Cited by 122Substance Abuse Treatment and OutcomesAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesBehavioral Health and Interventions

Relapse research and the Reasons for Drinking Questionnaire: a factor analysis of Marlatt’s relapse taxonomy

ZYWIAK, WILLIAM H., CONNORS, GERARD J., MAISTO, STEPHEN A., WESTERBERG, VERNER S.·1996·Addiction

Abstract

A factor analysis (n = 183) of Marlatt's relapse taxonomy as assessed by the Reasons for Drinking Questionnaire (RFDQ) (see Appendix I, this article) was conducted using a heterogeneous alcohol treatment sample. Results indicated that the predominant factor was negative emotions. The second factor consisted of social pressure and positive emotions, and a third factor consisted of physical withdrawal, wanting to get high, testing control, substance cues and urges to drink. Each of the 13 categories in the Marlatt taxonomy loaded on one of the three factors. Scores on the first factor for the first and second lapses were correlated. The same held true for the other two factors. The negative emotions factor was positively related to blood alcohol level on the first day of the lapse, the lapse duration (in days), and occurrence of a second lapse (even when controlling for alcohol dependence). The negative emotions factor in turn was related to client reports of alcohol dependence, trait anger, and depression (all positively). Women scored higher on the first factor, and men scored higher on the second factor. The third factor was inversely related to the number of days of abstinence preceding the lapse. Taken together, these analyses, illustrate that different precipitants occur together, suggesting that clients might productively be trained in the use of specific relevant coping skills to address potential relapse precipitants. Focusing on the third RFDQ factor may be particularly important in the early stages of abstinence. The importance of anger and depression management during alcohol treatment is also highlighted by these results.

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Crossref · 10.1111/j.1360-0443.1996.tb02332.x

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Authors
ZYWIAK, W. H., CONNORS, G. J., MAISTO, S. A., & WESTERBERG, V. S.
Affiliations
Brown University (US)
Venue
Addiction
Publisher
Wiley
Published
1996-12
Volume
91
Issue
s12
Pages
S121-S130
ISSN
  • 0965-2140 (ISSN-L)
  • 1360-0443
OpenAlex
W2018119432
Cited by
121
References
17
Citations by year
2025: 1 · 2024: 3 · 2023: 4 · 2022: 2 · 2021: 2 · 2020: 6 · 2019: 5 · 2018: 5 · 2017: 2 · 2016: 2 · 2015: 3 · 2014: 10 · 2013: 4 · 2012: 8
FWCI
3.31
Type
journal article
Language
en
Open access
closed
Locations
  • Addiction (publishedVersion)
  • PubMed (publishedVersion)
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 › Applied Psychology › Behavioral Health and Interventions
Keywords
relapse, alcoholism, negative emotions, social pressure, trait anger, depression, sex differences, abstinence, coping strategies, alcohol treatment
MeSH terms
Adult, Alcoholism, Factor Analysis, Statistical, Female, Humans, Internal-External Control, Male, Middle Aged, Motivation, Personality Assessment, Psychometrics, Recurrence, Social Facilitation, Temperance, Cognitive Behavioral Therapy, Treatment Outcome

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