Alcohol Craving Predicts Relapse After Residential Addiction Treatment

Alcohol and Alcoholism : International Journal of the Medical Council on Alcoholism
Matthew E StohsVictor M Karpyak

Abstract

Replicate the previously reported association of elevated alcohol craving, measured by Penn Alcohol Craving Scale (PACS) during residential treatment, with post-treatment relapse and explore whether elevated craving scores 3 months post-treatment are also associated with subsequent relapse. Alcohol craving was assessed with the PACS on admission and at several time points post-treatment in 190 subjects with DSM-IV diagnosis of alcohol dependence admitted to residential treatment. Data about relapse to any drinking (primary outcome measure) was collected at 3, 6, 9 and 12 months after treatment. Cox regression models were used to determine whether PACS scores were associated with relapse. Statistical models were adjusted for meaningful demographic and clinical covariates. Follow-up data was available for 149/190 (78%) of subjects. Elevated PACS scores at discharge were associated with increased relapse risk within the first 3 and 12 months after discharge (P = 0.032 and P = 0.045, respectively). Elevated PACS scores at 3 months were associated with increased risk of subsequent relapse within 12 months after treatment in contacted subjects (P = 0.034) and in the intent-to-treat analysis (P = 0.0001). Our findings indicate strong ...Continue Reading

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Citations

Dec 12, 2019·Alcohol and Alcoholism : International Journal of the Medical Council on Alcoholism·G PetitP de Timary
Jul 16, 2020·The American Journal on Addictions·Gihyun YoonSuck Won Kim
Sep 24, 2020·Journal of Clinical Medicine·Olga Hernández-SerranoJosé Gutiérrez-Maldonado
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Jul 2, 2021·NeuroImage. Clinical·Caroline QuoilinJulie Duque
Aug 15, 2021·Journal of Psychiatric Research·Mats HallgrenAna M Abrantes

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