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1 – 10 of over 2000
Article
Publication date: 3 November 2009

Neil Gredecki and Polly Turner

Traditionally, the focus in psychology has been to relieve suffering in matters such as mental illness. In forensic interventions, the focus has been similar, with an emphasis on…

Abstract

Traditionally, the focus in psychology has been to relieve suffering in matters such as mental illness. In forensic interventions, the focus has been similar, with an emphasis on the removal of offence‐related behaviours and thinking. That is, therapy has focused on ‘fixing’ what appears to be broken. More recent thinking in the positive psychology literature focuses on the importance of enhancing well‐being and happiness in clients and enhancing the client's own strengths and positive experiences. In turn, positive psychology adopts a strengths‐based approach to working therapeutically with clients. Positive psychology has a number of potential implications for working with forensic clients and the delivery of therapy and relapse prevention blocks. This paper will explores the potential application of positive psychology literature to offending behaviour interventions. Specifically, it focuses on the process of relapse‐prevention and self‐management, within the framework of the Self‐Regulation Model of the Relapse Process (SRM‐RP).

Details

The British Journal of Forensic Practice, vol. 11 no. 4
Type: Research Article
ISSN: 1463-6646

Keywords

Open Access
Article
Publication date: 6 April 2020

Nhat Van Trieu, Penpaktr Uthis and Sunisa Suktrakul

To study the situation of alcohol relapse and to investigate the relationship between psychological factors and alcohol relapse in persons with alcohol dependence in Thai Nguyen…

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Abstract

Purpose

To study the situation of alcohol relapse and to investigate the relationship between psychological factors and alcohol relapse in persons with alcohol dependence in Thai Nguyen hospitals, Vietnam.

Design/methodology/approach

A correlation study was conducted among 110 patients. Data were collected through structured interviews and were analyzed using descriptive statistics and Spearman's correlation coefficient (rs).

Findings

More than two-thirds of the participants were found to relapse more than once (X¯ = 2.04, SD = 0.86). Positive outcome expectancies, cravings, negative emotional states, and maladaptive coping were positively associated with relapse (rs = 0.550, 0.522, 0.497; p = 0.000 and rs = 0.217, p < 0.05, respectively). While, motivation to change with three subscales had a negative correlation to relapse including recognition (rs = −0.199, p < 0.05), ambivalence (rs = −0.331, p = 0.000), and taking steps (rs = −0.606, p = 0.000). Adaptive coping, self-efficacy, and social support were also found to be negatively correlated to relapse (rs = −0.535, −0.499, −0.338; p = 0.000, respectively). However, negative outcome expectancies (rs = −0.024, p = 0.805) and positive emotional states (rs = 0.081, p = 0.399) were not significantly related to relapse.

Practical implications

The findings of this study are significant implications for relapse prevention strategies. It suggests that the essential parts of relapse prevention are through: changing alcohol expectations, increase drinking refusal self-efficacy, coping skills training, enhancing motivation to change, managing alcohol craving and expanding social support.

Originality/value

This is the first study in Vietnam which investigated the relationship between psychological factors and alcohol relapse in individuals with alcohol dependence.

Details

Journal of Health Research, vol. 35 no. 2
Type: Research Article
ISSN: 0857-4421

Keywords

Open Access
Article
Publication date: 10 July 2018

Gian Nurmaindah Hendianti and Penpaktr Uthis

This purpose of this paper is to describe methamphetamine relapse risk, examine the relationship between factors in the dynamic model of relapse and methamphetamine relapse risk.

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Abstract

Purpose

This purpose of this paper is to describe methamphetamine relapse risk, examine the relationship between factors in the dynamic model of relapse and methamphetamine relapse risk.

Design/methodology/approach

A total of 165 clients from the Substance Rehabilitation Center of National Narcotics Board in West Java, Indonesia were recruited. The research instruments included a demographic characteristic questionnaire and eight different tests: Drug Taking Confidence Questionnaire; Stimulant Effect Expectancy Questionnaire; Stage of Change Readiness and Treatment Eagerness Scale version 8.0 for Drug; Coping Strategies Inventory Short Form; Positive Affect and Negative Affect Schedule; Desire for Speed Questionnaire; Social Support Questionnaire; and the Stimulant Relapse Risk Scale. Descriptive statistics were used to analyze the data. Pearson’s product moment correlation was used to test the relationship among variables.

Findings

Clients (63 percent) were at a moderate level of methamphetamine relapse risk (mean=56.33, SD=10.54). Outcome expectancy, positive emotional state, negative emotional state and craving were positive and had a significant correlation with relapse risk (r=0.261, r=0.380, r=0.370, r=0.509, p<0.01, respectively). Self-efficacy was negative and had a significant correlation with relapse risk (r=−0.316, p<0.01). Motivation, coping and social support had no correlation with relapse risk.

