Abstinence Violation

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Ph. D - One of the best experts on this subject based on the ideXlab platform.

  • Relapse prevention. An overview of Marlatt’s cognitive behavioral model
    1999
    Co-Authors: Mary E. Larimer, Alan G Marlatt, Rebekka S. Palmer, Ph. D
    Abstract:

    Relapse prevention (RP) is an important component of alcoholism treatment. The RP model proposed by Marlatt and Gordon suggests that both immediate determinants (e.g., high-risk situations, coping skills, outcome expectancies, and the Abstinence Violation effect) and covert antecedents (e.g., lifestyle factors and urges and cravings) can contribute to relapse. The RP model also incorporates numerous specific and global intervention strategies that allow therapist and client to address each step of the relapse process. Specific interventions include identifying specific high-risk situations for each client and enhancing the client’s skills for coping with those situations, increasing the client’s self-efficacy, eliminating myths regarding alcohol’s effects, managing lapses, and restructuring the client’s perceptions of the relapse process. Global strategies comprise balancing the client’s lifestyle and helping him or her develop positive addictions, employing stimulus control techniques and urge-management techniques, and developing relapse road maps. Several studies have provided theoretical and practical support for the RP model. KEY WORDS: AODD (alcohol and other drug dependence) relapse; relapse prevention; treatment model; cognitive therapy; behavior therapy; risk factors; coping skills; self efficacy; expectancy; AOD (alcohol and other drug) Abstinence; lifestyle; AOD craving; intervention; alcohol cue; reliability (research methods); validity (research methods); literature revie

Alan G Marlatt - One of the best experts on this subject based on the ideXlab platform.

  • relapse prevention an overview of marlatt s cognitive behavioral model
    Alcohol Research & Health, 1999
    Co-Authors: Mary E. Larimer, Rebekka S. Palmer, Alan G Marlatt
    Abstract:

    Relapse prevention (RP) is an important component of alcoholism treatment. The RP model proposed by Marlatt and Gordon suggests that both immediate determinants (e.g., high-risk situations, coping skills, outcome expectancies, and the Abstinence Violation effect) and covert antecedents (e.g., lifestyle factors and urges and cravings) can contribute to relapse. The RP model also incorporates numerous specific and global intervention strategies that allow therapist and client to address each step of the relapse process. Specific interventions include identifying specific high-risk situations for each client and enhancing the client's skills for coping with those situations, increasing the client's self-efficacy, eliminating myths regarding alcohol's effects, managing lapses, and restructuring the client's perceptions of the relapse process. Global strategies comprise balancing the client's lifestyle and helping him or her develop positive addictions, employing stimulus control techniques and urge-management techniques, and developing relapse road maps. Several studies have provided theoretical and practical support for the RP model.

  • Relapse prevention. An overview of Marlatt’s cognitive behavioral model
    1999
    Co-Authors: Mary E. Larimer, Alan G Marlatt, Rebekka S. Palmer, Ph. D
    Abstract:

    Relapse prevention (RP) is an important component of alcoholism treatment. The RP model proposed by Marlatt and Gordon suggests that both immediate determinants (e.g., high-risk situations, coping skills, outcome expectancies, and the Abstinence Violation effect) and covert antecedents (e.g., lifestyle factors and urges and cravings) can contribute to relapse. The RP model also incorporates numerous specific and global intervention strategies that allow therapist and client to address each step of the relapse process. Specific interventions include identifying specific high-risk situations for each client and enhancing the client’s skills for coping with those situations, increasing the client’s self-efficacy, eliminating myths regarding alcohol’s effects, managing lapses, and restructuring the client’s perceptions of the relapse process. Global strategies comprise balancing the client’s lifestyle and helping him or her develop positive addictions, employing stimulus control techniques and urge-management techniques, and developing relapse road maps. Several studies have provided theoretical and practical support for the RP model. KEY WORDS: AODD (alcohol and other drug dependence) relapse; relapse prevention; treatment model; cognitive therapy; behavior therapy; risk factors; coping skills; self efficacy; expectancy; AOD (alcohol and other drug) Abstinence; lifestyle; AOD craving; intervention; alcohol cue; reliability (research methods); validity (research methods); literature revie

Mary E. Larimer - One of the best experts on this subject based on the ideXlab platform.

  • relapse prevention an overview of marlatt s cognitive behavioral model
    Alcohol Research & Health, 1999
    Co-Authors: Mary E. Larimer, Rebekka S. Palmer, Alan G Marlatt
    Abstract:

    Relapse prevention (RP) is an important component of alcoholism treatment. The RP model proposed by Marlatt and Gordon suggests that both immediate determinants (e.g., high-risk situations, coping skills, outcome expectancies, and the Abstinence Violation effect) and covert antecedents (e.g., lifestyle factors and urges and cravings) can contribute to relapse. The RP model also incorporates numerous specific and global intervention strategies that allow therapist and client to address each step of the relapse process. Specific interventions include identifying specific high-risk situations for each client and enhancing the client's skills for coping with those situations, increasing the client's self-efficacy, eliminating myths regarding alcohol's effects, managing lapses, and restructuring the client's perceptions of the relapse process. Global strategies comprise balancing the client's lifestyle and helping him or her develop positive addictions, employing stimulus control techniques and urge-management techniques, and developing relapse road maps. Several studies have provided theoretical and practical support for the RP model.

