Effects of Women Focused Relapse Prevention Program on Abstinence Self-efficacy and Depression in Alcoholic Women

Eun Ju Bong; Chung Sook Lee

doi:10.12934/jkpmhn.2011.20.1.13

Journal List > J Korean Acad Psychiatr Ment Health Nurs > v.20(1) > 1057894

Go to TopGo to Top Go to BottomGo to Bottom

TOOLS

Bong and Lee: Effects of Women Focused Relapse Prevention Program on Abstinence Self-efficacy and Depression in Alcoholic Women

Original Article

Journal of Korean Academy of Psychiatric and Mental Health Nursing 2011; 20(1): 13-24.

Published online: 31 March 2011

DOI: https://doi.org/10.12934/jkpmhn.2011.20.1.13

Effects of Women Focused Relapse Prevention Program on Abstinence Self-efficacy and Depression in Alcoholic Women

Eun Ju Bong¹, Chung Sook Lee²

¹Mental Health Nurse, Naju National Hospital, Korea.

²Professor, College of Nursing, Chonnam National University, Korea.

Address reprint requests to: Bong, Eun Ju, Naju National Hospital, 500 Sanje-ri, Sanpo-myeon, Naju 520-833, Korea. Tel: 82-61-330-4272, b-e-j@hanmail.net

Received 24 August 2010 Revised 13 March 2011 Accepted 15 March 2011

(open-access):

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

This study was done to assess effects of women focused relapse prevention program on abstinence self-efficacy and depression in alcoholic women.

Methods

This study was a non-equivalent control group non-synchronized design with two groups, an experimental group (13 patients) and a control group (16 patients). The instruments were the Situational Confidence Questionnaire (SCQ-39) and the Beck depression Inventory (BDI). Data collection was done between July and December, 2008, during which a pre-test, the total of 8 group sessions for four weeks, and a post-test were given to alcoholic women who were admitted to K hospital in U city and D hospital in G city. The collected data were analyzed using descriptive statistics, Fisher's exact test, Mann-Whitney U test and ANCOVA with SPSS/WIN program.

Results

The scores for abstinence self-efficacy were significantly higher and for depression lower, for the experimental group after the women focused relapse prevention program.

Conclusion

This study shows that the women focused relapse prevention program can be applied as an effective nursing intervention by clinical nurses.

Keywords: Relapse prevention, Abstinence self-efficacy, Depression, Alcoholic women

Figures and Tables

Figure 1

Conceptual framework for this study.

Table 1

The Contents of Relapse Prevention Program

Table 2

Homogeneity Test of General and Alcohol Dependence related Characteristics between Experimental and Control Group (N=29)

Exp.=experimental group; Cont.=control group.

^†Fisher's exact test.

Table 3

Homogeneity Test of Dependent Variables between Experimental and Control Group (N=29)

Exp.=experimental group; Cont.=control group.

Table 4

Significance Test of Dependent Variables between Experimental and Control Group (N=29)

Exp.=experimental group; Cont.=control group.

Table 5

ANCOVA on Dependent Variables between Experimental and Control Group (N=29)

Notes

This article is a revision of the first author's doctoral thesis from Chonnam National University.

References

1. Annis HM, Graham JM. Situational Confidence Questionnaire user's guide. Toronto: Addiction Research Foundation;1988.

2. Bandura A. Self efficacy: Toward a unifying theory of behavioral change. Psychol Rev. 1977; 84(2):191–215.

3. Beck AT. Depression: Clinical experimental and theoretical aspects. New York: Happer & Row;1967.

4. Boyd MR, Mackey MC. Running away to Nowhere: Rural women's experiences of becoming alcoholdependent. Arch Psychiatr Nurs. 2000a; 14(3):142–149.

5. Boyd MR, Mackey MC. Alinetion from self and others: The Psychosocial problem of rural alcoholic women. Arch Psychiatr Nurs. 2000b; 14(3):134–141.

