Moser A E, Annis H M
Correctional Service Canada, Collins Bay Institution, Psychology Department, Kingston, Ontario, Canada.
Addiction. 1996 Aug;91(8):1101-13. doi: 10.1046/j.1360-0443.1996.91811013.x.
This study investigates the influence of coping on the outcome of a relapse crisis for a sample of 125 treated alcoholics during the first 12 weeks following treatment completion. Both number and type of coping responses were examined. Results indicated that survival of a relapse crisis was most strongly related to the number of coping strategies used. Termination of a drinking episode was also related to number of coping responses. In addition, the type of coping strategy influenced survival, with the exclusive use of active coping strategies significantly associated with abstinence outcome compared with the exclusive use of avoidant strategies. Combining active and avoidant strategies appeared to be most effective for terminating a drinking episode. Results are discussed in the context of the cognitive-behavioral model of relapse, the general literature on coping behavior and the findings of other relapse studies.
本研究调查了应对方式对125名接受治疗的酗酒者在治疗结束后的前12周内复发危机结果的影响。研究考察了应对反应的数量和类型。结果表明，复发危机的存续与所使用的应对策略数量密切相关。饮酒发作的终止也与应对反应的数量有关。此外，应对策略的类型影响存续情况，与单纯使用回避策略相比，单纯使用积极应对策略与戒酒结果显著相关。结合使用积极和回避策略似乎对终止饮酒发作最为有效。研究结果将在复发的认知行为模型、应对行为的一般文献以及其他复发研究的结果背景下进行讨论。
