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Published on: March 23, 2022
An Interpersonal Model of Addiction Relapse
David Leach1, Henry R Kranzler2
1Veterans Integrated Service Network (VISN) 4 Mental Illness Research, Education and Clinical Center (MIRECC), Philadelphia Veterans Affairs Medical Center, Philadelphia, PA 19104.
Interpersonal stress and rejection sensitivity heighten relapse risks for individuals recovering from alcohol or drug dependence. Understanding social pain and threat is key to preventing substance use relapse.
Area of Science:
- Psychology
- Neuroscience
- Addiction Research
Background:
- Interpersonal stress and rejection sensitivity are significant factors in substance dependence relapse.
- Social pain and social threat have evolutionary, neuroanatomical, and neurophysiological dimensions.
- Understanding these dimensions offers insight into the impact of interpersonal stress on recovery.
Purpose of the Study:
- To review literature on interpersonal stress and rejection sensitivity.
- To examine their role in increasing relapse risk for alcohol and drug dependence.
- To explore the interaction between intrapersonal traits and interpersonal environments.
Main Methods:
- Literature review of interpersonal stress and rejection sensitivity.
- Examination of social pain and social threat constructs.
- Analysis of empirical evidence on relapse risk factors.
Main Results:
- Interpersonal stress is a powerful factor affecting recovery from substance dependence.
- Intrapersonal traits and interpersonal environments interact to elevate relapse risk.
- Individuals with high rejection sensitivity and critical environments are particularly vulnerable.
Conclusions:
- Rejection sensitivity and interpersonal environments significantly influence relapse in substance dependence.
- Targeting these factors may improve recovery outcomes.
- Further research into social pain and threat mechanisms is warranted.
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