Relapse prevention for addictive behaviors.
Relapse prevention for addictive behaviors.
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DOI：
10.1186/1747-597x-6-17
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发表时间：
2011-07-19
期刊：
影响因子：
--
通讯作者：
Marlatt GA
中科院分区：
文献类型：
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作者：
Hendershot CS;Witkiewitz K;George WH;Marlatt GA
复发预防（RP）模型自30年前推出以来一直是成瘾理论和治疗的支柱。本文综述了RP在成瘾行为研究中的最新进展，重点介绍了过去十年（2000-2010）的发展情况。总结了主要的治疗结果研究和荟萃分析，以及与RP模型原则相关的经验发现。在过去十年中，RP的显著进展包括引入了一种重新制定的复发认知行为模型，在大型随机试验中应用先进的统计方法来模拟复发，以及基于正念的复发预防的发展。我们还回顾了药物和行为治疗后复发的遗传相关的新兴文献。RP的持续影响通过其在大多数认知行为物质使用干预中的整合得到证明。然而，将RP纳入其他治疗模式的趋势对RP模型的系统评估构成了障碍。总的来说，RP仍然是一个有影响力的认知行为框架，可以为理解和促进行为改变的理论和临床方法提供信息。
The Relapse Prevention (RP) model has been a mainstay of addictions theory and treatment since its introduction three decades ago. This paper provides an overview and update of RP for addictive behaviors with a focus on developments over the last decade (2000-2010). Major treatment outcome studies and meta-analyses are summarized, as are selected empirical findings relevant to the tenets of the RP model. Notable advances in RP in the last decade include the introduction of a reformulated cognitive-behavioral model of relapse, the application of advanced statistical methods to model relapse in large randomized trials, and the development of mindfulness-based relapse prevention. We also review the emergent literature on genetic correlates of relapse following pharmacological and behavioral treatments. The continued influence of RP is evidenced by its integration in most cognitive-behavioral substance use interventions. However, the tendency to subsume RP within other treatment modalities has posed a barrier to systematic evaluation of the RP model. Overall, RP remains an influential cognitive-behavioral framework that can inform both theoretical and clinical approaches to understanding and facilitating behavior change.