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Related Experiment Videos

Relapse precipitants and behavioral marital therapy

S A Maisto1, J R McKay, T J O'Farrell

  • 1VA Medical Center, Pittsburgh, USA.

Addictive Behaviors
|May 1, 1995
PubMed
Summary

Men completing behavioral marital therapy (BMT) for alcoholism often experienced multiple relapse triggers and reasons for recovery. Relapse prevention (RP) treatment appeared to shorten relapse duration.

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Area of Science:

  • Addiction research
  • Clinical psychology
  • Behavioral therapy

Background:

  • Alcoholism treatment often involves behavioral marital therapy (BMT).
  • Understanding relapse episodes and their termination is crucial for effective treatment.
  • Relapse prevention (RP) strategies may impact relapse dynamics.

Purpose of the Study:

  • To describe first relapse episodes and termination reasons in men treated with BMT.
  • To compare relapse episodes and terminations between BMT with and without RP treatment.
  • To explore situational and personal precipitants of relapse.

Main Methods:

  • Longitudinal study of 74 men in an outpatient BMT program.
  • Evaluations at baseline, post-BMT, and 3, 6, 9, 12 months post-BMT.
  • Analysis of relapse data for 31 subjects who relapsed.

Main Results:

  • Relapsing subjects reported multiple situational/personal precipitants for first relapses.
  • Multiple reasons were cited for ending relapse episodes.
  • Subjects receiving additional RP treatment had relapses lasting fewer days compared to no-RP subjects, despite similar episode counts.

Conclusions:

  • Relapse in alcoholism is often multifactorial, involving various triggers and recovery reasons.
  • Relapse prevention (RP) may be effective in reducing the duration of relapse episodes.
  • Findings support cognitive-behavioral models of relapse and highlight the importance of high-risk situation management.

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