Emphasizing interpersonal factors: an extension of the Witkiewitz and Marlatt relapse model.
Emphasizing interpersonal factors: an extension of the Witkiewitz and Marlatt relapse model.
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DOI：
10.1111/j.1360-0443.2009.02611.x
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发表时间：
2009-08
期刊：
影响因子：
--
通讯作者：
Hildebrandt T
中科院分区：
文献类型：
--
作者：
Hunter-Reel D;McCrady B;Hildebrandt T
最近，Witkiewitz 和 Marlatt 重新制定了 Marlatt 和 Gordon 复发模型，以解释当前的研究结果。本文旨在进一步扩展该模型以更全面地纳入社会变量。在重新制定的复发模型框架内回顾了社会因素和酒精复发文献。文献综述发现，社交网络成员的数量、个人在社交网络中的投资、社交网络内可获得的一般和特定酒精支持的水平以及网络成员的特定行为都可以预测饮酒结果。然而，人们对这些社会变量影响结果的机制知之甚少。作者假设，社会变量通过影响重新制定的复发预防模型的核心个体内部因素来影响结果，包括过程（例如自我效能、结果预期、渴望、动机、消极情感状态）和行为（例如应对和物质使用）。作者提出了具体假设并讨论了可用于研究社会因素对导致复发的个体内部现象的影响的方法。复发模型的拟议扩展提供了可测试的方法可能指导未来酒精复发研究的假设。
Recently, Witkiewitz and Marlatt reformulated the Marlatt and Gordon relapse model to account for current research findings. The present paper aims to further extend this model to incorporate social variables more fully. The social-factors and alcohol-relapse literatures were reviewed within the framework of the reformulated relapse model. The literature review found that the number of social network members, investment of the individual in the social network, levels of general and alcohol-specific support available within the social network, and specific behaviors of network members all predict drinking outcomes. However, little is known about the mechanisms by which these social variables influence outcomes. The authors postulate that social variables influence outcomes by affecting intraindividual factors central to the reformulated relapse prevention model, including processes (e.g. self-efficacy, outcome expectancies, craving, motivation, negative affective states) and behaviors (e.g. coping and substance use. The authors suggest specific hypotheses and discuss methods that can be used to study the impact of social factors on the intraindividual phenomena that contribute to relapse. The proposed extension of the relapse model provides testable hypotheses that may guide future alcohol-relapse research.
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