Predictors of changes in alcohol-related self-efficacy over 16 years
Self-efficacy is a robust predictor of short- and long-term remission after alcohol treatment. This study examined the predictors of self-efficacy in the year after treatment and 15 years later.
A sample of 420 individuals with alcohol use disorders was assessed five times over the course of 16 years.
Predictors of self-efficacy at 1 year included
- improvement from baseline to 1 year in heavy drinking,
- alcohol-related problems,
- avoidance coping,
- social support from friends, and
- longer duration of participation in mutual-help Alcoholics Anonymous (AA).
Female gender, more education, less change in substance use problems, and impulsivity during the first year predicted improvement in self-efficacy over 16 years.
Clinicians should focus on
- keeping patients engaged in self-help of AA,
- addressing depressive symptoms,
- improving patient’s coping, and
- enhancing social support
during the first year and reduce the risk of relapse by monitoring individuals whose alcohol problems and impulsivity improve unusually quickly.
Research; Predictors of changes in alcohol-related self-efficacy over 16 years. John McKellar Ph.D, Mark Ilgen Ph.D., Bernice S. Moos B.A. and Rudolf Moos Ph.D. J Subst Abuse Treat. 2007 Nov 23.
- AA and Treatment Work Better Together
- Brief-TSF can assist patients cease alcohol consumption.
- AA Offers Recovery Not Religion
|Drug and Alcohol Abuse:
A Clinical Guide to Diagnosis and Treatment
by Marc A. Schuckit