  • Relapse prevention. An overview of Marlatt’s cognitive behavioral model
    1999
    Co-Authors: Mary E. Larimer, Alan G Marlatt, Rebekka S. Palmer, Ph. D
    Abstract:

    Relapse prevention (RP) is an important component of alcoholism treatment. The RP model proposed by Marlatt and Gordon suggests that both immediate determinants (e.g., high-risk situations, coping skills, outcome expectancies, and the Abstinence Violation effect) and covert antecedents (e.g., lifestyle factors and urges and cravings) can contribute to relapse. The RP model also incorporates numerous specific and global intervention strategies that allow therapist and client to address each step of the relapse process. Specific interventions include identifying specific high-risk situations for each client and enhancing the client’s skills for coping with those situations, increasing the client’s self-efficacy, eliminating myths regarding alcohol’s effects, managing lapses, and restructuring the client’s perceptions of the relapse process. Global strategies comprise balancing the client’s lifestyle and helping him or her develop positive addictions, employing stimulus control techniques and urge-management techniques, and developing relapse road maps. Several studies have provided theoretical and practical support for the RP model. KEY WORDS: AODD (alcohol and other drug dependence) relapse; relapse prevention; treatment model; cognitive therapy; behavior therapy; risk factors; coping skills; self efficacy; expectancy; AOD (alcohol and other drug) Abstinence; lifestyle; AOD craving; intervention; alcohol cue; reliability (research methods); validity (research methods); literature revie

Christi S. - One of the best experts on this subject based on the ideXlab platform.

  • Mindfulness as a moderator of coping response and the Abstinence Violation Effect : a test of the role of mindfulness in the Relapse Prevention Model for exercise.
    ThinkIR: The University of Louisville\u27s Institutional Repository, 2006
    Co-Authors: Christi S.
    Abstract:

    The importance of physical activity in preventing disease and promoting health is increasingly evident in health outcomes research. Although most adults in the U.S. have initiated exercise programs at some point in their lives, research suggests that they have difficulty maintaining beneficial levels of physical activity and exercise. With escalating rates of obesity and physical inactivity, the importance of understanding processes by which individuals engage in and maintain physical activity cannot be understated. The Relapse Prevention Model (RPM), developed for use with addiction, has been successfully used to explore factors associated with exercise drop-out, or exercise relapse . In the current study, relationships between constructs of the RPM were examined and the role of mindfulness in moderating these relationships was evaluated using retrospective recall of exercise. In this cross-sectional study, static constructs were used as proxies for the situationally defined constructs of the RPM and the sequelae of high-risk situations for exercise lapse. Mindfulness was predicted to moderate the relationships between vulnerability to relapse and coping response, and between slip frequency and the Abstinence Violation Effect (AVE) in lapsers, such that individuals who were higher in mindfulness would endorse more effective coping strategies and lower AVE. The findings of this study suggest that mindfulness may be associated with better exercise outcomes, that less mindful community exercisers may use certain ineffective coping strategies more often, and that mindfulness may buffer the relationship between missed exercise sessions and the AVE. Future research on the role of mindfulness in exercise is recommended using prospective assessment methodologies and longitudinal design

Kirchner, Thomas R. - One of the best experts on this subject based on the ideXlab platform.

  • Relapse Dynamics During Smoking Cessation: Recurrent Abstinence Violation Effects and Lapse-Relapse Progression
    2008
    Co-Authors: Kirchner, Thomas R.
    Abstract:

    Smoking relapse is most often the end point of a process that unfolds over a period of days or weeks and is characterized by many intermittent lapses. According to Relapse Prevention theory, progression to relapse is driven by the Abstinence Violation Effect (AVE), a set of cognitive and emotional responses to lapsing that predisposes quitters to further lapses in an accelerating downward spiral. However, the dynamic relationship between lapse responses and relapse progression during smoking cessation has not been a focus of research. We used mixed-effect growth modeling and recurrent event survival analyses to investigate the way AVE-related lapse responses evolve over the course of a cessation attempt and prospectively influence subsequent lapse-relapse progression. Participants were 203 smokers who achieved Abstinence and subsequently lapsed on one or more separate occasions. Using electronic diaries for Ecological Momentary Assessment, participants recorded their reactions to each lapse in real time. Findings revealed a great deal of variability between participants and from lapse-to-lapse in the severity of AVE responses, indicating that participants differed in the extent that their AVE responses intensified versus improved with each successive lapse. In turn, AVE response was found to explain subsequent lapse progression rates, above and beyond the predictive influence of other traditional explanatory variables. Results indicate that while participants' responses to the first lapse they experienced were unrelated to whether they ultimately relapsed, those who reported higher levels of self-efficacy following their first lapse had a slower rate of progression from each successive lapse to the next (HR=0.93, CI=0.89-0.97). Controlling for responses to their initial lapse, we found that responses to each additional lapse influenced lapse progression rates, such that higher levels of both self-blame (HR=0.99, CI=0.98-0.99) and self-efficacy (HR=0.95, CI=0.92-0.99) were associated with slower progression to a subsequent lapse. Incremental increases in guilt from lapse-to-lapse were associated with slower progression to an additional lapse (HR=0.96, CI=0.92-0.99), while increasingly negative affective valence from lapse-to-lapse was associated with accelerated lapse progression (HR=1.05, CI=1.00-1.09). Results highlight the dynamic nature of lapse responses during smoking cessation, demonstrating the way psychological responses may drive progression from one lapse to the next