title: Relationship between posttreatment drinking and alternative responses to high-risk situations proposed during treatment by problem drinkers.
abstract: Problem drinkers' alternatives to high-risk situations were evaluated and related to treatment outcome. participants were 80 problem drinkers (64% males, 36% females) who completed a brief outpatient Guided Self-Change treatment. Treatment included a homework exercise where clients identified two to three high-risk situations and generated alternative responses for each situation. Based on a coding scheme developed by Moser and Annis (1996), responses were coded as (a) cognitive or behavioral, and (b) active or avoidant. Results indicated that the proportion of cognitive coping responses (e.g., thinking through the consequences) was positively related to posttreatment improvement. This prospective study suggests that intention to use active cognitive coping responses influences the relapse process.
authors.affiliation: Addiction Research Foundation, Toronto, Ontario, Canada.
authors.forename: F C
authors.initials: FC
authors.lastname: Breslin
authors.forename: M B
authors.initials: MB
authors.lastname: Sobell
authors.forename: L C
authors.initials: LC
authors.lastname: Sobell
authors.forename: K
authors.initials: K
authors.lastname: Sdao-Jarvie
authors.forename: L
authors.initials: L
authors.lastname: Sagorsky
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000428:Alcohol Drinking / Q000523:psychology*; D000437:Alcoholism / Q000523:psychology / Q000534:rehabilitation*; D015928:Cognitive Behavioral Therapy; D005260:Female; D006801:Humans; D007389:Internal-External Control; D008297:Male; D008875:Middle Aged; D009042:Motivation; D011446:Prospective Studies; D012008:Recurrence; D012307:Risk Factors; D012648:Self Care / Q000523:psychology; D012931:Social Environment; D016896:Treatment Outcome