title: End-of-treatment self-efficacy, aftercare, and drinking outcomes of alcoholic men.
abstract: In substance abusers, low end-of-treatment self-efficacy is thought to be a predictor of increased vulnerability of relapse following treatment. This study is an evaluation of relationships between end-of-treatment self-efficacy, aftercare, and drinking outcomes in a subsample of male alcoholics participating in a treatment outcome study. After completing Behavioral Marital Therapy (BMT), the alcoholics and their spouses were randomly assigned to either an aftercare or a no additional treatment condition and followed up for 1 year. In subjects who received no additional treatment, low self-efficacy at the end of BMT predicted poorer drinking outcomes, even after drinking behavior during BMT was controlled for. For subjects in the aftercare condition, self-efficacy at the end of BMT did not predict drinking outcomes. Explanations for the results, as well as implications for models of relapse, are discussed.
authors.affiliation: Department of Psychiatry, University of Pennsylvania, Philadelphia.
authors.forename: J R
authors.initials: JR
authors.lastname: McKay
authors.forename: S A
authors.initials: SA
authors.lastname: Maisto
authors.forename: T J
authors.initials: TJ
authors.lastname: O'Farrell
mesh_terms: D000328:Adult; D000359:Aftercare / Q000523:psychology*; D000428:Alcohol Drinking / Q000523:psychology*; D000437:Alcoholism / Q000523:psychology / Q000534:rehabilitation*; D000553:Ambulatory Care; D001521:Behavior Therapy; D003131:Combined Modality Therapy; D005500:Follow-Up Studies; D006801:Humans; D007389:Internal-External Control; D008297:Male; D008388:Marital Therapy; D008875:Middle Aged; D010552:Personality Assessment; D012649:Self Concept; D016896:Treatment Outcome