Avoidance coping strategies moderate the relationship between self-efficacy and 5-year alcohol treatment outcomes.
Both self-efficacy and coping strategies are important determinants of functioning for substance use disorder patients, yet little is known about their interrelationship. This study examined the relationship between abstinence self-efficacy and cognitive components of coping (positive reappraisal, cognitive avoidance) for male participants (n = 2,596) from 15 residential substance use disorder treatment programs who were assessed at treatment entry, discharge, and 5-year follow-up. Cognitive avoidance coping moderated the effects of self-efficacy on alcohol use at 5 years, whereas positive reappraisal coping was largely unrelated to outcomes. Specifically, for patients with low self-efficacy, reliance on avoidance coping strategies was associated with poorer alcohol use outcomes, but as self-efficacy increased, the negative influence of avoidance coping strategies diminished.
Levin
Cindy
C
Addiction Treatment Services, Department of Veterans Affairs Palo Alto Health Care System, Menlo Park, CA 94025, USA. Cindy.Levin@va.gov
Ilgen
Mark
M
Moos
Rudolf
R
D000223:Adaptation, Psychological; D000328:Adult; D001362:Avoidance Learning; D003071:Cognition; D006801:Humans; D008297:Male; D012074:Remission Induction; D055502:Secondary Prevention; D020377:Self Efficacy; D016320:Substance Abuse Treatment Centers; D019966:Substance-Related Disorders / Q000628:therapy*; D013695:Temperance; D013997:Time Factors; D016896:Treatment Outcome