Effects of commitment to abstinence, positive moods, stress, and coping on relapse to cocaine use.
In a prospective study of 104 cocaine patients, a baseline assessment was conducted while Ss were in treatment. After treatment completion, Ss were assessed once a week for 12 weeks, then 6 months from study start. A goal of absolute abstinence, greater expected success in quitting, and positive moods predicted a lower risk of a lapse in the first 12 weeks of follow-up. Stress (negative moods, physical symptoms, hassles, and life events) did not predict. Use of more coping strategies predicted abstinence for Caucasian but not for African-American Ss. Baseline measures of expected success and desire to quit predicted continuous abstinence at 6 months but not at statistically significant levels. Results suggest that solidifying abstinence goals and enhancing positive moods may facilitate early abstinence.
University of California, San Francisco.
S M
SM
Hall
B E
BE
Havassy
D A
DA
Wasserman
D000328:Adult; D000339:Affect; D003042:Cocaine; D005260:Female; D006801:Humans; D008297:Male; D011379:Prognosis; D011446:Prospective Studies; D012008:Recurrence; D012189:Retrospective Studies; D013315:Stress, Psychological / Q000150:complications*; D019966:Substance-Related Disorders / Q000523:psychology* / Q000534:rehabilitation*
D003042:Cocaine