title: [Relapse prevention group for alcohol dependent patients].
abstract: Relapse prevention plays an important role in the treatment of alcoholics. Positive predictors are high self-efficacy and confidence in high-risk situations, positive outcome expectancies, sufficient coping-skills and low craving. We examined 64 primary German alcoholics. Each person met the criteria of alcohol dependence of DSM-IV and ICD-10. Subjects were included in an in-patient 4-step relapse prevention program. This manual-guided group psychotherapy is based on cognitive-behavioral approach focused on high-risk situations, phases of relapse, stress/relax and resources. Craving before and after treatment did not differ, so that using this kind of relapse prevention training might be suitable in both in- and out-patient programs. High values for insight, optimism, self-efficacy and confidence in high-risk situations might enhance individual coping-skills to balance patient's lifestyle focussing on an abstinent way of life.
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D000437:Alcoholism / Q000523:psychology / Q000534:rehabilitation*; D015928:Cognitive Behavioral Therapy; D000431:Ethanol / Q000009:adverse effects; D005260:Female; D006801:Humans; D007389:Internal-External Control; D008297:Male; D008875:Middle Aged; D009042:Motivation; D011379:Prognosis; D011615:Psychotherapy, Group; D012047:Rehabilitation Centers; D012307:Risk Factors; D055502:Secondary Prevention; D020377:Self Efficacy; D013375:Substance Withdrawal Syndrome / Q000523:psychology / Q000534:rehabilitation; D013695:Temperance / Q000523:psychology*
chemical_list: D000431:Ethanol