519510.x |
| format | Article |
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The aim of the study was to investigate factors hypothesized to influence the relapse process, with a focus on the role of self‐efficacy, alcohol dependence and cognitive functioning. Design. The study was conducted in the context of a controlled trial of a relapse prevention programme. Subjects were assessed prior to treatment, at immediate conclusion of treatment and at 6‐ and 12‐month follow‐up. Setting. The study was conducted in an Alcohol Treatment Unit (ATU) in Scotland. Participants: Subjects were 60 male problem drinkers who were patients at the ATU. They were heavy drinkers, with corresponding high levels of alcohol dependence and alcohol‐related harm. Measurements. The independent variables were posttreatment self‐efficacy, alcohol dependence, cognitive functioning, level of depression and alcohol consumption prior to admission to treatment. The dependent variables were post‐treatment drinking behaviour and functioning and time to lapse and relapse. Findings. Although the methodology does not allow identification of causality, support was found for the hypothesis that post‐treatment self‐efficacy was an intervening variable between treatment and outcome. Higher post‐treatment self‐efficacy predicted better outcome at 6‐month follow‐up and was associated with a reduced risk of lapse and relapse over the 12‐month follow‐up. Poorer cognitive functioning was significantly associated with being categorized as a problem drinker at 6‐month follow‐up and with higher risk of a lapse over the 12‐month follow‐up. Level of alcohol dependence did not predict outcome. Conclusions. It was concluded that post‐treatment self‐efficacy rating is a predictor of treatment outcome and time to lapse and relapse and that cognitive functioning is a predictor of treatment outcome and time to lapse.</description><identifier>ISSN: 0965-2140</identifier><identifier>EISSN: 1360-0443</identifier><identifier>DOI: 10.1046/j.1360-0443.2000.9519510.x</identifier><identifier>PMID: 10723834</identifier><identifier>CODEN: ADICE5</identifier><language>eng</language><publisher>Oxford, UK: Carfax Publishing, Taylor & Francis Ltd</publisher><subject>Adult ; Alcohol Abuse ; Alcoholism ; Alcoholism - prevention & control ; Alcoholism - psychology ; Australia ; Biological and medical sciences ; Cognition ; Cognition & reasoning ; Cognitive Functioning ; Desintoxication. Drug withdrawal ; Drug addiction ; Humans ; Male ; Males ; Medical sciences ; Men ; Middle Aged ; Prevention ; Problem drinkers ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Relapse ; Scotland ; Secondary Prevention ; Self Efficacy ; Substance abuse treatment ; Treatment ; Treatment Outcomes ; Treatments</subject><ispartof>Addiction (Abingdon, England), 2000-01, Vol.95 (1), p.95-106</ispartof><rights>2000 INIST-CNRS</rights><rights>Copyright Carfax Publishing Company Jan 2000</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5960-1da7f9d71b97423cb0fcd87cd1c4169173577f92987922595c470bed404a21783</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1046%2Fj.1360-0443.2000.9519510.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1046%2Fj.1360-0443.2000.9519510.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,4010,27900,27901,27902,30977,33752,45550,45551</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1275089$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10723834$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Allsop, Steve</creatorcontrib><creatorcontrib>Saunders, Bill</creatorcontrib><creatorcontrib>Phillips, Mike</creatorcontrib><title>The process of relapse in severely dependent male problem drinkers</title><title>Addiction (Abingdon, England)</title><addtitle>Addiction</addtitle><description>Aims. The aim of the study was to investigate factors hypothesized to influence the relapse process, with a focus on the role of self‐efficacy, alcohol dependence and cognitive functioning. Design. The study was conducted in the context of a controlled trial of a relapse prevention programme. Subjects were assessed prior to treatment, at immediate conclusion of treatment and at 6‐ and 12‐month follow‐up. Setting. The study was conducted in an Alcohol Treatment Unit (ATU) in Scotland. Participants: Subjects were 60 male problem drinkers who were patients at the ATU. They were heavy drinkers, with corresponding high levels of alcohol dependence and alcohol‐related harm. Measurements. The independent variables were posttreatment self‐efficacy, alcohol dependence, cognitive functioning, level of depression and alcohol consumption prior to admission to treatment. The dependent variables were post‐treatment drinking behaviour and functioning and time to lapse