Social Factors but Not Stress-Coping Styles Predict Relapse in Detoxified Alcoholics (original) (raw)
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Social support and relapse: Commonalities among alcoholics, opiate users, and cigarette smokers
Addictive Behaviors, 1991
Links between social support and relapse were examined in a study of alcoholics, cigarette smokers, and opiate users completing treatment for drug use (N = 221). Subjects were followed weekly until relapse for a maximum of 12 weeks after the end of treatment. Structural and functional social support and support for abstinence and drug use were investigated. With demographic variables and drug-treatment group controlled, greater structural support (as measured by an index of social integration and by partner status) predicted a lower risk of relapse. Greater experienced partner support for abstinence also predicted lower risk. Social network members' use of the subject's problem drug predicted heightened relapse risk, but the effect was not statistically significant. This study contributes to a cross-drug model of relapse. It highlights the importance of social integration and abstinence-specific functional support in predicting the risk of relapse, independent of the particular drug of abuse.
Does co-occurring social phobia interfere with alcoholism treatment adherence and relapse?
Journal of Substance Abuse Treatment, 2006
This study investigates the impact of social phobia on adherence to and outcomes 6 months following standard alcohol treatment and Alcoholics Anonymous (AA) group meetings among alcohol-dependent patients with and without social phobia. In a cohort study, 300 detoxified alcohol-dependent individuals in Porto Alegre, Brazil, were interviewed during, as well as 3 and 6 months after hospital detoxification. At both follow-up points, treatment adherence was low and relapse rates were high among patients with and without social phobia, and no significant differences were seen between the two groups of patients in relapse, adherence to AA, or adherence to psychotherapy. Findings from this sample suggest that although alcohol-dependent patients with social phobia showed a tendency for less adherence at AA and felt less integrated with their AA group, social phobia comorbidity was not a significant risk factor for alcohol use relapse or for nonadherence to AA or psychotherapy. D
Extending relapse prevention models to couples
Addictive Behaviors, 1989
A model is proposed which extends Marlatt's Relapse Prevention model to couples. The model includes macroscopic and microscopic levels of analysis. At the macroscopic level, it is proposed that the probability of client coping responses is affected by the quality of the client's social support network, the quality of primary intimate relationships, the density of reinforcement for abstinence, and the expectation of loss of reinforcement for drinking. At the microscopic level, it is proposed that spouses may engage in a variety of coping responses that may either facilitate client coping and help maintain changes in drinking, or which are nonfacilitative and increase the likelihood of relapse. Clinical implications of the model are discussed.
Extrinsic Factors Influencing Relapse in Alcohol Dependence
International Journal of Contemporary Medical Research [IJCMR]
Introduction: Relapse is a common problem faced when alcohol dependence is treated. The present study was done to find the influence of extrinsic factors such as stressful life events, peer pressure and perceived social support on relapse in alcohol dependence, which will be useful to develop effective interventions to prevent it. Material and methods: This cross sectional study conducted in tertiary care teaching hospital in Kottayam, included 60 subjects who were grouped into 30 Late Relapsers (who relapsed drinking after 3 months of abstinence) and 30 Early Relapsers-(who relapsed drinking within 3 months of abstinence). Mini-Mental Status Examination, Diagnostic Criteria for Research for ICD-10 (DCR-10) and the Stressful Life Inventory were used for each patient to collect their details. Results: The mean age of onset of alcohol use of Early Relapsers was lower than that of the Late Relapsers. Also the number of stressful life events related to work, marriage, family and finance were more in the Early Relapsers compared to the other and the difference was statistically significant for the above mentioned factors. Conclusions: Early age of onset of alcohol use and occurrence of stressful life events in 6 months preceding the relapse are associated with relapse in alcohol dependence. Community based studies with larger sample size are needed to substantiate the results of this study.
Postmodern Openings , 2019
The purpose of our article is to contribute to the understanding of the mechanisms that intervene in determining the success of abstinence in case of persons suffering from alcohol use disorder (PAUD), a phenomenon that is poorly investigated, but, obviously, extremely important. Based on the database containing 273 Romanian PAUDs, split in three categories according to their abstinence and relapse status (abstinents without any relapses, abstinents with at least one relapse and ex-abstinents that are active consumers nowadays), we have tested several hypotheses derived from the literature, referring to the factors that influence the risk to relapse. The empirical models have shown, in contradiction with plenty of previous research that underline different correlations with the abstinence's durability, that only two factors have a significant impact on the type of abstinence (with or without relapses): marital status and religion. Our research brings up, this way, the significant importance that the relational and normative context and the social support have in assisting the PAUDs who try to fight their addiction.
2009
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Relapse determinants reported by men treated for alcohol addiction: The prominence of depressed mood
2000
Men treated for alcohol addiction who relapsed after residential treatment were surveyed to identify high-risk events, which had functioned as relapse determinants. The investigation was guided by G. Alan Marlatt's relapse prevention model. Participants endorsed one of nine relapse determinants listed on the study's relapse questionnaire most directly related to their first use of alcohol or drugs after treatment. The relapse determinants most consistently endorsed were intrapersonal in nature. The relapse determinant most frequently endorsed was depressed mood, consistent with the study's hypothesis. A rationale was presented for future research to isolate risk factors for relapse episodes organized on the basis of relapse determinants.
Testing a Socioecological Model of Relapse and Recovery from Alcohol Problems
Substance Abuse: Research and Treatment, 2020
This study tests a socioecological model of relapse and recovery using latent class growth mixture modeling to identify neighborhood, social network and individual-level predictors of alcohol dependence trajectories among a large, longitudinal sample of problem drinkers recruited from substance use treatment settings. We identified four distinct alcohol dependence trajectories: Stable Recovery/Low (Class 1); Relapsing/Rising (Class 2); Late Recovery/Declining (Class 3); and Chronic/High (Class 4). Neighborhood context (poverty and density of bars), social network characteristics (less involvement with Alcoholics Anonymous [AA], continued affiliation with heavy drinkers), and individual predisposing (psychiatric severity) and need (returning to treatment) characteristics each distinguished individuals in the Relapsing/Rising class from individuals in the Stable Recovery/Low class. Social network characteristics (AA involvement and continued affiliation with heavy drinkers) were the p...
Addictive Behaviors, 1988
alcoholics' attributions about their relapses. The subjects were 36 male alcoholic participants in a study of the effectiveness of group behavioral marital therapy (BMT) for alcoholism. Subjects' treatment condition had been determined by random assignment to either the BMT, interactional marital therapy. or control group. At a two year posttreatment follow-up interview, subjects were asked what they thought the main reasons were for starting and stopping drinking in their two most recent relapses.