Title

Efficacy of relapse prevention: A meta-analytic review

Authors

Authors

J. E. Irvin; C. A. Bowers; M. E. Dunn;M. C. Wang

Comments

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Abbreviated Journal Title

J. Consult. Clin. Psychol.

Keywords

BEHAVIORAL MARITAL-THERAPY; SMOKING-CESSATION; ALCOHOLISM-TREATMENT; COCAINE DEPENDENCE; CONTROLLED TRIAL; DRUG-ABUSERS; PSYCHOTHERAPY; INTERVENTION; Psychology, Clinical

Abstract

Although relapse prevention (RP) has become a widely adopted cognitive-behavioral treatment intervention for alcohol, smoking, and other substance use, outcome studies have yielded an inconsistent picture of the efficacy of this approach or conditions for maximal effectiveness. A meta-analysis was performed to evaluate the overall effectiveness of RP and the extent to which certain variables may relate to treatment outcome. Twenty-six published and unpublished studies with 70 hypothesis tests representing a sample of 9,504 participants were included in the analysis. Results indicated that RP was generally effective, particularly for alcohol problems. Additionally, outcome was moderated by several variables. Specifically, RP was most effective when applied to alcohol or polysubstance use disorders, combined with the adjunctive use of medication, and when evaluated immediately following treatment using uncontrolled pre-post tests.

Journal Title

Journal of Consulting and Clinical Psychology

Volume

67

Issue/Number

4

Publication Date

1-1-1999

Document Type

Article; Proceedings Paper

Language

English

First Page

563

Last Page

570

WOS Identifier

WOS:000081881900013

ISSN

0022-006X

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