Article

Social Support Mediates the Effects of Dual-Focus Mutual Aid Groups on Abstinence from Substance Use

National Development and Research Institutes, NYC, NY 10010, USA.
American Journal of Community Psychology (Impact Factor: 1.74). 01/2005; 34(3-4):175-85. DOI: 10.1007/s10464-004-7413-5
Source: PubMed

ABSTRACT Specialized 12-step based groups have emerged to address the needs of persons recovering from both substance abuse and psychiatric illness.
This study investigates the role of social support in mediating the association between mutual aid participation and subsequent substance use for dually diagnosed persons.
A cohort of Double Trouble in Recovery (DTR) members in New York City were studied prospectively over a two-year period.
Longer DTR participation during the first year of the study was associated with lower substance use in the second year; that effect was partially explained by the maintenance of high level of social support.
These findings speak of the enduring influence of 12-step attendance on reducing substance use, and underline the importance of both 12-step attendance and supportive networks for dually diagnosed persons.

Full-text

Available from: Charles M Cleland, Jun 03, 2015
0 Followers
 · 
78 Views
  • [Show abstract] [Hide abstract]
    ABSTRACT: Objective: People with severe mental illness and a co-occurring substance use disorder (co-occurring disorders) who live in urban areas experience high rates of incarceration. This study examined sociodemographic, clinical, economic, and community integration factors as predictors of incarceration among people with co-occurring disorders. Methods: This secondary analysis used data from a randomized controlled trial of assertive community treatment versus standard case management. In the parent study, researchers interviewed 198 people with co-occurring disorders from two urban mental health centers in Connecticut at baseline and every six months for three years. Researchers tracked incarceration, clinical engagement and status, employment, living situation, social relationships, and substance use. The study reported here used bivariate analyses and logistic regression analyses to compare individuals who were incarcerated during the study period with those who were not. Results: The overall incarceration rate was 38% during the study period. In multivariate analyses, prior incarceration predicted incarceration during the study period (odds ratio [OR]=3.26). Two factors were associated with a reduced likelihood of incarceration: friendships with individuals who did not use substances (OR=.19) and substance use treatment engagement (OR=.60) Conclusions: Positive social relationships and engagement in substance use treatment are promising service and policy targets to prevent incarceration in this high-risk population.
    Psychiatric services (Washington, D.C.) 07/2014; 65(11). DOI:10.1176/appi.ps.201300408 · 1.99 Impact Factor
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Emotional conditions governing the family and patients' perceived social support play important roles in the treatment or relapse process of the chronic disease. The current study aimed to investigate the role of family expressed emotion and perceived social support in prediction of addiction relapse. The descriptive-correlation method was used in the current study. The study population consisted of the individuals referred to the addiction treatment centers in Ardabil from October 2013 to January 2014. The subjects (n = 80) were randomly selected using cluster sampling method. To collect data, expressed emotion test by Cole and Kazaryan, and Multidimensional Scale of Perceived Social Support (MSPSS) were used, and the obtained data was analyzed using the Pearson's correlation coefficient and multiple regression analyses. Results showed a positive relationship between family expressed emotions and the frequency of relapse (r = 0.26, P = 0.011) and a significant negative relationship between perceived social support and the frequency of relapse (r = -0.34, P = 0.001). Multiple regression analysis also showed that perceived social support from family and the family expressed emotions significantly explained 12% of the total variance of relapse frequency. These results have implications for addicted people, their families and professionals working in addiction centers to use the emotional potential of families especially their expressed emotions and the perceived social support of addicts to increase the success rate of addiction treatment.
    03/2015; 4(1). DOI:10.5812/ijhrba.21250
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: A comparative analysis of recovery resources (abstinence social support, abstinence self-efficacy) was conducted among two groups exiting inpatient treatment for substance use disorders: persons with psychiatric comorbid substance use disorders and persons with substance use disorders. Both groups reported comparable levels of abstinence social support, but this resource was not significantly related to substance use among persons with psychiatric comorbid substance use disorders. Although abstinence self-efficacy was significantly related to substance use, persons with psychiatric comorbid substance use disorders reported significantly lower levels of abstinence self-efficacy than persons with substance use disorders. Findings suggest that persons with psychiatric comorbid substance use disorders exit alcohol/drug treatment with lower levels of abstinence self-efficacy compared to their substance use disorder peers.
    Community Mental Health Journal 07/2014; 51(4). DOI:10.1007/s10597-014-9762-3 · 1.03 Impact Factor