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Antabuse contracts for married alcoholics and their spouses: a method to maintain antabuse ingestion and decrease

T J O'Farrell, R D Bayog

    Journal of Substance Abuse Treatment
    |January 1, 1986
    PubMed
    Summary
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    The Antabuse Contract procedure helps alcoholics stay on medication and avoid relapse by involving spouses in daily Antabuse (disulfiram) monitoring and reducing alcohol-related marital conflict.

    Area of Science:

    • Addiction Medicine
    • Behavioral Psychology

    Background:

    • Antabuse (disulfiram) is a key alcoholism treatment, but adherence is often poor.
    • Stressors like marital conflict can trigger relapse in newly abstinent individuals.

    Observation:

    • Marital arguments about drinking are significant stressors.
    • The Antabuse Contract involves spousal observation of daily medication intake and abstains from alcohol-related discussions.

    Findings:

    • The Antabuse Contract procedure aims to improve Antabuse adherence and reduce alcohol-related marital conflict.
    • This structured approach supports sustained abstinence and minimizes relapse triggers.

    Implications:

    • The Antabuse Contract offers a practical therapeutic tool for enhancing alcoholism treatment outcomes.

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  • This method can strengthen the therapeutic alliance and improve patient-spouse communication regarding sobriety.