Mediators of Telephone-Based Continuing Care for Alcohol and Cocaine Dependence

A previous randomized trial with 224 alcohol and/or cocaine addicts who had completed an initial phase of treatment indicated that 12 weeks of telephone-based continuing care yielded higher abstinence rates over 24 months than did group counseling continuing care. The current study examined mediator...

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Bibliographic Details
Published in:Journal of consulting and clinical psychology 2007-10, Vol.75 (5), p.775-784
Main Authors: Mensinger, Janell Lynn, Lynch, Kevin G, TenHave, Thomas R, McKay, James R
Format: Article
Language:English
Subjects:
Abstinence
Addictive behaviors
Adult
Adult and adolescent clinical studies
Aftercare
Aftercare - methods
Alcohol Abuse
Alcohol consumption
Alcoholism
Alcoholism - psychology
Alcoholism - rehabilitation
Alcoholism and acute alcohol poisoning
Ambulatory Care
Behavior Change
Biological and medical sciences
Cocaine
Cocaine-Related Disorders - psychology
Cocaine-Related Disorders - rehabilitation
Cognitive Behavioral Therapy
Combined Modality Therapy
Continuing care
Continuum of Care
Counseling
Counseling Techniques
Dependence
Drug Addiction
Drug Dependency
Drug Rehabilitation
Effects
Female
Human
Humans
Male
Mediators
Medical sciences
Middle Aged
Neuropharmacology
Outcomes of Treatment
Outpatient
Pharmacology. Drug treatments
Psychoanaleptics: cns stimulant, antidepressant agent, nootropic agent, mood stabilizer
Psychoanaleptics: cns stimulant, antidepressant agent, nootropic agent, mood stabilizer..., (alzheimer disease)
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Psychopharmacology
Psychotherapy, Group
Secondary Prevention
Self Care
Self Efficacy
Selfefficacy
Social Support
Substance abuse treatment
Substance Use Treatment
Telecommunications
Telephone
Telephone support groups
Telephone Systems
Telephones
Temperance - psychology
Toxicology
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Description
Summary:A previous randomized trial with 224 alcohol and/or cocaine addicts who had completed an initial phase of treatment indicated that 12 weeks of telephone-based continuing care yielded higher abstinence rates over 24 months than did group counseling continuing care. The current study examined mediators of this treatment effect. Results suggested that self-help involvement during treatment and self-efficacy and commitment to abstinence 3 months after treatment mediated subsequent abstinence outcomes. These analyses controlled for substance use prior to the assessment of mediators. Conversely, there was no evidence that self-help beliefs or social support mediated the treatment effect. These results are consistent with a model in which treatment effects are first accounted for by changes in behavior, followed by changes in self-efficacy and in commitment to abstinence.
ISSN:0022-006X
1939-2117
DOI:10.1037/0022-006X.75.5.775