Inpatient desire to drink as a predictor of relapse to alcohol use following treatment.
Cravings for alcohol are identified as a trigger for relapse, though laboratory studies of cravings produce mixed results in predicting relapse. The objective of this analysis is to assess the usefulness of craving as a predictor of relapse by assessing 218 adult, alcohol-dependent patients admitted to two separate residential addiction treatment programs. Days craving reported in the week prior to discharge predicted alcohol use at three-month follow-up. Admission spirituality, alcohol-refusal self-efficacy, and depression levels differentiated cravers from non-cravers. Patients who crave alcohol in residential treatment may be at higher relapse risk and identified by intake assessments of self-efficacy, depression, and spirituality.
Gordon
Susan M
SM
Research Department, Caron Foundation, Wernersville, Pennsylvania, USA. sgordon@seabrookhouse.org
Sterling
Robert
R
Siatkowski
Candis
C
Raively
Kerry
K
Weinstein
Stephen
S
Hill
Peter C
PC
D000328:Adult; D000428:Alcohol Drinking / Q000453:epidemiology*; D000437:Alcoholism / Q000453:epidemiology / Q000534:rehabilitation*; D016000:Cluster Analysis; D005260:Female; D006760:Hospitalization; D006801:Humans; D007175:Impulsive Behavior / Q000453:epidemiology*; D008297:Male; D011446:Prospective Studies; D012008:Recurrence; D012114:Residential Treatment; D020377:Self Efficacy; D011795:Surveys and Questionnaires; D013997:Time Factors