Originality/value

Two-thirds of the clients in a rehabilitation center have a tendency to relapse following treatment. Nursing intervention for early detection of methamphetamine relapse risk during treatment by using standardized instruments should be implemented.

Details

Journal of Health Research, vol. 32 no. 4
Type: Research Article
ISSN: 2586-940X

Keywords

Article
Publication date: 11 May 2012

Peter W. Thomas, Sarah Thomas and Helen Allen

Multiple sclerosis (MS) relapses are unpredictable in onset, severity, type of symptoms, and duration. They can have a profound effect on a person's daily activities, employment…

Abstract

Purpose

Multiple sclerosis (MS) relapses are unpredictable in onset, severity, type of symptoms, and duration. They can have a profound effect on a person's daily activities, employment, relationships with friends and family, and social life. Individual budgets may be a means of providing personalised, timely, and flexible support to people with MS in preparation for, and during, a relapse. This paper aims to report on a pilot scheme that aimed to help people with MS to prepare for future relapse.

Design/methodology/approach

The paper provides an evaluation of a one year pilot scheme conducted in East Sussex, UK, that aimed to help people with MS to prepare for future relapse by a process of tailored relapse support planning, in combination with the provision of an individual grant of £750.

Findings

An independent, mixed methods evaluation (n=12) was conducted incorporating telephone and face‐to‐face interviews, focus groups, and self‐reported questionnaires. The evaluation indicated that the service was valued by participants and that, overall, they reported feeling more in control of managing a relapse or worsening of symptoms.

Originality/value

The results will inform the development and expansion of the service, with larger scale research projects required to further establish the evidence base.

Details

Social Care and Neurodisability, vol. 3 no. 2
Type: Research Article
ISSN: 2042-0919

Keywords

Abstract

Details

Drugs and Alcohol Today, vol. 3 no. 3
Type: Research Article
ISSN: 1745-9265

Abstract

Purpose

This study aims to evaluate and summarize the effectiveness of cognitive behavioral therapy (CBT) and internet-based CBT (ICBT) interventions on relapse prevention and severity of symptoms among individuals with major depressive disorder (MDD). CBT is one of the most used and suggested interventions to manage MDD, whereas ICBT is a novel effective proposed approach.

Design/methodology/approach

The review was conducted following the preferred reporting items for systematic review and meta-analysis protocol. A comprehensive and extensive search was performed to identify and evaluate the relevant studies about the effectiveness of CBT and ICBT on relapse prevention and severity of symptoms among patients with MDD.

Findings

A total of eight research studies met the inclusion criteria and were included in this systematic review. RCT studies were conducted to assess and evaluate the effectiveness of CBT and ICBT on relapse prevention and severity of symptoms among patients with MDD. It has been found that CBT is a well-supported and evidently based effective psychotherapy for managing depressive symptoms and reducing the relapse and readmission rate among patients diagnosed with MDD. The ICBT demonstrated greater improvements in depressive symptoms during major depressive episodes among patients with MDDS. The ICBT program had good acceptability and satisfaction among participants in different countries.

Research limitations/implications

Despite the significant findings from this systematic review, certain limitations should be acknowledged. First, it is important to note that all the studies included in this review were exclusively conducted in the English language, potentially limiting the generalizability of the findings to non-English speaking populations. Second, the number of research studies incorporated in this systematic review was relatively limited, which may have resulted in a narrower scope of analysis. Finally, a few studies within the selected research had small sample sizes, which could potentially impact the precision and reliability of the overall conclusions drawn from this review. The authors recommend that nurses working in psychiatric units should use CBT interventions with patients with MDD.

Practical implications

This paper, a review of the literature gives an overview of CBT and ICBT interventions to reduce the severity of depressive symptoms and prevent patients’ relapse and rehospitalization and shows that CBT interventions are effective on relapse prevention among patients with MDD. In addition, there is still no standardized protocol to apply the CBT intervention in the scope of reducing the severity of depressive symptoms and preventing depression relapse among patients with major depressive disorder. Further research is needed to confirm the findings of this review. Future research is also needed to find out the most effective form and contents of CBT and ICBT interventions for MDD.

Social implications

CBT is a psychological intervention that has been recommended by the literature for the treatment of major depressive disorder (MDD). It is a widely recognized and accepted approach that combines cognitive and behavioral techniques to assist individuals overcome their depressive symptoms and improve their overall mental well-being. This would speculate that effectiveness associated with several aspects and combinations of different approaches in CBT interventions and the impact of different delivery models are essential for clinical practice and appropriate selection of the interventional combinations.

