Evidence map›Paper›PMID 26503067›Full record

Observational studyAlcoholism, clinical and experimental research2015

Resistance to temptation: the interaction of external and internal control on alcohol use during residential treatment for alcohol use disorder.

Leila M Soravia, Katrin Schläfli, Sonja Stutz, Susanne Rösner, Franz Moggi

Open access · hybridAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Alcoholism, clinical and experimental research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
0.7field-weighted citation impact, top 28% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 25 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Leila M SoraviaUniversity Hospital of Psychiatry, University of Bern, Bern, Switzerland.
Katrin SchläfliResearch, atf-Switzerland - Suedhang Clinic, Kirchlindach, Switzerland.
Sonja StutzResearch and Development, atf-Switzerland - Forel Clinic, Ellikon, Switzerland.
Susanne RösnerResearch and Development, atf-Switzerland - Forel Clinic, Ellikon, Switzerland.
Franz MoggiUniversity Hospital of Psychiatry, University of Bern, Bern, Switzerland.
Forel Klinik · CHUniversity Hospital of Bern · CHUniversity of Bern · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is evidence that drinking during residential treatment is related to various factors, such as patients' general control beliefs and self-efficacy, as well as to external control of alcohol use by program's staff and situations where there is temptation to drink. As alcohol use during treatment has been shown to be associated with the resumption of alcohol use after discharge from residential treatment, we aimed to investigate how these variables are related to alcohol use during abstinence-oriented residential treatment programs for alcohol use disorders (AUD).

methodsIn total, 509 patients who entered 1 of 2 residential abstinence-oriented treatment programs for AUD were included in the study. After detoxification, patients completed a standardized diagnostic procedure including interviews and questionnaires. Drinking was assessed by patients' self-report of at least 1 standard drink or by positive breathalyzer testing. The 2 residential programs were categorized as high or low control according to the average number of tests per patient.

resultsRegression analysis revealed a significant interaction effect between internal and external control suggesting that patients with high internal locus of control and high frequency of control by staff demonstrated the least alcohol use during treatment (16.7%) while patients with low internal locus of control in programs with low external control were more likely to use alcohol during treatment (45.9%). No effects were found for self-efficacy and temptation.

conclusionsAs alcohol use during treatment is most likely associated with poor treatment outcomes, external control may improve treatment outcomes and particularly support patients with low internal locus of control, who show the highest risk for alcohol use during treatment. High external control may complement high internal control to improve alcohol use prevention while in treatment.

Indexed as

MotivationSelf EfficacyAdultAlcohol AbstinenceAlcohol-Related DisordersFemaleHumansMaleMiddle AgedResidential TreatmentSelf ReportTreatment OutcomeAlcohol DependenceAlcohol TestingAlcohol UseLocus of Control

Identifiers

PMID26503067
PMCPMC5057333
OpenAlexW1820255362

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.