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Chunk #44 — Emerging topics in relapse and relapse prevention — Using nonlinear methods to model relapse

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Relapse prevention for addictive behaviors.
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[18]. In the first study [34], catastrophe models provided the best fit to the data, and latent growth analyses confirmed the predicted interaction: frequent drinkers with low initial self-efficacy had better outcomes in CBT than in MET, while those high in self-efficacy fared better in MET. Similarly, a second study [82] found that individuals in the outpatient arm of Project MATCH with low motivation to change at baseline who were assigned to MET had better outcomes than those assigned to CBT. The authors also found a treatment by gender by alcohol dependence severity interaction in support of the matching hypothesis, whereby females with low baseline motivation and males with lower levels of alcohol dependence and low baseline motivation who received MET as an aftercare treatment had better outcomes than those who were assigned to receive CBT as an aftercare treatment.