SOCIAL SUPPORT AND RELAPSE - COMMONALITIES AMONG ALCOHOLICS, OPIATE USERS, AND CIGARETTE SMOKERS

SOCIAL SUPPORT AND RELAPSE - COMMONALITIES AMONG ALCOHOLICS, OPIATE USERS, AND CIGARETTE SMOKERS
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DOI:
10.1016/0306-4603(91)90016-b
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发表时间:
1991-01-01
影响因子:
4.4
通讯作者:
WASSERMAN, DA
WASSERMAN, DA
中科院分区:
医学2区
文献类型:
--
作者:
HAVASSY, BE;HALL, SM;WASSERMAN, DA

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社会支持和复发之间的联系进行了检查,在一项研究中,酗酒者,吸烟者和阿片类药物使用者完成治疗的药物使用(N= 221)。每周对受试者进行随访,直至治疗结束后复发,最长持续12周。结构和功能的社会支持和支持禁欲和药物使用进行了调查。在控制人口统计变量和药物治疗组的情况下,更大的结构性支持(以社会融合指数和伴侣状况衡量)预测复发风险较低。更有经验的伴侣对禁欲的支持也预示着更低的风险。社交网络成员使用受试者的问题药物可以预测复发风险的增加,但这种影响在统计学上并不显著。这项研究有助于建立一个跨药物的复发模型。它强调了社会融合和特定于戒断的功能支持在预测复吸风险方面的重要性,而与特定的滥用药物无关。
Links between social support and relapse were examined in a study of alcoholics, cigarette smokers, and opiate users completing treatment for drug use (N= 221). Subjects were followed weekly until relapse for a maximum of 12 weeks after the end of treatment. Structural and functional social support and support for abstinence and drug use were investigated. With demographic variables and drug-treatment group controlled, greater structural support (as measured by an index of social integration and by partner status) predicted a lower risk of relapse. Greater experienced partner support for abstinence also predicted lower risk. Social network members' use of the subject's problem drug predicted heightened relapse risk, but the effect was not statistically significant. This study contributes to a cross-drug model of relapse. It highlights the importance of social integration and abstinence-specific functional support in predicting the risk of relapse, independent of the particular drug of abuse.