Relapse situations according to Marlatt�s taxonomy in smokers

  1. Piñeiro Neiro, Bárbara 1
  2. Becoña Iglesias, Elisardo 1
  1. 1 Universidade de Santiago de Compostela
    info

    Universidade de Santiago de Compostela

    Santiago de Compostela, España

    ROR https://ror.org/030eybx10

Revista:
The Spanish Journal of Psychology

ISSN: 1138-7416

Ano de publicación: 2013

Número: 16

Páxinas: 1-12

Tipo: Artigo

DOI: 10.1017/SJP.2013.91 DIALNET GOOGLE SCHOLAR lock_openAcceso aberto editor

Outras publicacións en: The Spanish Journal of Psychology

Resumo

Relapse is common during the process of giving up smoking. The aim of the present study is to explore the relapse situations, according to Marlatt�s relapse taxonomy, in a sample of 428 smokers (43.9% men and 56.1% women) who participated in a cognitive-behavior psychological treatment for quitting smoking. At the end of the treatment, 221 participants were abstinent, of whom 119 (41.2% men and 58.8% women) relapsed in the course of the 12-month follow-up, the majority in the first 3 months (69.74%). Most of the relapses were attributed to intrapersonal and environmental determinants (61.33%), the most common of which were �coping with negative emotional states� (38.65%), followed by �giving in to temptations or urges� (9.24%) and �testing personal control� (8.40%). Interpersonal determinants occurred in 38.66% of relapses, this percentage being made up mostly of �social pressure�, which was the relapse situation in 34.46% of all relapses. These results, similar to those of Marlatt�s original studies and others, contribute to improving our knowledge of the relapse situations process, with a view to interventions that may help to avoid it.