and relapse. Findings. Although the methodology does not allow identification of causality, support was found for the hypothesis that post‐treatment self‐efficacy was an intervening variable between treatment and outcome. Higher post‐treatment self‐efficacy predicted better outcome at 6‐month follow‐up and was associated with a reduced risk of lapse and relapse over the 12‐month follow‐up. Poorer cognitive functioning was significantly associated with being categorized as a problem drinker at 6‐month follow‐up and with higher risk of a lapse over the 12‐month follow‐up. Level of alcohol dependence did not predict outcome. Conclusions. It was concluded that post‐treatment self‐efficacy rating is a predictor of treatment outcome and time to lapse and relapse and that cognitive functioning is a predictor of treatment outcome and time to lapse.</description><subject>Adult</subject><subject>Alcohol Abuse</subject><subject>Alcoholism</subject><subject>Alcoholism - prevention & control</subject><subject>Alcoholism - psychology</subject><subject>Australia</subject><subject>Biological and medical sciences</subject><subject>Cognition</subject><subject>Cognition & reasoning</subject><subject>Cognitive Functioning</subject><subject>Desintoxication. Drug withdrawal</subject><subject>Drug addiction</subject><subject>Humans</subject><subject>Male</subject><subject>Males</subject><subject>Medical sciences</subject><subject>Men</subject><subject>Middle Aged</subject><subject>Prevention</subject><subject>Problem drinkers</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Relapse</subject><subject>Scotland</subject><subject>Secondary Prevention</subject><subject>Self Efficacy</subject><subject>Substance abuse treatment</subject><subject>Treatment</subject><subject>Treatment Outcomes</subject><subject>Treatments</subject><issn>0965-2140</issn><issn>1360-0443</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>BEC</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><sourceid>7QJ</sourceid><sourceid>BHHNA</sourceid><recordid>eNqVkVtv1DAQhS0EosvCX0BRhXhLGN9j3touFGgFLwUeLceZiGxz2dq7sPvv8ZKoIF4QkiVr5G_OHM8h5JRCQUGoV-uCcgU5CMELBgCFkTQdKPYPyOL-6SFZgFEyZ1TACXkS4zqhujTiMTmhoBkvuViQ85tvmG3C6DHGbGyygJ3bRMzaIYv4HVN5yGrc4FDjsM161_2iqw77rA7tcIshPiWPGtdFfDbfS_L57Zubi3f59afL9xdn17mXJnmitdONqTWtjBaM-woaX5fa19QLqgzVXOoEMFNqw5g00gsNFdYChGNUl3xJXk66ycDdDuPW9m302HVuwHEXraKKK8HVP0GplWQ8bWBJTv8C1-MuDOkTlhqjDKfAE_R6gnwYYwzY2E1oexcOloI95mHX9rh0e1y6PeZh5zzsPjU_nyfsqh7rP1qnABLwYgZc9K5rght8G39zTEsoTcLOJ-xH2-HhPxzYs9VqLpJIPom0cYv7exEXbq3SXEv79eOlVSt5dQUfvljFfwJoIrM8</recordid><startdate>200001</startdate><enddate>200001</enddate><creator>Allsop, Steve</creator><creator>Saunders, Bill</creator><creator>Phillips, Mike</creator><general>Carfax Publishing, Taylor & Francis Ltd</general><general>Blackwell</general><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7QG</scope><scope>7RV</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8BJ</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AN0</scope><scope>AZQEC</scope><scope>BEC</scope><scope>BENPR</scope><scope>BGRYB</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FQK</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>JBE</scope><scope>K9.</scope><scope>KB0</scope><scope>M0O</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PHGZM</scope><scope>PHGZT</scope><scope>PJZUB</scope><scope>PKEHL</scope><scope>PPXIY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PRQQA</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7QJ</scope><scope>7U3</scope><scope>BHHNA</scope></search><sort><creationdate>200001</creationdate><title>The process of relapse in severely dependent male problem drinkers</title><author>Allsop, Steve ; Saunders, Bill ; Phillips, Mike</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5960-1da7f9d71b97423cb0fcd87cd1c4169173577f92987922595c470bed404a21783</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2000</creationdate><topic>Adult</topic><topic>Alcohol Abuse</topic><topic>Alcoholism</topic><topic>Alcoholism - prevention & control</topic><topic>Alcoholism - psychology</topic><topic>Australia</topic><topic>Biological and medical sciences</topic><topic>Cognition</topic><topic>Cognition & reasoning</topic><topic>Cognitive Functioning</topic><topic>Desintoxication. Drug withdrawal</topic><topic>Drug addiction</topic><topic>Humans</topic><topic>Male</topic><topic>Males</topic><topic>Medical sciences</topic><topic>Men</topic><topic>Middle Aged</topic><topic>Prevention</topic><topic>Problem drinkers</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Relapse</topic><topic>Scotland</topic><topic>Secondary Prevention</topic><topic>Self Efficacy</topic><topic>Substance abuse treatment</topic><topic>Treatment</topic><topic>Treatment