Article

Drinking-Related Locus of Control as a predictor of drinking after treatment

Finnish Foundation for Alcohol Studies, Helsinki.
Addictive Behaviors (Impact Factor: 2.44). 09/1994; 19(5):491-5. DOI: 10.1016/0306-4603(94)90004-3
Source: PubMed

ABSTRACT This study evaluated the predictive utility of the drinking-related control orientation for successful treatment outcome among Finnish inpatient alcoholics (N = 106, 16% women). Using the Drinking-Related Locus of Control (DRIE) scale by Keyson and Janda (unpublished; see Lettieri, Nelson, & Sayers, 1985), it aimed to discover to what extent the DRIE scores measured at the end of treatment predict (a) the timing and severity of the first drinking occasion after treatment, and (b) the 6 and 12 months' total treatment outcome of the sample. The DRIE scores correlated with the time to the first drinking occasion (r = -.27, p < .02). Internal subjects started to drink later (p < .004), drank less on the first occasion (p < .001), and continued for fewer days (p < .005) than external subjects. Moreover, internal orientation was more common among abstinent and external orientation among unimproved subjects during the first 6 (p < .02) and 12 months (p < .05) after treatment. The results thus support the beneficial role of internal control attributions.

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    • "Looking for strength rooted in spiritual sources may lead to improving the self-esteem and self-acceptance, and may help to find the meaning and purposefulness of one's life. It also promotes the realization that regaining the positive image of self, others, the world, and God/Higher Being by means of hard work on ones' emotions and the development of constructive methods of coping with stress (including those that are based on spiritual resources) can really be achieved, which may contribute to the development of a more internal orientation regarding the drinking-related locus of control (Koski-Jännes 1994) and strengthening the belief in abstinence selfefficacy (Piderman et al. 2008). These processes may foster further spiritual development and maintaining sobriety (Linquist 2013; Strobbe et al. 2013). "
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    • "There appears to be a complex interactive relationship between the primary reasons alcoholics give for their pretreat­ ment drinking and their drinking-related locus of control in predicting posttreatment relapse (Kivlahan et al. 1983), suggesting possible avenues of treatment matching within a relapse prevention framework. Following treatment, alco­ holics having an internal drinking-related locus of control were less likely to relapse, drank less and were less likely to have a more prolonged drink­ ing episode if they did relapse, and had a better overall drinking-related outcome than alcoholics with an external DRIE score (Koski-Jannes 1994). The DRIE represents an additional measure to consider in the assessment of those cognitions that may be related to the maintenance of, cessation of, and relapse to drinking behavior. "
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