Referencias bibliográficas

  • Allsop S., & Saunders B. (1989). Relapse and alcohol problems. In M. Gossop (Ed.), Relapse and addictive behavior (pp. 11-40). London, UK: Routledge.
  • Baker T. B., Piper M. E., McCarthy D. E., Majeskie M. R., & Fiore M. C. (2004). Addiction motivation reformulated: An affective processing model of negative reinforcement. Psychological Review, 111, 33-51. http://dx.doi.org/10.1037/0033-295X.111.1.33.
  • Becoña E. (1994). Evaluación de la conducta de fumar [Assessment of smoking behavior]. In J. L. Graña (Ed.), Conductas Adictivas: Teoría, evaluación y tratamiento (pp. 403-454). Madrid, Spain: Debate.
  • Becoña E. (2007). Programa para dejar de fumar [Smoking cessation program]. Vigo, Spain: Nova Galicia Edicións.
  • Becoña E., Fernández del Río E., López A., & Míguez M. C. (2009). La Escala del Síndrome de Dependencia de la Nicotina (NDSS) en una muestra de fumadores que demandan tratamiento para dejar de fumar [The NDDS in a sample of smokers seeking smoking cessation treatment]. Psicothema, 21, 579-584.
  • Becoña E., López A., Fernández del Río E., Míguez M. C., & Castro J. (2010). Spanish adaptation of the NDSS (Nicotine Dependence Syndrome Scale) and assessment of nicotinedependent individuals at Primary Care Health Centers in Spain. The Spanish Journal of Psychology, 13, 951-960. http://dx.doi.org/10.1017/S1138741600002596.
  • Becoña E., & Míguez M. C. (1995). El cuestionario de evaluación de la recaída/abstinencia de los cigarrillos: Primeros resultados [Questionnaire for the assessment of relapse/abstinence in smokers: First results]. Revista Española de Drogodependencias, 20, 25-40.
  • Becoña E., Nogueiras L., Flórez G., Álvarez S., & Vázquez D. (2010). Propiedades psicométricas de la Escala del Síndrome de Dependencia de la Nicotina (NDSS) en una muestra de fumadores que solicitan tratamiento por su dependencia del alcohol [Psychometric properties of the Nicotine Dependence Syndrome Scale (NDSS) in a sample of smokers treated for their alcohol dependence]. Adicciones, 22, 37-50.
  • Berlin I., Covey L. S., & Glassman A. H. (2009). Smoking and depression: A comorbidity. Journal of Dual Diagnosis, 5, 149-158. http://dx.doi.org/10.1080/15504260902870129.
  • Bliss R. E, Garvey A. J., Heinold J. W., & Hitchcock J. L. (1989). The influence of situation and coping on relapse crisis outcomes after smoking cessation. Journal of Consulting and Clinical Psychology, 57, 443-449. http://dx.doi.org/10.1037/0022-006X.57.3.443.
  • Brandon T. H., Vidrine J. I., & Litvin E. B. (2007). Relapse and relapse prevention. Annual Review of Clinical Psychology, 3, 257-284. http://dx.doi.org/10.1146/annurev.clinpsy.3.022806.091455.
  • Breslau N., & Johnson E. O. (2000). Predicting smoking cessation and major depression in nicotine-dependent smokers. American Journal of Public Health, 90, 1122-1127. http://dx.doi.org/10.2105/AJPH.90.7.1122.
  • Carroll K. M. (1996). Relapse prevention as psychological treatment. A review of controlled clinical trials. Experimental and Clinical Psychopharmacology, 4, 46-54. http://dx.doi.org/10.1037//1064-1297.4.1.46.
  • Chaney E. F., O'Leary M. R., & Marlatt G. A. (1978). Skill training with alcoholics. Journal of Consulting and Clinical Psychology, 46, 1092-1104. http://dx.doi.org/10.1037//0022-006X.46.5.1092.
  • Cohen J. (1960). A coefficient of agreement for nominal scales. Educational and Psychological Measurement, 20, 37-46. http://dx.doi.org/10.1177/001316446002000104.
  • Coleman T., Agboola S., Leonardi-Bee J., Taylor M., McEwen A., & McNeill A. (2010). Relapse prevention in UK Stop Smoking Services: Current practice, potential effectiveness and cost-effectiveness. Health Technology Assessment, 14(49) 1-152.
  • Conklin C. A., Perkins K. A., Sheidow A. J., Jones B. L., Levine M. D., & Marcus M. D. (2005). The return to smoking: 1-year relapse trajectories among female smokers. Nicotine & Tobacco Research, 7, 533-540. http://dx.doi.org/10.1080/14622200500185371.
  • Cummings C., Gordon J. R., & Marlatt G. A. (1980). Relapse: Prevention and prediction. In W. R. Miller (Ed.), The addictive behaviors: Treatment of alcoholism, drug abuse, smoking and obesity (pp. 291-321). New York, NY: Pergamon Press.
  • Curry S. J., & McBride C. M. (1994). Relapse prevention for smoking cessation: Review and evaluation of concepts and interventions. Annual Review of Public Health, 15, 345-366. http://dx.doi.org/10.1146/annurev.pu.15.050194.002021.
  • Donovan D. M. (1996). Marlatt's classification of relapse precipitants: Is the Emperor still wearing clothes? Addiction, 91, 131-138. http://dx.doi.org/10.1046/j.1360-0443.91.12s1.3.x.