Outcomes</topic><topic>Treatments</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Allsop, Steve</creatorcontrib><creatorcontrib>Saunders, Bill</creatorcontrib><creatorcontrib>Phillips, Mike</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Animal Behavior Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Neurosciences Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>International Bibliography of the Social Sciences (IBSS)</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>British Nursing Database</collection><collection>ProQuest Central Essentials</collection><collection>eLibrary</collection><collection>ProQuest Central</collection><collection>Criminology Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>International Bibliography of the Social Sciences</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>International Bibliography of the Social Sciences</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Criminal Justice</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest Psychology</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest Central (New)</collection><collection>ProQuest One Academic (New)</collection><collection>ProQuest Health & Medical Research Collection</collection><collection>ProQuest One Academic Middle East (New)</collection><collection>ProQuest One Health & Nursing</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Social Sciences</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Social Services Abstracts</collection><collection>Sociological Abstracts</collection><jtitle>Addiction (Abingdon, England)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Allsop, Steve</au><au>Saunders, Bill</au><au>Phillips, Mike</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The process of relapse in severely dependent male problem drinkers</atitle><jtitle>Addiction (Abingdon, England)</jtitle><addtitle>Addiction</addtitle><date>2000-01</date><risdate>2000</risdate><volume>95</volume><issue>1</issue><spage>95</spage><epage>106</epage><pages>95-106</pages><issn>0965-2140</issn><eissn>1360-0443</eissn><coden>ADICE5</coden><abstract>Aims. The aim of the study was to investigate factors hypothesized to influence the relapse process, with a focus on the role of self‐efficacy, alcohol dependence and cognitive functioning. Design. The study was conducted in the context of a controlled trial of a relapse prevention programme. Subjects were assessed prior to treatment, at immediate conclusion of treatment and at 6‐ and 12‐month follow‐up. Setting. The study was conducted in an Alcohol Treatment Unit (ATU) in Scotland. Participants: Subjects were 60 male problem drinkers who were patients at the ATU. They were heavy drinkers, with corresponding high levels of alcohol dependence and alcohol‐related harm. Measurements. The independent variables were posttreatment self‐efficacy, alcohol dependence, cognitive functioning, level of depression and alcohol consumption prior to admission to treatment. The dependent variables were post‐treatment drinking behaviour and functioning and time to lapse and relapse. Findings. Although the methodology does not allow identification of causality, support was found for the hypothesis that post‐treatment self‐efficacy was an intervening variable between treatment and outcome. Higher post‐treatment self‐efficacy predicted better outcome at 6‐month follow‐up and was associated with a reduced risk of lapse and relapse over the 12‐month follow‐up. Poorer cognitive functioning was significantly associated with being categorized as a problem drinker at 6‐month follow‐up and with higher risk of a lapse over the 12‐month follow‐up. Level of alcohol dependence did not predict outcome. Conclusions. It was concluded that post‐treatment self‐efficacy rating is a predictor of treatment outcome and time to lapse and relapse and that cognitive functioning is a predictor of treatment outcome and time to lapse.</abstract><cop>Oxford, UK</cop><pub>Carfax Publishing, Taylor & Francis Ltd</pub><pmid>10723834</pmid><doi>10.1046/j.1360-0443.2000.9519510.x</doi><tpages>12</tpages></addata></record> |
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| subjects | Adult Alcohol Abuse Alcoholism Alcoholism - prevention & control Alcoholism - psychology Australia Biological and medical sciences Cognition Cognition & reasoning Cognitive Functioning Desintoxication. Drug withdrawal Drug addiction Humans Male Males Medical sciences Men Middle Aged Prevention Problem drinkers Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Relapse Scotland Secondary Prevention Self Efficacy Substance abuse treatment Treatment Treatment Outcomes Treatments |
| title | The process of relapse in severely dependent male problem drinkers |
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