A Longitudinal Prospective Study of Social Network Dynamics in Addictions

成瘾中社交网络动态的纵向前瞻性研究

• 批准号: 8511508
• 负责人: Robert Loren Stout
• 金额: $ 69.27万
• 依托单位: PACIFIC INSTITUTE FOR RES AND EVALUATION
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-07-15 至 2017-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8511508
• 关键词: Abstinence; Address; Affect; Alcohol or Other Drugs use; Behavior; Belief; Characteristics; Chronic; Coping Skills; Data; Disease; Emotional; Family; Friends; Future; Goals; Health; Health behavior; Health behavior outcomes; Heavy Drinking; Individual; Knowledge; Linear Models; Measures; Mediating; Mediation; Mediator of activation protein; Mental Depression; Outcome; Persons; Process; Property; Prospective Studies; Recording of previous events; Recruitment Activity; Relapse; Religion and Spirituality; Research; Self Efficacy; Services; Social Change; Social Characteristics; Social Interaction; Social Network; Spouses; Testing; Time; Work; addiction; cost; design; drinking; hazard; member; social; substance abuse treatment; treatment program

DESCRIPTION (provided by applicant): The longer-term goal of our research effort is to understand why persons with addictions change their social networks in either positive or negative ways, and how important health outcomes and health behaviors affect are influenced by social changes. Our research focuses on persons with addictive disorders because addiction can have strong, even catastrophic, effects on our strongest social ties. On the other hand, there is substantial evidence, including new analyses we present, that social relationships are a strong determinant of addictions outcome. Since addictions are chronic, relapsing disorders, if we were able to promote durable healthy relationships for addicts, these relationships might reduce the need for costly and not always accessible professional services. Unfortunately, we lack a basic understanding of why people change their social relationships, for better or for worse. Our research will illuminate the processes of change in addicts' social networks. We will recruit 300 persons from addictions treatment facilities and follow them naturalistically for two years, gathering intensive longitudinal data on social relationships, substance use, and other variables. Our study has three aims: (1) To determine how a person's relationships are affected by other relationships, and by substance use, co-varying for relationship type and history; (2) To replicate and extend prior research on the effects of social network characteristics on substance use outcome; and (3) To determine social network influences on entry into substance abuse treatment, and mutual-help participation. Cox proportional hazards regressions and hierarchical linear models with time varying covariates will be used to test the a priori predictions laid out i the proposal.

描述（由申请人提供）：我们的研究工作的长期目标是了解为什么成瘾的人以正面或负面的方式改变社交网络，以及健康结果和健康行为影响的重要性影响社会变化的重要性。我们的研究重点是患有上瘾的人，因为成瘾会对我们最牢固的社会联系产生强烈的，甚至灾难性的影响。另一方面，有大量证据，包括我们提出的新分析，表明社会关系是成瘾结果的有力决定因素。由于成瘾是长期的，复发性疾病，如果我们能够为成瘾者促进持久的健康关系，那么这些关系可能会减少对昂贵而不总是可访问的专业服务的需求。不幸的是，我们缺乏对人们为何改变社会关系的基本理解，无论好坏。我们的研究将阐明吸毒者社交网络变化的过程。我们将从上瘾的治疗设施中招募300人，并自然而然地跟随他们，从而收集有关社会关系，药物使用和其他变量的密集纵向数据。 我们的研究具有三个目的：（1）确定一个人的关系如何受到其他关系的影响，并通过使用物质的影响，共同对关系类型和历史共同变化； （2）复制和扩展有关社交网络特征对物质使用结果的影响的先前研究； （3）确定社交网络对进入药物滥用治疗的影响以及共同的参与。 COX比例危害回归和随时间变化的协变量的层次线性模型将用于测试提出的先验预测。