Stephens R S, Curtin L, Simpson E E, Roffman R A
Department of Psychology, Virginia Tech, Blacksburg 24061-0436.
Addict Behav. 1994 Jan-Feb;19(1):23-32. doi: 10.1016/0306-4603(94)90048-5.
It has been proposed that internal, stable, and global attributions for the cause of a lapse following a period of abstinence and concomitant feelings of guilt and loss of control increased the probability of a return to regular substance use. The Abstinence Violation Effect (AVE) hypotheses were tested in a sample of 75 adult marijuana users who reported a lapse into marijuana use following completion of either a relapse prevention (RP) or social support group treatment aimed at abstinence. Results showed that more internal, stable, and global attributions for the cause of the lapse and perceived loss of control were related significantly to concurrently reported relapse. Further, internal and global attributions predicted marijuana use during the subsequent 6 months. Results are discussed in terms of support for the AVE construct, treatment implications, and the failure of the RP treatment to modify reactions to a lapse.
有人提出,在一段禁欲期后出现失误的原因的内在、稳定和全局归因,以及随之而来的内疚感和失控感,增加了恢复常规物质使用的可能性。在75名成年大麻使用者的样本中对禁欲违反效应(AVE)假设进行了测试,这些使用者报告在完成旨在禁欲的复发预防(RP)或社会支持小组治疗后又重新吸食了大麻。结果表明,对失误原因以及感知到的失控的更多内在、稳定和全局归因与同时报告的复发显著相关。此外,内在和全局归因预测了随后6个月内的大麻使用情况。从对AVE结构的支持、治疗意义以及RP治疗未能改变对失误的反应等方面对结果进行了讨论。