The aim of the proposed study is to determine factors related to relapse following treatment for heroin addiction, alcoholism, and cigarette smoking. Both the initial relapse episode and return to daily use will be studied. The primary variables to be studied are social support, coping skills, sex and situational characteristics. Subjects will be males and females, Blacks and Caucasians, between the age of 21 and 45. 1) The sample will consist of: 21-day outpatient heroin detoxification patients who are successfully completing treatment (n=90); 2) Cigarette smokers successfully completing a 21-day multimodality smoking treatment (n=90); and 3) Alcohol treatment patients successfully completing a 28-day inpatient treatment program (n=90). Within four days of treatment completion, subjects will be given an intake assessment battery which includes demographic items, measures to assess commitment to abstinence, social functioning, coping skills, social support, withdrawal symptoms, stress, and drug use. Subjects will be followed weekly for twelve weeks following treatment, and assessed weekly on drug use, withdrawal symptoms, and stress. If relapse occurs, a relapse episode questionnaire will be given. Self-report of drug use will be validated by urine assays.
| Wasserman, D A; Korcha, R; Havassy, B E et al. (1999) Detection of illicit opioid and cocaine use in methadone maintenance treatment. Am J Drug Alcohol Abuse 25:561-71 |
| Wasserman, D A; Weinstein, M G; Havassy, B E et al. (1998) Factors associated with lapses to heroin use during methadone maintenance. Drug Alcohol Depend 52:183-92 |
| Havassy, B E; Wasserman, D A; Hall, S M (1995) Social relationships and abstinence from cocaine in an American treatment sample. Addiction 90:699-710 |
| Havassy, B E; Wasserman, D A; Hall, S M (1993) Relapse to cocaine use: conceptual issues. NIDA Res Monogr 135:203-17 |
| Hall, S M; Havassy, B E; Wasserman, D A (1991) Effects of commitment to abstinence, positive moods, stress, and coping on relapse to cocaine use. J Consult Clin Psychol 59:526-32 |
| Hall, S M; Wasserman, D A; Havassy, B E (1991) Relapse prevention. NIDA Res Monogr 106:279-92 |
| Havassy, B E; Hall, S M; Wasserman, D A (1991) Social support and relapse: commonalities among alcoholics, opiate users, and cigarette smokers. Addict Behav 16:235-46 |
| Hall, S M; Havassy, B E; Wasserman, D A (1990) Commitment to abstinence and acute stress in relapse to alcohol, opiates, and nicotine. J Consult Clin Psychol 58:175-81 |
| Hall, S M; Hall, R G; Ginsberg, D (1990) Pharmacological and behavioral treatment for cigarette smoking. Prog Behav Modif 25:86-118 |
| Havassy, B E; Hall, S M; Wasserman, D M (1990) Relapse to cocaine use following treatment: preliminary findings on the role of social support. NIDA Res Monogr 105:502-4 |
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