6. Casey K. Each day a new beginning: A meditation book and journal for daily reflection. Minnesota: Hazelden Foundation;2001.

7. Dixit AR, Crum RM. Prospective study of depression and the risk of heavy alcohol use in women. Am J Psychiatry. 2000; 157:751–758.

8. Ellis D, McClure J. In-patient treatment of alcohol problems predicting and preventing relapse. Alcohol Alcohol. 1992; 27:449–456.

9. Greenfield SF, Trucco EM, McHugh RK, Lincon M, Gallop RJ. The women's recovery group study: A stage I trial of women-focused group therapy for substance use disorders versus mixed-gender group drug counseling. Drug Alcohol Depend. 2007; 90:39–47.

10. Harris M, Fallot RD, Berley RW. Qualitative interviews on substance abuse relapse and prevention among female trauma survivors. Psychiatr Serv. 2005; 56:1292–1296.

11. Ilgen M, McKellar J, Tiet Q. Abstinence selfefficacy and abstinence 1 year after substance use disorder treatment. J Consult Clin Psychol. 2005; 74:1175–1180.

12. Iliff B. A woman's guide to recovery. Minnesota: Hazelden Foundation;2008.

13. Kim SJ. Drinking experiences of women alcoholics: A feminist approach. J Korean Acad Psychiatr Ment Health Nurs. 2006; 15:362–374.

14. Kim YJ. A study on the effectiveness of short-term group activity program for relapse prevention of substance abusers. Ment Health Soc Work. 2000; 9:25–54.

15. Lau-Barraco C, Skewes MC, Stasiewicz PR. Gender differences in high-risk situations for drinking: Are they mediated by depressive symptoms? Addict Behav. 2009; 34:68–74.

16. Lee CS, Kim SJ. The Drinking experience of women alcoholics. J Korean Acad Psychiatr Ment Health Nurs. 2000; 9:409–427.

17. Lee YH. The Relations between attributional style, life events, event attribution, hopelessness and depression. Seoul: Seoul National University;Unpublished doctoral dissertation.

18. Lim YR. The effectiveness of cognitive-behavioral therapy and structural equation modeling of the psychological risk factors for alcohol dependence. Seoul: Korea University;2000. Unpublished doctoral dissertation.

19. Mann K, Ackermann K, Croissant B, Croissant G, Mundle G, Nacovics H, et al. Neuroimaging of gender differences in alcohol dependence: Are women more vulnerable? Alcohol Clin Exp Res. 2005; 29:896–901.

20. Marlatt GA, Gordon JR. Relapse prevention: Maintenance strategies in the treatment of addictive behaviors. NY: Guilford Press;1985.

21. Ministry for Health, Welfare and Family Affairs. The epidemiological survey of psychiatric illnesses in Korea. Seoul: Author;2006.

22. Moos RH, Moos BS, Timko C. Gender, treatment and self-help in remission from alcohol use disorders. Clin Med Res. 2006; 4(3):163–174.

23. Najavits LM. A women's addiction workbook. Oakland: New Harbinger Publication;2002.

24. Payne RA, Back SE, Wright T, Hartwell K, Brady KT. Alcohol dependence in women: Comorbidities can complicate treatment. Curr Psychiatr. 2009; 8(6):52–59.

25. Rubin A, Stout RL, Longabaugh R. Gender differences in relapse situations. Addiction. 1996; 91:Suppl. S111–S120.

26. Van der Walde H, Urgenson FT, Weltz SH, Hanna FJ. Women and alcoholism: A biopsychosocial perspective and treatment approaches. J Couns Dev. 2002; 80:145–153.

27. Walizer KS, Dearing RL. Gender differences in alcohol and substance use relapse. Clin Psychol Rev. 2006; 26:128–148.

28. Washington OG. Group interventions with lowincome african women recovering from chemical dependency. Health Soc Work. 2003; 28(2):146–156.

TOOLS

Similar articles