{"id":519,"date":"2020-07-02T13:09:45","date_gmt":"2020-07-02T13:09:45","guid":{"rendered":"https:\/\/drfarshadmohammadian.ir\/?p=519"},"modified":"2024-05-29T09:41:16","modified_gmt":"2024-05-29T09:41:16","slug":"expanding-the-continuum-of-substance-use-disorder","status":"publish","type":"post","link":"https:\/\/drfarshadmohammadian.ir\/index.php\/2020\/07\/02\/expanding-the-continuum-of-substance-use-disorder\/","title":{"rendered":"Expanding the continuum of substance use disorder treatment: Nonabstinence approaches PMC"},"content":{"rendered":"

Consistent with the RP model, changes in coping skills, self-efficacy and\/or outcome expectancies are the primary putative mechanisms by which CBT-based interventions work [126]. One study, in which substance-abusing individuals were randomly assigned to RP or twelve-step (TS) treatments, found that RP participants showed increased self-efficacy, which accounted for unique variance in outcomes [69]. Further, there was strong support that increases in self-efficacy following drink-refusal skills training was the primary mechanism of change.<\/p>\n

Models of nonabstinence psychosocial treatment for SUD<\/h2>\n

However, these interventions also typically lack an abstinence focus and sometimes result in reductions in drug use. A key feature of the dynamic model is its emphasis on the complex interplay between tonic and phasic processes. As indicated in Figure \u200bFigure2,2, distal abstinence violation effect<\/a> risks may influence relapse either directly or indirectly (via phasic processes). For instance, the return to substance use can have reciprocal effects on the same cognitive or affective factors (motivation, mood, self-efficacy) that contributed to the lapse.<\/p>\n