title: Inpatient desire to drink as a predictor of relapse to alcohol use following treatment.
abstract: 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.
authors.affiliation: Research Department, Caron Foundation, Wernersville, Pennsylvania, USA. sgordon@seabrookhouse.org
authors.forename: Susan M
authors.initials: SM
authors.lastname: Gordon
authors.forename: Robert
authors.initials: R
authors.lastname: Sterling
authors.forename: Candis
authors.initials: C
authors.lastname: Siatkowski
authors.forename: Kerry
authors.initials: K
authors.lastname: Raively
authors.forename: Stephen
authors.initials: S
authors.lastname: Weinstein
authors.forename: Peter C
authors.initials: PC
authors.lastname: Hill
mesh_terms: 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