Originality/value

This systematic review focuses on the various studies that explore the effectiveness of face-to-face CBT and ICBT in reducing depressive symptoms among patients with major depressive disorder. These studies were conducted in different countries such as Iran, Australia, Pennsylvania and the USA.

Details

Mental Health and Social Inclusion, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 2042-8308

Keywords

Book part
Publication date: 23 September 2005

Tetsuji Yamada, Chia-Ching Chen and Tadashi Yamada

Evaluating the prevention, intervention, and treatment programme is critical to understanding the decision-making behaviour of substance abusers. The study interweaves behavioural…

Abstract

Evaluating the prevention, intervention, and treatment programme is critical to understanding the decision-making behaviour of substance abusers. The study interweaves behavioural health economics with the extended PRECEDE–PROCEED Model and examines the effectiveness of treatment settings for substance users in New Jersey Drug and Alcohol Abuse Treatment (13,775 samples). The study also identifies the factors that are associated with substance users’ recurrence to the treatment centre. The results concluded that educational attainment, counselling services from health care providers, mental agency services, and detoxification treatments have a significant impact on preventing relapse behaviour.

Details

Substance Use: Individual Behaviour, Social Interactions, Markets and Politics
Type: Book
ISBN: 978-1-84950-361-7

Article
Publication date: 7 September 2010

David H. Cook

The purpose of this paper is to present the first of two articles about substance abuse as a human disorder that defies resolution, with the primary care physician the intended…

Abstract

Purpose

The purpose of this paper is to present the first of two articles about substance abuse as a human disorder that defies resolution, with the primary care physician the intended audience.

Design/methodology/approach

The paper is about the phenomenon of relapse as an extension of the formation of the underlying addictive‐oriented thinking. Both relapse and acceptance are about the “why” of substance abuse and not the “what.”

Findings

According to the Substance Abuse and Mental Health Services Administration, the number of US adults who were classified as having substance dependence or abuse in 2008 based on criteria specified in the DSM‐IV was 22.2 million. Subtract on a mutually exclusive basis the 1.2 million who participate in Alcoholics Anonymous (AA) and the 1.7 million persons who are in some configuration of institutional therapy and this leaves 19.3 million persons as a potential pool of need.

Research limitations/implications

Focusing on the primary care physician is no more trivial than the two topics to be discussed.

Social implications

The potential pool of need in the USA is much larger than the 19.3 million persons on the strength of what is implied by the to‐be‐developed views of relapse and acceptance as the “why” of substance abuse, as a subset of addictive‐oriented thinking.

Originality/value

While the paper is in line with the World Health Organization's position that substance abuse is the most serious health problem globally, the advocated approach to the resolution of addiction is the efficiency of the relationship between the primary care physician and the patient.

Details

International Journal of Sociology and Social Policy, vol. 30 no. 9/10
Type: Research Article
ISSN: 0144-333X

Keywords

Article
Publication date: 1 May 1996

Robert S. Gossweiler and Steven S. Martin

This study examines the relationship of personality characteristics to drug treatment effectiveness for prison releasees. Prison releasees from two drug treatment programs (an…

Abstract

This study examines the relationship of personality characteristics to drug treatment effectiveness for prison releasees. Prison releasees from two drug treatment programs (an out‐patient setting and a therapeutic community setting) are compared with each other and to releasees from a comparison group. Treatment success is measured 6 months after release from prison in terms of 1) abstinence of illicit drug use and 2) lack of recidivism. The data are analyzed using logistic regression with demographic, criminal history, past drug use, psychological, and treatment measures included in the equations. Findings suggest that several personality dimensions are related to treatment effectiveness, sometimes in unexpected ways. The findings also reveal that different personality characteristics are associated with each of the two measures of treatment success. The results are discussed in terms of policy implications for treatment programs.

Details

International Journal of Sociology and Social Policy, vol. 16 no. 5/6
Type: Research Article
ISSN: 0144-333X

Article
Publication date: 1 February 1986

Robert D. Marx

Estimates of relapse in management training efforts range as high as 90 per cent. Management trainers predict 40 per cent of training content is applied immediately after training…

Abstract

Estimates of relapse in management training efforts range as high as 90 per cent. Management trainers predict 40 per cent of training content is applied immediately after training and only 15 per cent is used 12 months later. These estimates suggest that managers acquire skills, implement them briefly and then fail to maintain them at work. In the face of limited management support for skill retention, training personnel must consider other options for skill retention that are trainee/trainer controlled. The “Relapse Prevention Model” is proposed as a methodology to enhance skill retention and as a data‐based diagnostic tool to alert individuals and organisations to circumstances that sabotage training efforts.

Details

Journal of Management Development, vol. 5 no. 2
Type: Research Article
ISSN: 0262-1711

Keywords

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