Abstract
To determine whether different dimensions of self-efficacy predict relapse during treatment of alcohol dependence, data were obtained from three 12-week, placebo-controlled trials of medication combined with coping skills treatment. Hierarchical logistic regression was used to conduct an initial analysis (n = 140) and a replication analysis (n = 181). Controlling for potential confounders, we examined the predictive value of perceived self-efficacy measured prior to treatment and its interaction with sex on relapse risk. Three second-order factors of the Situational Confidence Questionnaire (SCQ), and their interaction with sex, were examined in relation to relapse to Any Drinking (ie, non-abstinence) and relapse to Heavy Drinking. The results underscore the importance of differentiating among the subscales of the SCQ, between different definitions of relapse, and on the basis of the sex of the patient when predicting relapse among alcoholics.
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