Theory-based processes that promote the remission of substance use disorders

被引:135
作者
Moos, Rudolf H.
机构
[1] Ctr Hlth Care Evaluat, Vet Affairs Hlth Care Syst, Menlo Pk, CA 94025 USA
[2] Stanford Univ, Dept Psychiat & Bahav Sci, Stanford, CA 94305 USA
关键词
substance use disorders; remission; social control; behavior economics; social learning; stress and coping;
D O I
10.1016/j.cpr.2006.12.006
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Four related theories about the personal and social resources that shield individuals from developing substance use disorders and foster the process of remission from these disorders are described. These theories are social control theory, behavioral economics and behavioral choice theory, social learning theory, and stress and coping theory. Next, the social processes specified by these theories are highlighted, including the provision of support, goal direction, and monitoring; engagement in rewarding activities other than substance use, exposure to abstinence-oriented norms and models, and attempts to build self-efficacy and coping skills. Then, a review of the literature considers evidence about the association between the personal and social resources specified by the four theories and remission from substance use disorders. The discussion highlights several issues that need to be addressed to enhance our understanding of the protective resources involved in stable remission, such as how to develop integrated measures of the key resources and specify their associations with substance use outcomes, the extent to which the resources amplify or compensate for the influence of treatment, and how treatment and continuing care can be tailored to strengthen the protective resources that promote remission. (c) 2007 Elsevier Ltd. All rights reserved.
引用
收藏
页码:537 / 551
页数:15
相关论文
共 102 条
[1]  
ALBERTSEN K, 2006, PREVENTIVE MED
[2]   The process of relapse in severely dependent male problem drinkers [J].
Allsop, S ;
Saunders, B ;
Phillips, M .
ADDICTION, 2000, 95 (01) :95-106
[3]   Gender in relation to relapse crisis situations, coping, and outcome among treated alcoholics [J].
Annis, HM ;
Sklar, SM ;
Moser, AE .
ADDICTIVE BEHAVIORS, 1998, 23 (01) :127-131
[4]  
[Anonymous], 1997, Self-efficacy: The exercise of control
[5]   Applying a behavioral economic framework to understanding adolescent smoking [J].
Audrain-McGovern, J ;
Rodriguez, D ;
Tercyak, KP ;
Epstein, LH ;
Goldman, P ;
Wileyto, EP .
PSYCHOLOGY OF ADDICTIVE BEHAVIORS, 2004, 18 (01) :64-73
[6]  
Beattie MC, 1997, ADDICTION, V92, P1507
[7]   General and alcohol-specific social support following treatment [J].
Beattie, MC ;
Longabaugh, R .
ADDICTIVE BEHAVIORS, 1999, 24 (05) :593-606
[8]   Meta-analysis of social relationships and posttreatment drinking outcomes: Comparison of relationship structure, function and quality [J].
Beattie, MC .
JOURNAL OF STUDIES ON ALCOHOL, 2001, 62 (04) :518-527
[9]   A randomised trial of early warning signs relapse prevention training in the treatment of alcohol dependence [J].
Bennett, GA ;
Withers, J ;
Thomas, PW ;
Higgins, DS ;
Bailey, J ;
Parry, L ;
Davies, E .
ADDICTIVE BEHAVIORS, 2005, 30 (06) :1111-1124
[10]  
Bickel W.K., 2000, Reframing health behavior change with behavioral economics, DOI 10.4324/9781410605061