Influence of pretreatment coping strategies on the outcome of outpatient treatment of Danish alcohol abusers.
An important issue regarding treatment for alcohol abuse is the high rate of relapse following treatment. In the research on treatment of alcohol abuse, the concept of coping has been proposed as a relevant factor in the relationship between relapse crises and treatment outcome. The present study investigated the role of pretreatment coping strategies in outcome of outpatient treatment for alcohol abuse. The pretreatment coping strategies of 136 clients receiving outpatient treatment for alcohol abuse were examined as a predictor of drinking pattern after treatment. The pretreatment coping strategies were assessed by the COPE questionnaire. Drinking pattern after treatment was assessed at follow-up one year after treatment was entered. Results indicated that some pretreatment coping strategies are identifiable as adaptive and maladaptive coping strategies, respectively, regarding successful treatment for alcohol abuse. Restraint coping was found predictive of a positive drinking pattern at follow-up while the use of alcohol to cope was found predictive of a negative drinking pattern. Furthermore, the results showed tendencies towards the possibility that some coping strategies co-operated differently with types of treatment methods.
Institute of Public Health, University of Copenhagen, Copenhagen, Denmark.
Marie
M
Bussey Rask
Tina
T
Jørgensen
Jeanette
J
Pinnerup Jensen
Katrine
K
Bech Jørgensen
Mia
M
Madsen
Bent
B
Nielsen
Anne-Marie
AM
Nybo Andersen
Anette
A
Søgaard Nielsen
Morten
M
Grønbaek
D000223:Adaptation, Psychological; D000328:Adult; D000428:Alcohol Drinking / Q000523:psychology; D000437:Alcoholism / Q000523:psychology* / Q000534:rehabilitation*; D000553:Ambulatory Care; D000554:Ambulatory Care Facilities; D015928:Cognitive Behavioral Therapy; D003718:Denmark; D005196:Family Therapy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D019233:Retreatment; D012307:Risk Factors; D012944:Social Support; D013695:Temperance / Q000523:psychology; D016896:Treatment Outcome