Original ArticleAnticipated Outcome of Short-term Treatment for Alcohol Dependence Self-efficacy Ratings and Beliefs About the Success of OthersDemmel, Ralf*; Beck, Beate†Author Information From the *Department of Clinical Psychology, University of Münster, Münster, Germany; and †Westfälische Klinik für Psychiatrie und Psychotherapie Münster, Münster, Germany. Supported by the Landschaftsverband Westfalen-Lippe. Reprints: Dr. Ralf Demmel, Department of Clinical Psychology, University of Münster, Fliednerstr. 21, 48149 Münster, Germany (e-mail: [email protected]). Addictive Disorders & Their Treatment: June 2004 - Volume 3 - Issue 2 - p 77-82 Buy Abstract Objectives: In line with social learning theory, drinking refusal self-efficacy has been shown to predict relapse following treatment of alcohol dependence. However, the predictive power of self-efficacy is limited by a ceiling effect since alcoholism treatment clients tend to be overconfident. The present study aimed to expand the research on drinking refusal self-efficacy by contrasting clients’ self-efficacy expectancies and their general beliefs about the outcome of substance abuse treatment. Methods: Eighty-seven alcohol-dependent inpatients completed 2 versions of the Drug Taking Confidence Questionnaire (self vs. others). Self-efficacy ratings differed from general beliefs about the likelihood of relapse. Results: Overall, alcohol-dependent inpatients tended to be more optimistic in predicting favorable treatment outcomes for themselves. Furthermore, self-efficacy was positively related to general beliefs about treatment outcome. Conclusions: Minimizing the chances of others may represent an attempt to restore self-esteem and support a positive self-concept in the face of discouraging odds. © 2004 Lippincott Williams & Wilkins, Inc.