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[Relapse Prevention Program in German Alcoholics]

Monika Johann1, Gabriela Bobbe, Elke Franke

  • 1Bereich Klinische Suchtmedizin, Klinik für Psychiatrie und Psychotherapie der Universität am Bezirksklinikum Regensburg. monika.johann@bzk.uni-regensburg.de

Psychiatrische Praxis
|September 18, 2003
PubMed
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This study shows that cognitive-behavioral relapse prevention programs improve self-efficacy and coping skills in alcoholics. These skills help patients maintain an abstinent lifestyle, even if craving levels remain unchanged.

Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Addiction Medicine

Background:

  • Relapse prevention is crucial for treating alcoholism.
  • Key predictors of success include high self-efficacy, positive outcome expectancies, coping skills, and low craving.

Purpose of the Study:

  • To evaluate a 4-step in-patient relapse prevention program for primary German alcoholics.
  • To assess the impact of the program on craving, self-efficacy, and coping skills.

Main Methods:

  • The study included 64 primary alcohol-dependent individuals (DSM-IV, ICD-10 criteria).
  • Participants underwent a manual-guided, cognitive-behavioral group psychotherapy program focused on high-risk situations, relapse phases, stress management, and resources.

Main Results:

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  • Craving levels did not significantly differ before and after the treatment program.
  • High levels of insight, optimism, self-efficacy, and confidence in high-risk situations were observed.

Conclusions:

  • The cognitive-behavioral relapse prevention program may be effective in both inpatient and outpatient settings.
  • Enhanced self-efficacy and coping skills are vital for maintaining an abstinent lifestyle in individuals recovering from alcoholism.