Effects of commitment to abstinence, positive moods, stress, and coping on relapse to cocaine use

J Consult Clin Psychol. 1991 Aug;59(4):526-32. doi: 10.1037//0022-006x.59.4.526.


In a prospective study of 104 cocaine patients, a baseline assessment was conducted while Ss were in treatment. After treatment completion, Ss were assessed once a week for 12 weeks, then 6 months from study start. A goal of absolute abstinence, greater expected success in quitting, and positive moods predicted a lower risk of a lapse in the first 12 weeks of follow-up. Stress (negative moods, physical symptoms, hassles, and life events) did not predict. Use of more coping strategies predicted abstinence for Caucasian but not for African-American Ss. Baseline measures of expected success and desire to quit predicted continuous abstinence at 6 months but not at statistically significant levels. Results suggest that solidifying abstinence goals and enhancing positive moods may facilitate early abstinence.

Publication types

  • Research Support, U.S. Gov't, Non-P.H.S.
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • Affect*
  • Cocaine*
  • Female
  • Humans
  • Male
  • Prognosis
  • Prospective Studies
  • Recurrence
  • Retrospective Studies
  • Stress, Psychological / complications*
  • Substance-Related Disorders / psychology*
  • Substance-Related Disorders / rehabilitation*


  • Cocaine