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Looking forward and back to relapse: implications for research and practice

G J Connors1, R Longabaugh, W R Miller

  • 1Research Institute on Addictions, Buffalo, New York 14203, USA.

Addiction (Abingdon, England)
|December 1, 1996
PubMed
Summary
This summary is machine-generated.

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The Relapse Replication and Extension Project (RREP) found that while a relapse taxonomy had poor reliability, negative emotions and social context predict relapse. Coping skills are protective factors against relapse.

Area of Science:

  • Addiction Research
  • Clinical Psychology
  • Behavioral Science

Background:

  • The Relapse Replication and Extension Project (RREP) examined factors influencing relapse.
  • Previous research proposed a taxonomy of relapse antecedents by Marlatt.

Purpose of the Study:

  • To assess the reliability and validity of Marlatt's relapse antecedent taxonomy.
  • To identify reliable predictors and protective factors for relapse.

Main Methods:

  • Investigated the reliability of a three-level and two-level classification system for relapse antecedents.
  • Compared categorical taxonomy with continuous scales for measuring relapse antecedents.
  • Analyzed consistency of relapse antecedents within individuals over time.
  • Examined the impact of relapse attributions on future drinking.

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Main Results:

  • Achieving reliable coding with the original three-level taxonomy was difficult; a two-level system showed variable reliability.
  • Continuous scales are more appropriate for measuring relapse antecedents than the original taxonomy.
  • Negative emotional states and positive emotional states in social contexts are common relapse antecedents.
  • Relapse antecedents show modest intra-individual consistency.
  • Attributions for relapse, particularly stable and internal ones, can perpetuate drinking episodes.
  • Availability of coping skills is a significant protective factor; ineffective coping predicts relapse.

Conclusions:

  • The original relapse taxonomy requires modification or replacement with continuous measures.
  • Negative emotions and social context are key relapse triggers.
  • Coping skills are crucial for relapse prevention.
  • Understanding relapse attributions is important for clinical interventions.