title: Social factors but not stress-coping styles predict relapse in detoxified alcoholics.
abstract: Alcohol-dependent patients face a substantial risk of relapse after detoxification. Though psychosocial stress and coping strategies are regarded as major contributing factors in returning to drinking, the direct effects of coping styles on relapse are not clear. In this treatment outcome study, a mixed gender sample of 130 detoxified and well-characterized alcohol-dependent patients (37 women) was followed up over a period of 12 months after 6 weeks of inpatient treatment. Patients had completed a comprehensive baseline assessment, including a stress coping questionnaire (SVF120). We hypothesized that these individual stress coping styles would contribute to treatment outcome. A logistic regression analysis was used to evaluate the impact of stress coping styles, as well as the effect of pretreatment drinking and social characteristics on relapse. Approximately half the patients (49%) relapsed within 1 year after treatment. In contrast to our hypothesis, stress coping styles did not predict relapse. However, significant predictors of relapse were social factors related to living situation (living alone), marital status (being separated from the spouse) and pretreatment frequency of alcohol intake. These findings suggest that a partnership is more relevant for the risk of relapse than stress coping styles.
authors.affiliation: Division of Substance Use Disorders, University Psychiatric Clinics, Wilhelm Klein-Strasse 27, 4025 Basel, Switzerland. marc.walter@upkbs.ch
authors.forename: Marc
authors.initials: M
authors.lastname: Walter
authors.forename: Urs
authors.initials: U
authors.lastname: Gerhard
authors.forename: Kenneth M
authors.initials: KM
authors.lastname: Duersteler-MacFarland
authors.forename: Heinz-Gerd
authors.initials: HG
authors.lastname: Weijers
authors.forename: Jobst
authors.initials: J
authors.lastname: Boening
authors.forename: Gerhard A
authors.initials: GA
authors.lastname: Wiesbeck
mesh_terms: D000328:Adult; D000437:Alcoholism / Q000175:diagnosis* / Q000503:physiopathology / Q000523:psychology*; D016009:Chi-Square Distribution; D005260:Female; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D011237:Predictive Value of Tests; D012008:Recurrence; D012931:Social Environment; D013315:Stress, Psychological / Q000503:physiopathology*