  • Etter J. F., & Stapleton J. A. (2006). Nicotine replacement therapy for long-term smoking cessation: A meta-analysis. Tobacco Control, 15, 280-285. http://dx.doi.org/10.1136/tc.2005.015487.
  • European Commission (2010). Special Eurobarometer- European Commission. Tobacco. Report No.: 332/Wave 72.3. Brussels, Belgium: Author. Retrieved from http://ec.europa.eu/public-opinion/archives/ebs/ebs-332-en.pdf.
  • Ferguson J., Bauld L., Chesterman J., & Judge K. (2005). The English smoking treatment services: One-year outcomes. Addiction, 100, 59-69. http://dx.doi.org/10.1111/j.1360-0443.2005.01028.x.
  • Ferguson J. A., Patten C. A., Schroeder D. R., Offord K. P., Eberman K. M., & Hurt R. D. (2003). Predictors of 6-month tobacco abstinence among 1224 cigarette smokers treated for nicotine dependence. Addictive Behaviors, 28, 1203-1218. http://dx.doi.org/10.1016/S0306-4603(02)00260-5.
  • Ferguson S. G., & Shiffman S. (2010). Effect of high-dose nicotine patch on the characteristics of lapse episodes. Health Psychology, 29, 358-366. http://dx.doi.org/10.1037/a0019367.
  • Fiore M. C., Jaén C. R., Baker T. B., Bailey W. C., Benowitz N. L., Curry S. J., Wewers M E. (2008). Treating tobacco use and dependence: 2008 update. Clinical practice guideline. Rockville, MD: U. S. Department of Health and Human Services, Public Health Service.
  • Glassman A. H., Helzer J. E., Covey L. S., Cottler L. B., Stetner F., Tipp J. E., & Johnson J. G. (1990). Smoking, smoking cessation, and major depression. JAMA: Journal of the American Medical Association, 264, 1546-1549. http://dx.doi.org/10.1001/jama.1990.03450120058029.
  • Hammersley R. (1994). A digest of memory phenomena for addiction research. Addiction, 89, 283-293. http://dx.doi.org/10.1111/j.1360-0443.1994.tb00890.x.
  • Heather N., & Stallard A. (1989). Doses the Marlatt model underestimate the importance of conditioned craving in the relapse process? In M. Gossop (Ed.), Relapse and addictive behavior (pp. 180-208). London, UK: Routledge.
  • Hodgins D. C., el-Guebaly N., & Armstrong S. (1995). Prospective and retrospective reports of mood stages before relapse to substance use. Journal of Consulting and Clinical Psychology, 63, 400-407. http://dx.doi.org/10.1037//0022-006X.63.3.400.
  • Hughes J. R., Keely J., & Naud S. (2004). Shape of the relapse curve and long-term abstinence among untreated smokers. Addiction, 99, 29-38. http://dx.doi.org/10.1111/j.1360-0443.2004.00540.x.
  • Hunt W. A., Barnett L. W., & Branch L. G. (1971). Relapse rates in addiction programs. Journal of Clinical Psychology, 27, 455-456. http://dx.doi.org/10.1002/1097-4679(197110)27:4455::AID-JCLP22702704123.0.CO;2-R.
  • Kadden R. (1996). Is Marlatt's taxonomy reliable or valid? Addiction, 91, 139-146. http://dx.doi.org/10.1046/j.1360-0443.91.12s1.4.x.
  • Landis J. R., & Koch G. G. (1977). The measurement of observer agreement for categorical data. Biometrics, 33, 159-174. http://dx.doi.org/10.2307/2529310.
  • Lasser K., Boyd J. W., Woolhandler S., Himmelstein D. U., McCormick D., & Bor D. H. (2000). Smoking and mental illness: A population-based prevalence study. JAMA: Journal of the American Medical Association, 284, 2606-2610. http://dx.doi.org/10.1001/jama.284.20.2606.
  • Longabaugh R., Rubin A., Scout R. L., Zywiak W. H., & Lowman C. (1996). The reliability of Marlatt's taxonomy for classifying relapse. Addiction, 91, 73-88. http://dx.doi.org/10.1046/j.1360-0443.91.12s1.18.x.
  • Lowman C., Allen J., Stout R. L., & Relapse The Research Group. (1996). Replication and extension of Marlatt's taxonomy of relapse precipitants: Overview of procedures and results. Addiction, 91, 51-72. http://dx.doi.org/10.1046/j.1360-0443.91.12s1.16.x.
  • Maisto S. A., Connors G. J., & Zywiak W. H. (1996). Construct validation analyses on the Marlatt typology of relapse precipitants. Addiction, 91, 89-98. http://dx.doi.org/10.1046/j.1360-0443.91.12s1.19.x.
  • Marlatt G. A. (1985). Situational determinants of relapse and skills-training interventions. In G. A. Marlatt & J. R. Gordon (Eds.), Relapse Prevention: Maintenance strategies in the treatment of addictive behaviors (pp. 71-127). New York, NY: Guilford Press.
  • Marlatt G. A. (1996). Taxonomy of high-risk situations for alcohol relapse: Evolution and development of a cognitivebehavioral model. Addiction, 91, 37-49. http://dx.doi.org/10.1111/j.1360-0443.1996.tb02326.x.
  • Marlatt G. A., & Donovan D. M. (2005). Relapse prevention: Maintenance strategies in the treatment of addictive behaviors (2nd Ed.). New York, NY: Guilford Press.
  • Marlatt G. A., & Gordon J. R. (Eds.). (1985). Relapse prevention: Maintenance strategies in the treatment of addictive behaviors. New York, NY: Guilford Press.
