Dynamic association between negative affect and alcohol lapses following alcohol treatment.
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Clinical research has found a strong association between negative affect and returning to alcohol use after a period of abstinence. Yet little is known about the probability of a lapse given a particular level of negative affect or whether there is a reciprocal relationship between negative affect and alcohol use across time. The goal of the current study was to examine the association between negative affect and drinking behavior in the 1st year following alcohol treatment. The authors applied an associative latent transition analysis to the Project MATCH outpatient data (n = 952) and then replicated the model in the Project MATCH aftercare data (n = 774). Changes in drinking following treatment were significantly associated with current and prior changes in negative affect, and changes in negative affect were related to prior changes in drinking (effect size range = 0.13-0.33). The results supported the hypothesis that negative affect and alcohol lapses are dynamically linked and suggest that targeting the relationship between negative affect and alcohol use could greatly decrease the probability of lapses and improve alcohol treatment outcomes.
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Individuals who reported higher negative affect or increased negative affect over time had the highest probability of heavy and frequent drinking following treatment, and had a near-zero probability of transitioning to moderate drinking.
“Overall, the results showed that individuals who reported higher negative affect or increased negative affect over time had the highest probability of heavy and frequent drinking following treatment, and had a near-zero probability of transitioning to moderate drinking.”
From Relapse prevention for addictive behaviors (2011) · cites this paper as [72]
The Results (Modified ALTA Model Results; page unavailable) associate high or rising negative affect with a greater probability of heavy drinking. They also report a near-zero probability of transitioning to moderate drinking, but only among people who had previously been heavy drinkers—and regardless of negative affect. The claim omits that condition and makes the transition finding sound specific to high or rising negative affect. (LLM, conf=0.85)
Experimental — accuracy not yet measuredHeavier and more frequent alcohol use predicted a greater probability of high negative affect and increased negative affect over time.
“Heavier and more frequent alcohol use predicted a greater probability of high negative affect and increased negative affect over time.”
From Relapse prevention for addictive behaviors (2011) · cites this paper as [72]
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Self-citation
- Authors
- Witkiewitz, K., & Villarroel, N. A.
- Affiliations
- University of Washington (US)
- ORCID
- Witkiewitz, Katie
- Venue
- Journal of Consulting and Clinical Psychology
- Published
- 2009-08
- Volume
- 77
- Issue
- 4
- Pages
- 633-644
- ISSN
- 0022-006X (ISSN-L)
- 1939-2117
- PMC
- PMC2911993
- OpenAlex
- W2048965316
- Cited by
- 179
- References
- 69
- Citations by year
- 2026: 6 · 2025: 7 · 2024: 8 · 2023: 12 · 2022: 18 · 2021: 6 · 2020: 12 · 2019: 11 · 2018: 5 · 2017: 12 · 2016: 9 · 2015: 11 · 2014: 10 · 2013: 19 · 2012: 14
- FWCI
- 7.16
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Consulting and Clinical Psychology (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Alcohol Abuse and Alcoholism (RO3-AA016322)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Keywords
- negative affect, relapse, alcohol treatment, alcohol consumption, Project MATCH, latent transition analysis, outpatient care, follow-up care, bidirectional relationship, abstinence
- MeSH terms
- Adult, Aftercare, Alcoholics Anonymous, Alcoholism, Ambulatory Care, Anger, Depression, Female, Follow-Up Studies, Humans, Male, Middle Aged, Models, Psychological, Motivation, Personality Inventory, Psychometrics, Psychotherapy, Recurrence, Risk Factors, Temperance, Multicenter Studies as Topic, Cognitive Behavioral Therapy, Randomized Controlled Trials as Topic
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