End‐of‐Treatment Self‐Efficacy, Aftercare, and Drinking Outcomes of Alcoholic Men

James R. McKay, Stephen A. Maisto, Timothy J. O'Farrell

Research output: Contribution to journalArticlepeer-review

59 Scopus citations


In substance abusers, low end‐of‐treatment self‐efficacy is thought to be a predictor of increased vulnerability to relapse following treatment. This study is an evaluation of relationships between end‐of‐treatment self‐efficacy, aftercare, and drinking outcomes in a subsample of male alcoholics participating in a treatment outcome study. After completing Behavioral Marital Therapy (BMT), the alcoholics and their spouses were randomly assigned to either an aftercare or a no additional treatment condition and followed up for 1 year. In subjects who received no additional treatment, low self‐efficacy at the end of BMT predicted poorer drinking outcomes, even after drinking behavior during BMT was controlled for. For subjects in the aftercare condition, self‐efficacy at the end of BMT did not predict drinking outcomes. Explanations for the results, as well as implications for models of relapse, are discussed.

Original languageEnglish (US)
Pages (from-to)1078-1083
Number of pages6
JournalAlcoholism: Clinical and Experimental Research
Issue number5
StatePublished - Sep 1993
Externally publishedYes


  • Aftercare
  • Alcoholism
  • Couples Treatment
  • Drinking Outcomes.
  • Self‐Efficacy

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Toxicology
  • Psychiatry and Mental health


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