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[Relapse prevention group for alcohol dependent patients]
Monika Johann1, Gabriela Bobbe, Elke Franke
1Klinik für Psychiatrie und Psychotherapie der Universität am Bezirksklinikum, Bereich Klinische Suchtmedizin, Universitätsstrasse 84, 93042 Regensburg. monika.johann@bzk.uni-regensburg.de
Psychiatrische Praxis
|September 26, 2003
Summary
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:
- 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, manual-guided, cognitive-behavioral relapse prevention program for primary German alcoholics.
- To identify factors that enhance coping skills and promote an abstinent lifestyle.
Main Methods:
- The study included 64 primary alcohol-dependent individuals meeting DSM-IV and ICD-10 criteria.
- Participants underwent an in-patient, manual-guided, group psychotherapy program.
- The program focused on high-risk situations, relapse phases, stress management, and resources.
Main Results:
- Craving levels did not significantly differ before and after the treatment.
- High levels of insight, optimism, self-efficacy, and confidence in high-risk situations were observed.
- These factors were associated with enhanced individual coping skills.
Conclusions:
- The cognitive-behavioral relapse prevention training appears suitable for both in-patient and out-patient settings.
- Improving insight, optimism, self-efficacy, and confidence can enhance coping skills for maintaining abstinence.
- The program aids patients in balancing their lifestyle towards an abstinent way of life.