Structural Ecosystems Therapy for HIV plus African-American Women and Drug Abuse Relapse
Structural Ecosystems Therapy for HIV plus African-American Women and Drug Abuse Relapse
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DOI：
10.1111/j.1545-5300.2010.01318.x
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发表时间：
2010-06-01
期刊：
影响因子：
3.9
通讯作者：
Szapocznik, Jose
中科院分区：
文献类型：
--
作者：
Feaster, Daniel J.;Burns, Myron J.;Szapocznik, Jose
This report examines the effect of Structural Ecosystems Therapy (SET) for (n = 143) HIV+ African-American women on rate of relapse to substance use relative to both a person-centered approach (PCA) to therapy and a community control (CC) group. A prior report has shown SET to decrease psychological distress and family hassles relative to these 2 comparison groups. In new analyses, SET and CC had a significant protective effect against relapse as compared with PCA. There is evidence that SET's protective effect on relapse was related to reductions in family hassles, whereas there was not a direct impact of change in psychological distress on rates of relapse. Lower retention in PCA, perhaps caused by the lack of a directive component to PCA, may have put these women at greater risk for relapse. Whereas SET did not specifically address substance abuse, SET indirectly protected at-risk women from relapse through reductions in family hassles.
