Understanding and Preventing Relapse

American Psychologist (Impact Factor: 6.87). 08/1986; 41(7):765-82. DOI: 10.1037/0003-066X.41.7.765
Source: PubMed


Examines relapse by integrating knowledge from the addictive disorders of alcoholism, smoking, and obesity. Commonalities across these areas suggest at least 3 basic stages of behavior change: motivation and commitment, initial change, and maintenance. A distinction is made between lapse and relapse, with lapse referring to the process (slips or mistakes) that may or may not lead to an outcome (relapse). The natural history of relapse is discussed, as are the consequences of relapse for patients and the professionals who treat them. Information on determinants and predictors of relapse is evaluated, with the emphasis on the interaction of individual, environmental, and physiological factors. Methods of preventing relapse are proposed and are targeted to the 3 stages of change. (156 ref) (PsycINFO Database Record (c) 2012 APA, all rights reserved)

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    • "The frequency of past weightloss attempts, the magnitude of the largest past loss and age at that time, and the number of methods used across past attempts were assessed prior to treatment and were examined as potential predictors of treatment outcome and treatment duration, controlling for pretreatment BMI. This exploratory study examined whether (a) more frequent and/or larger past weight losses predict poorer weight-loss outcome in self-help treatment, consistent with previous findings from university-based treatments (Teixeira et al., 2005), or (b) more frequent and/or larger past weight losses predict superior weight-loss outcome in self-help treatment , consistent with relapse prevention theory (Brownell et al., 1986) and research on smoking cessation (Schroeder, 2005). "
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    Full-text · Article · Jan 2013 · Journal of Health Psychology
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