Stress, cognitive factors, and coping resources as predictors of relapse in alcoholics

Addict Behav. Sep-Oct 1999;24(5):687-93. doi: 10.1016/s0306-4603(98)00087-2.


One hundred alcohol-dependent individuals attending a detoxification unit were assessed on a variety of psychological, social and demographic variables. Sixty-one participants were contacted at follow-up over 1 year later. Alcohol consumption was assessed through self-report and corroborative information. Self-reported levels of stress and social support were also obtained. High self-efficacy predicted low levels of self reported drinking at follow-up. Negative coping predicted higher levels of drinking as reported by the corroborator. High levels of stress in the month prior to follow-up were related to self-reported poor drinking outcomes, while ongoing social support since treatment was associated with favorable drinking outcomes. Overall, higher levels of self-efficacy during detoxification and social support following treatment were the best predictors of a favourable drinking outcome.

MeSH terms

  • Adaptation, Psychological*
  • Adult
  • Aged
  • Alcoholism / psychology*
  • Alcoholism / rehabilitation
  • Cognition Disorders / diagnosis
  • Cognition Disorders / etiology*
  • Female
  • Follow-Up Studies
  • Hospitalization
  • Humans
  • Internal-External Control
  • Male
  • Middle Aged
  • Prospective Studies
  • Recurrence
  • Self-Assessment
  • Social Support
  • Stress, Psychological / psychology*
  • Treatment Outcome