An empirical assessment of post-treatment alcohol consumption

Hallford, Henry Gene; Tivis, Rick; Nixon, Sara Jo

doi:10.1016/s0165-1781(03)00221-x

Cited by 11 publications

(3 citation statements)

References 12 publications

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“…Treated alcoholics who were able to abstain from drinking were more likely to use active stress coping strategies than those who returned to drinking [23][24][25] . Alcohol-dependent patients experiencing life stressors may exhibit less risk of relapsing if active strategies are part of their coping styles.…”

Section: Introductionmentioning

confidence: 97%

Social Factors but Not Stress-Coping Styles Predict Relapse in Detoxified Alcoholics

Walter¹,

Gerhard²,

Duersteler-MacFarland³

et al. 2006

Neuropsychobiology

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Alcohol-dependent patients face a substantial risk of relapse after detoxification. Though psychosocial stress and coping strategies are regarded as major contributing factors in returning to drinking, the direct effects of coping styles on relapse are not clear. In this treatment outcome study, a mixed gender sample of 130 detoxified and well-characterized alcohol-dependent patients (37 women) was followed up over a period of 12 months after 6 weeks of inpatient treatment. Patients had completed a comprehensive baseline assessment, including a stress coping questionnaire (SVF120). We hypothesized that these individual stress coping styles would contribute to treatment outcome. A logistic regression analysis was used to evaluate the impact of stress coping styles, as well as the effect of pretreatment drinking and social characteristics on relapse. Approximately half the patients (49%) relapsed within 1 year after treatment. In contrast to our hypothesis, stress coping styles did not predict relapse. However, significant predictors of relapse were social factors related to living situation (living alone), marital status (being separated from the spouse) and pretreatment frequency of alcohol intake. These findings suggest that a partnership is more relevant for the risk of relapse than stress coping styles.

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Section: Introductionmentioning

confidence: 97%

Social Factors but Not Stress-Coping Styles Predict Relapse in Detoxified Alcoholics

Walter¹,

Gerhard²,

Duersteler-MacFarland³

et al. 2006

Neuropsychobiology

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“…Alcohol Use Disorder (AUD) is a widespread problem in Denmark , and it is a well-known fact that AUD leads to a substantial number of contacts with the treatment system, which constitutes a substantial burden on the healthcare system [ 1 ]. Individuals with AUD respond relatively well during evidence-based psychological treatment, but a large number of patients relapse when discharged from treatment and confronted with alcohol in real life [ 2 , 3 ]. During evidence-based psychological alcohol treatment, in particular when applying Cognitive Behavioural Therapy (CBT), patients learn methods to help them identify high-risk situations for relapse.…”

Section: Introductionmentioning

confidence: 99%

A randomized controlled study of exposure therapy as aftercare for alcohol use disorder: study protocol

Mellentin

Nielsen

et al. 2016

BMC Psychiatry

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BackgroundIt is well documented that individuals with Alcohol Use Disorder (AUD) respond well during evidence-based psychological treatment, but also that a large proportion relapses when discharged from treatment and confronted with alcohol in real life. Cue Exposure Treatment (CET) focuses on exposing individuals to alcohol cues in order to reduce cravings as well as the likelihood of relapse.The aims of the study are: 1) to investigate whether CET aftercare delivered via a smartphone or in group sessions increases the effect of Cognitive Behavioural Treatment in groups of alcohol dependent individuals; 2) to investigate whether CET as a smartphone application is as or more effective than CET group therapy, and 3) to investigate whether CET as a smartphone application is more cost-effective than CET group aftercare and Aftercare as Usual.Design and methodsThe study will be implemented as an investigator-blinded randomized controlled trial. A total of 300 consecutively enrolled alcohol use disorder individuals recruited from an alcohol outpatient clinic will be randomized into one of the three following aftercare groups after concluding primary treatment: (1) CET as a smartphone application; (2) CET as group therapy, and (3) Aftercare as Usual. It is hypothesized that the two experimental groups will achieve better treatment outcomes compared to the control group (3).DiscussionIndividuals in the CET groups are given the opportunity to practise coping strategies during exposure to alcohol stimuli before being unavoidably confronted with alcohol and associated stimuli in real life. Thus, CET may help prevent patients from relapsing after concluding treatment, and in the long term. Moreover, the CET application has the potential to improve AUD treatment and continuing care by offering psychological treatment whenever and wherever the patient finds it convenient.Trial registrationClinicalTrials.gov ID: NCT02298751Registration date: 6 November 2014

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“…Alcoholics who used the more negative stress‐coping strategies relapsed more frequently (Miller et al . 1996; Moser & Annis 1996; Hallford, Tivis & Nixon 2003). Negative coping strategies included generally less active and more avoidance coping behaviour.…”

Section: Introductionmentioning

confidence: 99%

CLINICAL STUDY: Cortisol concentrations, stress‐coping styles after withdrawal and long‐term abstinence in alcohol dependence

et al. 2006

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Alcohol-dependent patients face a substantial risk of relapse after detoxification. A major risk factor for relapse is stress which is reflected biologically by various physiological changes that include an activation of the hypothalamic-pituitary-adrenal (HPA) axis and release of glucocorticoids. The prospective study examined cortisol concentrations and stress-coping styles in relation to abstinence 1 year following discharge from treatment. Cortisol concentrations were measured in the plasma of 46 alcohol-dependent patients (12 women) on initial presentation for treatment (day 1), and again in plasma and in cerebrospinal fluid (CSF) after 6 weeks of abstinence (day 40). These results were compared with those of 26 age- and sex-matched, healthy control subjects. After withdrawal, the patients completed a comprehensive baseline assessment including a stress-coping questionnaire (Stressverarbeitungsfragebogen SVF120) and were monitored for 1 year after discharge. Negative stress-coping styles (e.g. flight, resignation) positively correlated with higher cortisol concentration in plasma and in CSF after withdrawal (day 40). Compared with relapsers after 1 year, abstainers had significantly lower levels for cortisol in CSF, whereas the stress-coping styles did not differ between abstainers and relapsers in this sample. These findings suggest that relatively stable personality traits like stress-coping styles have no measurable influence on abstinence. The lower cortisol concentration in CSF as an indicator for HPA axis functioning is associated with long-term abstinence in detoxified alcoholics.

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An empirical assessment of post-treatment alcohol consumption

Cited by 11 publications

References 12 publications

Social Factors but Not Stress-Coping Styles Predict Relapse in Detoxified Alcoholics

Social Factors but Not Stress-Coping Styles Predict Relapse in Detoxified Alcoholics

A randomized controlled study of exposure therapy as aftercare for alcohol use disorder: study protocol

CLINICAL STUDY: Cortisol concentrations, stress‐coping styles after withdrawal and long‐term abstinence in alcohol dependence

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