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


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.

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Available from: Charles M Cleland, Oct 05, 2015
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    • "This value of perceived congruency in therapy was mentioned by Rogers (1957) as one of the most essential and necessary for change, and it was also adopted by positive criminology (Ronel & Segev, 2014). Laudet et al. (2004) described the loneliness experienced by most attendees of the self-help groups and mentioned that in the group these feelings are relieved. Spending time with a group of people who cope with similar problems provides a sense of security and diminishes loneliness. "
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    ABSTRACT: This research focused on a new and unique therapy group for male batterers who were violent toward their intimate partners. The group is based on a small self-help group model, where a professional accompanies the group and serves as the facilitator of the process undergone by the group without interfering with the management of the group and its meetings. A total of seven group members were interviewed in a qualitative and phenomenological-interpretive research, which combined an outside observation by two authors with an inside observation by a professional who facilitated the group. The study focused on the method of empowerment of the group members, and it found three central themes: self-efficacy, group efficacy, and social efficacy. The research findings are explained from the new perspective of positive criminology. © The Author(s) 2015.
    Journal of Interpersonal Violence 07/2015; DOI:10.1177/0886260515596980 · 1.64 Impact Factor
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    • "Understanding the relationship between social support and QOL is important, since the social domain is especially critical to the recovery process. Studies have documented the enhanced need for and usefulness of social support, especially early on in posttreatment recovery (Humphreys et al., 1997; Laudet et al., 2004, 2006) in the context of a potential erosion of social networks as the individual pulls away from substance involved associates but has not yet established a sober network of friends (Ribisl, 1997; Tracy and Johnson, 2007; Tracy et al., 2010). Women may enter treatment with less social resources as compared to men; fewer social supports among women have been shown to negatively influence both treatment access and retention (Greenfield et al., 2007). "
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    ABSTRACT: Quality of life (QOL) is increasingly recognized as central to the broad construct of recovery in substance abuse services. QOL measures can supplement more objective symptom measures, identify specific service needs and document changes in functioning that are associated with substance use patterns. To date however, QOL remains an under investigated area in the addictions field, especially in the United States. This study examines patterns and predictors of QOL at 1 and 6 months post treatment intake among 240 women enrolled in substance abuse treatment in Cleveland, Ohio. The World Health Organization Quality of Life (WHOQOL-BREF) measure was used to assess physical, psychological, social and environmental domains. Hierarchical multiple regressions were conducted to identify correlates of QOL at 6 months post treatment intake. All QOL domains across the follow up time points improved significantly. However, QOL scores across domains remained below those of healthy population norms. Trauma symptoms significantly predicted Physical and Psychological QOL. Among treatment process variables, alcohol use was the sole significant factor associated with QOL and only for Environmental QOL. Recovery support and friends support for abstinence were consistently associated with QOL across all four domains. This study suggests the usefulness of the WHOQOL measure as an indicator of functioning in substance abusing populations. Findings underline the importance of helping women deal with trauma symptoms and develop support for recovery. Further research is needed on the longitudinal relationship between QOL and substance use patterns.
    Drug and alcohol dependence 02/2012; 124(3):242-9. DOI:10.1016/j.drugalcdep.2012.01.010 · 3.42 Impact Factor
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    • "The reasons for the inconsistency between our fi ndings and predictions based on 12-step ideology are not clear. It is clear that 12-step programs' social networks encourage complete abstinence, which is an important factor in previous attempts to explain 12-step program–related benefi t (Bond et al., 2003; Kaskutas et al., 2002; Laudet et al., 2004). We think it is unlikely that the use of alcohol or illicit drugs breaches the social contract between a 12-step program member and the 12-step program social network, at least initially. "
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    ABSTRACT: The primary aim of this study was to advance understanding of the efficacy of 12-step programs by determining the temporal relationships between alcohol and illicit drug use among 12- step program affiliates. A total of 253 early 12-step affiliates without extensive histories of Alcoholics Anonymous (AA) attendance were recruited from substance use treatment and community-based AA. A majority of the sample met criteria for a diagnosis of alcohol dependence, reported lifetime use of illicit drugs, and reported illicit drug use in the 90-day period before recruitment. After informed consent, participants were interviewed at intake and in 3-month increments for 1 year. Preliminary analyses indicated that 12-step attendance was predictive of reductions in substance use and that such reductions were not moderated by illicit substance use disorder diagnosis or alcohol problem severity. Lagged hierarchical linear models indicated that illicit drug use was a robust predictor of later use of alcohol, although the frequency and intensity of drinking were contingent on whether participants sustained 12-step program affiliation. Alcohol use did not predict later illicit drug use among participants who sustained 12-step program participation. Findings suggest that 12-step participation may serve as a protective factor after substance use occurs. Although our results suggest that the initiation of illicit drug use may undermine efforts to achieve and sustain abstinence from alcohol, our findings do not suggest that alcohol use necessarily mobilizes relapse across different substances among 12-step program affiliates.
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