  • Marlatt G. A., & Witkiewitz K. (2005). Relapse prevention for alcohol and drug problems. In G. A. Marlatt & D. M. Donovan (Eds.), Relapse Prevention. Maintenance strategies in the treatment of addictive behaviors (2nd Ed.) (pp. 1-44). New York, NY: The Guildford Press.
  • Míguez M. C., & Becoña E. (2008). Abstinence from smoking ten years after participation in a randomized controlled trial of a self-help program. Addictive Behaviors, 33, 1369-1374. http://dx.doi.org/10.1016/j.addbeh.2008.06.015.
  • Ministerio de Sanidad y Política Social (2010). Sistema Nacional de Salud de España [Spanish Health National System]. Madrid, Spain: Author, Instituto de Información Sanitaria. Retrieved from http://www.msps.es/organizacion/sns/docs/sns2010/Principal.pdf.
  • Montes A., Pérez M., & Gestal J. J. (2004). Impacto del tabaquismo sobre la mortalidad en España [Impact of smoking on mortality in Spain]. Adicciones, 16, 75-82.
  • Mulder I., Hoogenveen R. T., Smith H. A., & Bueno de Mesquita H. B. (2004). Modelling future mortality reduction through smoking cessation in the European Union. European Journal of Public Health, 14, 79-85. http://dx.doi.org/10.1093/eurpub/14.1.79.
  • Ockene J. M., Emmons K., Mermelstein R., Perkins K., Bonollo D., Voorhees C., & Hollis J. (2000). Relapse and maintenance issues for smoking cessation. Health Psychology, 19, 17-31. http://dx.doi.org/10.1037//0278-6133.19.Suppl1.17.
  • O'Connell K. A., & Martin E. J. (1987). Highly tempting situations associated with abstinence, temporary lapse, and relapse among participants in smoking cessation programs. Journal of Consulting and Clinical Psychology, 55, 367-371. http://dx.doi.org/10.1037//0022-006X.55.3.367.
  • Piasecki T. M. (2006). Relapse to smoking. Clinical Psychology Review, 26, 196-215. http://dx.doi.org/10.1016/j.cpr.2005.11.007.
  • Piasecki T. M., Fiore M. C., McCarthy D. E., & Baker T. B. (2002). Have we lost our way? The need for dynamic formulations of smoking relapse proneness. Addiction, 97, 1093-1108. http://dx.doi.org/10.1046/j.1360-0443.2002.00216.x.
  • Powell J., Dawkins L., West R., Powell J., & Pickering A. (2010). Relapse to smoking during unaided cessation: Clinical, cognitive and motivational predictors. Psychopharmacology, 212, 537-549. http://dx.doi.org/10.1007/s00213-010-1975-8.
  • Shiffman S. (2006). Reflections on smoking relapse research. Drug and Alcohol Review, 25, 15-20. http://dx.doi.org/10.1080/09595230500459479.
  • Shiffman S., Hufford M., Hickcox M., Paty J. A., Gnys M., & Kassel J. D. (1997). Remember that? A comparison of real-time versus retrospective recall of smoking lapses. Journal of consulting and Clinical Psychology, 65, 292-300. http://dx.doi.org/10.1037/0022-006X.65.2.292.a.
  • Shiffman S. M., Paty J. A., Gnys M., Kassel J. A., & Hickcox M. (1996). First lapses to smoking: Withinsubjects analysis of real-time reports. Journal of Consulting and Clinical Psychology, 64, 366-379. http://dx.doi.org/10.1037//0022-006X.64.2.366.
  • Shiffman S., Waters A. J., & Hickcox M. (2004). The nicotine dependence syndrome scale: A multidimensional measure of nicotine dependence. Nicotine and Tobacco Research, 6, 327-348. http://dx.doi.org/10.1080/1462220042000202481.
  • Stone A. A., & Shiffman S. (1994). Ecological momentary assessment (EMA) in behavioral medicine. Annals of Behavioral Medicine, 16, 199-202.
  • Stout R. L., Longabaugh R., & Rubin A. (1996). Predictive validity of Marlatt's taxonomy versus a more general relapse code. Addiction, 91, 99-110. http://dx.doi.org/10.1046/j.1360-0443.91.12s1.20.x.
  • U. S. Department of Health and Human Services (2010). How tobacco smoke causes disease: The biology and behavioral basis for smoking-attributable disease. A report of the Surgeon General. Rockville, MD: Author, Public Health Service, Office of Surgeon General.
  • Velicer W. F., Prochaska J. O., Rossi J. S., & Snow M. G. (1992). Assessing outcome in smoking cessation studies. Psychological Bulletin, 111, 23-41. http://dx.doi.org/10.1037//0033-2909.111.1.23.
  • West R., Hajek P., Stead L., & Stapleton J. (2005). Outcome criteria in smoking cessation trials: Proposal for a common standard. Addiction, 100, 299-303. http://dx.doi.org/10.1111/j.1360-0443.2004.00995.x.
  • Witkiewitz K., & Marlatt G. A. (2004). Relapse prevention for alcohol and drug problems: That was Zen, this is Tao. American Psychologist, 59, 224-235. http://dx.doi.org/10.1037/0003-066X.59.4.224.
  • Zhou X., Nonnemaker J., Sherrill B., Gilsenan A., Coste F., & West R. (2009). Attempts to quit smoking and relapse: Factors associated with success or failure from the ATTEMPT cohort study. Addictive Behaviors, 34, 365-373. http://dx.doi.org/10.1016/j.addbeh.2008.11.013.