Related Experiment Video
Updated: Aug 13, 2026

A Procedure to Study Stress-Induced Relapse of Heroin Seeking after Punishment-Imposed Abstinence
Published on: March 23, 2022
Abstinence self-efficacy and abstinence 1 year after substance use disorder treatment
Mark Ilgen1, John McKellar, Quyen Tiet
1Center for Health Care Evaluation, Veterans Affairs Palo Alto Health Care System, CA 94025, USA. mark.ilgen@med.va.gov
Abstract:
To better understand the relationship between abstinence self-efficacy and treatment outcomes in substance use disorder patients, experts in the field need more information about the levels of abstinence self-efficacy most predictive of treatment outcomes. Participants (N = 2,967) from 15 residential substance use disorder treatment programs were assessed at treatment entry, discharge, and 1-year follow-up. A signal detection analysis compared the ability of different measures of self-efficacy to predict 1-year abstinence and identified the optimal cutoffs for significant predictors. The maximal level of abstinence self-efficacy (i.e., 100% confident) measured at discharge was the strongest predictor of 1-year abstinence. Treatment providers should focus on obtaining high levels of abstinence self-efficacy during treatment with the goal of achieving 100% confidence in abstinence.
Related Concept Videos
Substance Use Disorders Affecting Sleep
Understanding the concepts of physical dependence,...
Drug Dependence
Self-Efficacy
Drug Abuse and Addiction: Pharmacological Phenomena
Self-Presentation: Self-Monitoring and Self-Handicapping
Self-Regulation
